Provider Demographics
NPI:1174358204
Name:VITALITY RESOURCES, INC.
Entity type:Organization
Organization Name:VITALITY RESOURCES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, EXECUTIVE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:A
Authorized Official - Last Name:EISSLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-580-9955
Mailing Address - Street 1:6783 LEMPIRA CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-1798
Mailing Address - Country:US
Mailing Address - Phone:281-580-9955
Mailing Address - Fax:281-749-8111
Practice Address - Street 1:6783 LEMPIRA CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-1798
Practice Address - Country:US
Practice Address - Phone:281-580-9955
Practice Address - Fax:281-749-8111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX009448OtherHCSSA PSA HOME CARE TEXAS DEPT. OF HEALTH & HUMAN SERVICES