DESTINATION VITALITY LTD
NPI 1689321382
Clinic/Center - Health Service in Honesdale, PA
About Destination Vitality Ltd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DESTINATION VITALITY LTD (NPI 1689321382) is a healthcare organization registered as a health service in Honesdale, Pennsylvania and active in the NPI registry since March 2022. The organization lists Dana Gallik, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Destination Vitality Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Destination Vitality Ltd, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Destination Vitality Ltd's NPI number?
The NPI number for Destination Vitality Ltd is 1689321382. It was assigned to this organization in the NPPES registry on March 3, 2022.
Where is Destination Vitality Ltd located?
Destination Vitality Ltd is located at 310 Sunrise Ave Ste B, Honesdale, PA 18431. The listed phone number is (570) 801-9488.
What is Destination Vitality Ltd's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Is Destination Vitality Ltd enrolled in Medicare?
Yes. Destination Vitality Ltd is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Destination Vitality Ltd?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Destination Vitality Ltd. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Destination Vitality Ltd was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Destination Vitality Ltd · NPI 1689321382
Health Service organization in Honesdale, Pennsylvania. Organization record, active in the CMS NPPES registry since March 3, 2022.
## Identity
- **NPI:** 1689321382 (Entity type: Organization)
- **Enumerated:** March 3, 2022
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Organization subpart:** No
- **Authorized official:** Dana Gallik, OWNER
## Practice location
- **Address:** 310 SUNRISE AVE STE B, Honesdale, PA 18431-1032
- **Phone:** (570) 801-9488 · **Fax:** (877) 675-2576
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 31, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1689321382) · Data from the CMS NPPES public registry.