MEDICARE: VITALITY HEALTH SOLUTIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	343900000X	Non-emergency Medical Transport (VAN)
2	347C00000X	Private Vehicle
3	174200000X	Meals Provider
4	251B00000X	Case Management Agency
5	332U00000X	Home Delivered Meals
6	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1568160471
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VITALITY HEALTH SOLUTIONS

Provider Business Mailing Address
First Line	:	6501 ARLINGTON EXPRESSWAY
Second Line	:	B105 SUITE 2142
City	:	JACKSONVILLE
State	:	FL
Zip	:	32211
Country	:	US
Telephone Number	:	904-844-9961
Fax Number	:	303-600-4673

Provider Business Practice Location Address
First Line	:	3343 PEACHTREE RD NE STE 145
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30326-1427
Country	:	US
Telephone Number	:	904-844-9961
Fax Number	:	303-600-4673

Authorized Official
Title or Position	:	CEO
Name	:	MELBA M FURLOW
Credential	:
Telephone Number	:	904-844-9961

Provider Enumeration Date	:	02/20/2023
Last Update Date	:	02/20/2023

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Directions to “VITALITY HEALTH SOLUTIONS ” Practice Location

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