Custom Vitality IV Inc
NPI 1366241762 · Medical Specialty Clinic/Center · Broadview Heights, OH
Custom Vitality IV Inc is a Medical Specialty Clinic/Center organization in Broadview Heights, OH (NPI 1366241762).
Provider details
- NPI number
- 1366241762
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Moira Gioitta-Tucker, Owner(330) 247-8897
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-03-10
- Last updated
- 2025-03-10
- Certified
- 2025-03-10
Frequently asked questions
- What is Custom Vitality IV Inc's NPI number?
- Custom Vitality IV Inc's National Provider Identifier (NPI) is 1366241762, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Custom Vitality IV Inc?
- Custom Vitality IV Inc is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Custom Vitality IV Inc located?
- Custom Vitality IV Inc's practice location on file with NPPES is 408 Norwich Dr, Broadview Heights, OH 44147-4242.
- What is Custom Vitality IV Inc's phone number?
- The practice phone number listed in the NPPES registry for Custom Vitality IV Inc is (330) 247-8897.
- Who is the authorized official for Custom Vitality IV Inc?
- The authorized official listed on Custom Vitality IV Inc's NPPES record is Moira Gioitta-Tucker, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Custom Vitality IV Inc's NPI active?
- Yes — Custom Vitality IV Inc's NPI (1366241762) is active in the NPPES registry as of the last update on 2025-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.