Vitality Ageless Center Llc
Multi-Specialty
Vitality Ageless Center Llc, 1300 Peachtree Industrial Blvd #1201, Suwanee
Georgia, 30024-4686
770-614-6266 770-623-9949
Vitality Ageless Center Llc is an authorized DME supplier for medicare equipment and products.Vitality Ageless Center Llc is a Multi-Specialty in Suwanee, Georgia. It is located at Vitality Ageless Center Llc, 1300 Peachtree Industrial Blvd #1201, Suwanee and it's customer support contact number is 770-614-6266. The authorized person of Vitality Ageless Center Llc is Julie Yu who is Owner of this DME and his contact number is 770-614-6266. Vitality Ageless Center Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Vitality Ageless Center Llc is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Vitality Ageless Center Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Vitality Ageless Center Llc |
| Type: | Multi-Specialty |
| Location: | Vitality Ageless Center Llc, 1300 Peachtree Industrial Blvd #1201, Suwanee, Georgia, 30024-4686 |
| Phone: | 770-614-6266 |
| Fax: | 770-623-9949 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Julie Yu |
| Position: | Owner |
| Contact Number: | 770-614-6266 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1730657271 |
| NPI Enumeration Date: | 02 Nov, 2018 |
| NPI Last Update On: | 09 May, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Vitality Ageless Center Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Multi-Specialty | | | Primary | |
| Family Medicine | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Home Health | | | Secondary | |
| Clinic/center | | | Secondary | |
Medicare Enrollment:
Vitality Ageless Center Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 6800135872 | O20190325002304 | Vitality Ageless Center Llc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 6800135872 | O20240628000026 | Vitality Ageless Center Llc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 6800135872 | O20240920001696 | Vitality Ageless Center Llc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 6800135872 | O20250110002087 | Vitality Ageless Center Llc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 6800135872 | O20250203002436 | Vitality Ageless Center Llc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 6800135872 | O20250217001207 | Vitality Ageless Center Llc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 6800135872 | O20250703000766 | Vitality Ageless Center Llc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1300 Peachtree Industrial Blvd Ste 1201, Suwanee, Georgia |
| Zip: | 30024-4550 |
| Phone Number: | 770-614-6266 |
| Fax Number: | 770-623-9949 |
Patients can reach Vitality Ageless Center Llc at
Vitality Ageless Center Llc, 1300 Peachtree Industrial Blvd #1201, Suwanee, Georgia or can
call on customer care at 770-614-6266.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.