VINTAGE VITALITY LLC
NPI 1497456545
Health Educator in East Orange, NJ

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

The NPI number for Vintage Vitality LLC is 1497456545. It was assigned to this organization in the NPPES registry on March 15, 2023.

Q: What is Vintage Vitality LLC's specialty?

The primary specialty registered for this NPI is Health Educator with taxonomy code 174H00000X.

Active since March 15, 2023

516 MAIN ST, EAST ORANGE, NJ 07018(973) 704-0196 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Vintage Vitality Llc NPPES

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

VINTAGE VITALITY LLC (NPI 1497456545) is a healthcare organization registered as a health educator in East Orange, New Jersey and active in the NPI registry since March 2023. The organization lists Althea Haynes, Practitioner, as its authorized official.

NPPES Registry Identity

NPI1497456545

Entity TypeOrganization

Primary Taxonomy174H00000X

Legal Business NameVINTAGE VITALITY LLC

Location Address516 MAIN STEast Orange, NJ 07018-2244

Mailing Address516 Main StEast Orange, NJ 07018-2244 · (973) 704-0196

Phone(973) 704-0196

Organization SubpartNo

Authorized OfficialAlthea HaynesPractitioner · (973) 704-0196

Enumeration DateMarch 15, 2023

NPPES CertifiedMarch 15, 2023

✔ NPI 1497456545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHealth EducatorOther Service Providers

Taxonomy Code174H00000X

Definition

Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work.

516 MAIN ST, East Orange, NJ 07018

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

ALTHEA HAYNES

Health Educator

516 MAIN ST
EAST ORANGE, NJ 07018

Essex County (973) 704-0196

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 Vintage Vitality LLC's NPI number?

The NPI number for Vintage Vitality LLC is 1497456545. It was assigned to this organization in the NPPES registry on March 15, 2023.

Where is Vintage Vitality LLC located?

Vintage Vitality LLC is located at 516 Main St, East Orange, NJ 07018. The listed phone number is (973) 704-0196.

What is Vintage Vitality LLC's specialty?

The primary specialty registered for this NPI is Health Educator with taxonomy code 174H00000X.

When was this NPI record last updated?

The NPPES record for Vintage Vitality LLC was last updated on March 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.