Organization
VITA HEALTH INITIATIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAZVITA MAZIVEYI (OWNER)
(504) 434-8476
Entity
Organization
Contact information
Practice address
258 GREEN MEADOWS RD, WILMER, TX 75172-3335
(504) 434-8476
Mailing address
258 GREEN MEADOWS RD, WILMER, TX 75172-3335
(504) 434-8476
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
—
—
302F00000X
Exclusive Provider Organization
—
—
302R00000X
Health Maintenance Organization
—
—
305R00000X
Preferred Provider Organization
—
—
305S00000X
Point of Service
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/04/2021
Last updated
07/12/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us