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VITAL HEALTH LLC
NPI 1003551052
Family Medicine in Maumee, OH

Active since May 04, 2022CLIA 36D2249538 · Waiver
111 CLINTON ST, MAUMEE, OH 43537(419) 740-3022(419) 740-3033 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vital Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VITAL HEALTH LLC (NPI 1003551052) is a healthcare organization registered as a family medicine in Maumee, Ohio and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through January 19, 2028 and lists Nicole M Spellis-freyre, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1003551052
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVITAL HEALTH LLC
Location Address111 CLINTON STMaumee, OH 43537-2811
Mailing Address111 Clinton StMaumee, OH 43537-2811 · (419) 740-3022 · Fax (419) 740-3033
Phone(419) 740-3022
Fax(419) 740-3033
Organization SubpartYes
Authorized OfficialNicole M Spellis-freyreAuthorized Official · (419) 740-3022
Enumeration DateMay 4, 2022
Last NPPES UpdateSeptember 29, 2023
NPPES CertifiedSeptember 29, 2023
✔ NPI 1003551052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
111 CLINTON ST, Maumee, OH 43537
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2249538

Vital Health LLC · Maumee, OH
Active · expires Jan 19, 2028
CLIA Number36D2249538
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateJanuary 20, 2026
Certificate Expiration DateJanuary 19, 2028
Laboratory DirectorNicole Spellis-Freyre
Laboratory Phone(419) 740-3022
Laboratory LocationVital Health LLC111 Clinton Street, Maumee, OH 43537
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEAN M BUNKER
Social Worker
111 CLINTON ST
MAUMEE, OH 43537
Lucas County (419) 740-3022
JACOB THOMAS SPELLIS MSW, LSW
Social Worker
111 CLINTON ST
MAUMEE, OH 43537
Lucas County (419) 740-3022
KIARA BYRD
Counselor (Mental Health)
111 CLINTON ST
MAUMEE, OH 43537
Lucas County (419) 740-3022
MADISYN MAAG
Social Worker
111 CLINTON ST
MAUMEE, OH 43537
Lucas County (419) 740-3022
DAVID LEE NALLS CDCA
Case Manager/Care Coordinator
111 CLINTON ST
MAUMEE, OH 43537
Lucas County (419) 740-3022
NICOLE M SPELLIS-FREYRE RN
Registered Nurse
111 CLINTON ST
MAUMEE, OH 43537
Lucas County (419) 740-3022
GLT MEDICAL SERVICES LTD
General Practice
111 CLINTON ST
MAUMEE, OH 43537
Lucas County (419) 893-0485
JAMIE HALES CDCA
Counselor (Addiction (Substance Use Disorder))
111 CLINTON ST
MAUMEE, OH 43537
Lucas County (419) 740-3022

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vital Health LLC's NPI number?

The NPI number for Vital Health LLC is 1003551052. It was assigned to this organization in the NPPES registry on May 4, 2022.

Where is Vital Health LLC located?

Vital Health LLC is located at 111 Clinton St, Maumee, OH 43537. The listed phone number is (419) 740-3022.

What is Vital Health LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Vital Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2249538) is associated with this NPI, valid through January 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vital Health LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Vital Health LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vital Health LLC was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.