1073182101 NPI number — VITALOGIC HEALTHCARE SOLUTIONS LLC

Table of content: (NPI 1073182101)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073182101 NPI number — VITALOGIC HEALTHCARE SOLUTIONS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VITALOGIC HEALTHCARE SOLUTIONS LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
IN A HEARTBEAT HOME HEALTH SERVICES
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1073182101
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/05/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
204 2ND ST SW UNIT 1476
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PUYALLUP
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98371-5476
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
425-459-5052
Provider Business Mailing Address Fax Number:
425-900-6111

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1400 112TH AVE SE STE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BELLEVUE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98004-6901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-586-3898
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/22/2021

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
STRODE
Authorized Official First Name:
CATINA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT/CEO
Authorized Official Telephone Number:
317-506-7399

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 251F00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)