VITALITY M12 LLC
NPI 1205456001
Durable Medical Equipment & Medical Supplies in Las Vegas, NV

Q: What is Vitality M12 LLC's NPI number?

The NPI number for Vitality M12 LLC is 1205456001. It was assigned to this organization in the NPPES registry on April 21, 2020. The provider was formerly known as Vitality MGM LLC.

Q: What is Vitality M12 LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Q: When was this NPI record last updated?

The NPPES record for Vitality M12 LLC was last updated on April 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 21, 2020

4650 ARVILLE ST STE F, LAS VEGAS, NV 89103(702) 240-8531(702) 441-1765 Get Directions Write a Review

NPPES record last updated: April 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Vitality M12 Llc NPPES

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

VITALITY M12 LLC (NPI 1205456001), doing business as Vitality Mgm Llc, is a healthcare organization registered as a durable medical equipment & medical supplies in Las Vegas, Nevada and active in the NPI registry since April 2020. The organization lists Alexandra Stabile, Controller, as its authorized official.

NPPES Registry Identity

NPI1205456001

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameVITALITY M12 LLC

Location Address4650 ARVILLE ST STE FLas Vegas, NV 89103-5325

Mailing Address4650 Arville St Ste FLas Vegas, NV 89103-5325 · (702) 240-8531 · Fax (702) 441-1765

Phone(702) 240-8531

Fax(702) 441-1765

Organization SubpartNo

Authorized OfficialAlexandra StabileController · (702) 240-8531

Enumeration DateApril 21, 2020

NPPES CertifiedApril 21, 2020

✔ NPI 1205456001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

4650 ARVILLE ST STE F, Las Vegas, NV 89103

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Other Names 1

Former Legal Business NameVitality Mgm Llc

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 M12 LLC's NPI number?

The NPI number for Vitality M12 LLC is 1205456001. It was assigned to this organization in the NPPES registry on April 21, 2020. The provider was formerly known as Vitality MGM LLC.

Where is Vitality M12 LLC located?

Vitality M12 LLC is located at 4650 Arville St Ste F, Las Vegas, NV 89103. The listed phone number is (702) 240-8531.

What is Vitality M12 LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Vitality M12 LLC was last updated on April 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.