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VITALITY HEALTHCARE PC
NPI 1770954703
Family Medicine in Portage, MI

Active since October 16, 2015CLIA 23D2127510 · Waiver
5717 OAKLAND DR, STE A, PORTAGE, MI 49024(269) 323-4473(269) 324-0755 Get Directions Write a Review

NPPES record last updated: October 5, 2016. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Vitality Healthcare Pc NPPES

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

VITALITY HEALTHCARE PC (NPI 1770954703) is a healthcare organization registered as a family medicine in Portage, Michigan and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through March 13, 2027 and lists James T Joseph, President, as its authorized official.

NPPES Registry Identity

NPI1770954703
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVITALITY HEALTHCARE PC
Location Address5717 OAKLAND DR, STE APortage, MI 49024-1116
Mailing Address5717 Oakland Dr, Ste APortage, MI 49024-1116 · (269) 323-4473 · Fax (269) 324-0755
Phone(269) 323-4473
Fax(269) 324-0755
Organization SubpartNo
Authorized OfficialJames T JosephPresident · (269) 323-4473
Enumeration DateOctober 16, 2015
Last NPPES UpdateOctober 5, 2016
✔ NPI 1770954703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
5717 OAKLAND DR, Portage, MI 49024
Open in Google Maps ↗

Other Identifiers 1

Medicare NSC7547270001MI

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 Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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 23D2127510

Vitality Healthcare PC · Portage, MI
Active · expires Mar 13, 2027
CLIA Number23D2127510
Laboratory TypePhysician Office
Certificate Effective DateMarch 14, 2025
Certificate Expiration DateMarch 13, 2027
Laboratory DirectorJames A. Joseph
Laboratory Phone(269) 323-4473
Laboratory LocationVitality Healthcare PC5717 Oakland Drive Suite A, Portage, MI 49024
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 10

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

MEGAN BLY DPT, CLT
Physical Therapist
5717 OAKLAND DR, SUITE B
PORTAGE, MI 49024
Kalamazoo County (269) 459-6212
MR. DAVID RITZENTHALER PT
Physical Therapist
5717 OAKLAND DR, STE B
PORTAGE, MI 49024
Kalamazoo County (269) 488-8360
REHAB SPECIALISTS, LLC
Physical Therapist
5717 OAKLAND DR, SUITE B
PORTAGE, MI 49024
Kalamazoo County (269) 978-2490
SARAH BRADY MSW
Social Worker
5717 OAKLAND DR, SUITE A
PORTAGE, MI 49024
Kalamazoo County (269) 323-4473
CASEY BENNETT
Physical Therapist (Orthopedic)
5717 OAKLAND DR
PORTAGE, MI 49024
Kalamazoo County (269) 459-6212
MARIBETH HENRY DPT
Physical Therapist
5717 OAKLAND DR, SUITE B
PORTAGE, MI 49024
Kalamazoo County (269) 459-6212
JOSHUA KETTLEWELL PT, DPT
Physical Therapist
5717 OAKLAND DR
PORTAGE, MI 49024
Kalamazoo County (269) 459-6212
DR. STEVEN TODD OSTERHOUT D.C.,CCN
Chiropractor
5717 OAKLAND DR, SUITE A
PORTAGE, MI 49024
Kalamazoo County (269) 324-4143

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 PC's NPI number?

The NPI number for Vitality Healthcare PC is 1770954703. It was assigned to this organization in the NPPES registry on October 16, 2015.

Where is Vitality Healthcare PC located?

Vitality Healthcare PC is located at 5717 Oakland Dr Ste A, Portage, MI 49024. The listed phone number is (269) 323-4473.

What is Vitality Healthcare PC's specialty?

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

Does Vitality Healthcare PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2127510) is associated with this NPI, valid through March 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vitality Healthcare PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Vitality Healthcare PC 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 Vitality Healthcare PC was last updated on October 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.