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VITALIS WELLNESS CENTER, LLC
NPI 1922876580
Clinic/Center in Kissimmee, FL

Active since December 13, 2023CLIA 10D2328704 · Waiver
330 W OAK ST, KISSIMMEE, FL 34741(888) 348-7363(888) 348-7363 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 8, 2024, Oct 10, 2024, Aug 21, 2024 and 4 more (7 updates tracked since 2023).

About Vitalis Wellness Center, Llc NPPES

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

VITALIS WELLNESS CENTER, LLC (NPI 1922876580) is a healthcare organization registered as a clinic/center in Kissimmee, Florida and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through August 14, 2027 and lists Jose Rivas, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1922876580
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameVITALIS WELLNESS CENTER, LLC
Location Address330 W OAK STKissimmee, FL 34741-4443
Mailing Address330 W Oak StKissimmee, FL 34741-4443 · (888) 348-7363 · Fax (888) 348-7363
Phone(888) 348-7363
Fax(888) 348-7363
Organization SubpartNo
Authorized OfficialJose RivasMedical Director · (888) 348-7363
Enumeration DateDecember 13, 2023
Last NPPES UpdateNovember 8, 20247 updates tracked since enumeration
NPPES CertifiedNovember 6, 2024
✔ NPI 1922876580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
330 W OAK ST, Kissimmee, FL 34741
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vitalis Wellness Center, Llc 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 Vitalis Wellness Center, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Emilio Santos, MD
General Practice
NPI 1558314294
330 W OAK ST
Kissimmee, FL 34741
(888) 348-7363
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 10D2328704

Vitalis Wellness Center LLC · Kissimmee, FL
Active · expires Aug 14, 2027
CLIA Number10D2328704
Laboratory TypePhysician Office
Certificate Effective DateAugust 15, 2025
Certificate Expiration DateAugust 14, 2027
Laboratory DirectorJose Riveas
Laboratory Phone(888) 348-7363
Laboratory LocationVitalis Wellness Center LLC330 W Oak St, Kissimmee, FL 34741
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Vitalis Wellness Center, LLC's NPI number?

The NPI number for Vitalis Wellness Center, LLC is 1922876580. It was assigned to this organization in the NPPES registry on December 13, 2023.

Where is Vitalis Wellness Center, LLC located?

Vitalis Wellness Center, LLC is located at 330 W Oak St, Kissimmee, FL 34741. The listed phone number is (888) 348-7363.

What is Vitalis Wellness Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Vitalis Wellness Center, LLC enrolled in Medicare?

Yes. Vitalis Wellness Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vitalis Wellness Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Vitalis Wellness Center, LLC. 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.

Does Vitalis Wellness Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2328704) is associated with this NPI, valid through August 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vitalis Wellness Center, LLC was last updated on November 8, 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.