Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STILL VITALITY CARE LLC
NPI 1982553871
Nurse Practitioner - Psychiatric/Mental Health in Canton, MA

Active since January 24, 2026
1017 TURNPIKE ST STE BOFFICE2, CANTON, MA 02021(774) 202-9533(949) 883-2076 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 17, 2026, Mar 18, 2026, Jan 27, 2026 and 1 more (4 updates tracked since 2026).

About Still Vitality Care Llc NPPES

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

STILL VITALITY CARE LLC (NPI 1982553871) is a healthcare organization registered as a psychiatric/mental health in Canton, Massachusetts and active in the NPI registry since January 2026. The organization lists Chimezie Joanna Agomoh, Psychiatric Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1982553871
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSTILL VITALITY CARE LLC
Location Address1017 TURNPIKE ST STE BOFFICE2Canton, MA 02021-2853
Mailing Address6 Elizabeth LnWest Bridgewater, MA 02379-1838 · (774) 202-9533 · Fax (949) 883-2076
Fax(949) 883-2076
Organization SubpartNo
Authorized OfficialChimezie Joanna AgomohPsychiatric Nurse Practitioner · (774) 202-9533
Enumeration DateJanuary 24, 2026
Last NPPES UpdateSeptember 17, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1982553871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1017 TURNPIKE ST STE BOFFICE2, Canton, MA 02021

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Still Vitality Care 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 Still Vitality Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1154906980
1017 TURNPIKE ST STE BOFFICE2
Canton, MA 02021
(774) 202-9533
✔ PECOS✔ Accepts MedicareSame address

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 Still Vitality Care LLC's NPI number?

The NPI number for Still Vitality Care LLC is 1982553871. It was assigned to this organization in the NPPES registry on January 24, 2026.

Where is Still Vitality Care LLC located?

Still Vitality Care LLC is located at 1017 Turnpike St Ste Boffice2, Canton, MA 02021. The listed phone number is (774) 202-9533.

What is Still Vitality Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Still Vitality Care LLC enrolled in Medicare?

Yes. Still Vitality Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Still Vitality Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Still Vitality Care 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.

When was this NPI record last updated?

The NPPES record for Still Vitality Care LLC was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.