# VITAL CARE WELLNESS NP IN ADULT HEALTH PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ELITE ADULT AND SENIOR PRACTICE INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1588527618
- **Legal business name:** ELITE ADULT AND SENIOR PRACTICE INC
- **Authorized official:** OBIOMA ONAH DNP (PRESIDENT)
- **Authorized official phone:** (347) 393-5187

## Contact information

- **Practice address:** 21726 138TH RD, SPRINGFIELD GARDENS, NY 11413-2608
- **Practice address phone:** (845) 288-0988
- **Practice address fax:** (718) 808-0043
- **Mailing address:** 21726 138TH RD, SPRINGFIELD GARDENS, NY 11413-2608
- **Mailing address phone:** (845) 288-0988
- **Mailing address fax:** (718) 808-0043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/05/2025
- **Last updated:** 12/05/2025