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Custom Vitality IV Inc

Medical Specialty Clinic/Center in Broadview Heights, OH · enumerated 2025 · authorized official Moira Gioitta-Tucker, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366241762

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Registry record

Entity type Organization (Type 2)
Legal business name Custom Vitality IV Inc
Practice address 408 Norwich Dr, Broadview Heights, OH, 44147
Phone (330) 247-8897
Enumeration date Mar 10, 2025
Last updated in NPPES Mar 10, 2025

Taxonomy & classification

261QM2500X Medical Specialty Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Moira Gioitta-Tucker
Title Owner
Phone (330) 247-8897

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Custom Vitality IV Inc?
The NPI for Custom Vitality IV Inc is 1366241762, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Custom Vitality IV Inc?
NPPES lists Moira Gioitta-Tucker (Owner) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-03-10.