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VITALITY HEALTHCARE LLC
NPI 1174329676
Lodging in Canaan, CT

Active since February 24, 2025
187 S CANAAN RD, CANAAN, CT 06018(860) 362-5232(877) 861-6507 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vitality Healthcare Llc NPPES

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

VITALITY HEALTHCARE LLC (NPI 1174329676), doing business as Mountainside, is a healthcare organization registered as a lodging in Canaan, Connecticut and active in the NPI registry since February 2025. The organization lists Michelle Williamson, Vp, Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1174329676
Entity TypeOrganization
Primary Taxonomy177F00000X
Legal Business NameVITALITY HEALTHCARE LLC
Location Address187 S CANAAN RDCanaan, CT 06018-2544
Mailing Address187 S Canaan RdCanaan, CT 06018-2544 · (860) 362-5232 · Fax (877) 861-6507
Phone(860) 362-5232
Fax(877) 861-6507
Organization SubpartNo
Authorized OfficialMichelle WilliamsonVp, Revenue Cycle · (860) 362-5232
Enumeration DateFebruary 24, 2025
NPPES CertifiedFebruary 24, 2025
✔ NPI 1174329676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLodgingOther Service Providers
Taxonomy Code177F00000X
Definition
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
187 S CANAAN RD, Canaan, CT 06018
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Other Names 1

Doing Business AsMountainside

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.

EMILY MIDWOOD
Social Worker (Clinical)
187 S CANAAN RD
CANAAN, CT 06018
Northwest Hills Planning Region (860) 824-1397
MC2 - HEALTHCARE
Substance Abuse Rehabilitation Facility
187 S CANAAN RD
CANAAN, CT 06018
Northwest Hills Planning Region (860) 362-5232
MRS. KATHRYN FITZGERALD LPC
Counselor (Mental Health)
187 S CANAAN RD
CANAAN, CT 06018
Northwest Hills Planning Region (860) 824-1397
SHANTHI MOGALI M.D.
Psychiatry & Neurology (Addiction Psychiatry)
187 S CANAAN RD
CANAAN, CT 06018
Northwest Hills Planning Region (800) 362-5229
MELISSA DUBE
Counselor
187 S CANAAN RD
CANAAN, CT 06018
Northwest Hills Planning Region (860) 824-1397
GHOSIA RAQIB LPC
Counselor (Professional)
187 S CANAAN RD
CANAAN, CT 06018
Northwest Hills Planning Region (877) 200-0637
MC1 HEALTHCARE
Substance Abuse Rehabilitation Facility
187 S CANAAN RD
CANAAN, CT 06018
Northwest Hills Planning Region (860) 824-1397
CANDACE MARIE DEAN LADC, CASAC-M, LPC-A
Counselor (Addiction (Substance Use Disorder))
187 S CANAAN RD
CANAAN, CT 06018
Northwest Hills Planning Region (860) 824-1397

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 Vitality Healthcare LLC's NPI number?

The NPI number for Vitality Healthcare LLC is 1174329676. It was assigned to this organization in the NPPES registry on February 24, 2025. The provider is doing business as Mountainside.

Where is Vitality Healthcare LLC located?

Vitality Healthcare LLC is located at 187 S Canaan Rd, Canaan, CT 06018. The listed phone number is (860) 362-5232.

What is Vitality Healthcare LLC's specialty?

The primary specialty registered for this NPI is Lodging with taxonomy code 177F00000X.

When was this NPI record last updated?

The NPPES record for Vitality Healthcare LLC was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.