Provider Demographics
NPI:1033717483
Name:VTC CARE MANAGEMENT
Entity Type:Organization
Organization Name:VTC CARE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSANA
Authorized Official - Middle Name:
Authorized Official - Last Name:JIMINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:737-230-2605
Mailing Address - Street 1:15106 LARIAT TRL
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78734-2343
Mailing Address - Country:US
Mailing Address - Phone:512-963-9673
Mailing Address - Fax:
Practice Address - Street 1:15106 LARIAT TRL
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78734-2343
Practice Address - Country:US
Practice Address - Phone:512-963-9673
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-16
Last Update Date:2020-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No3416A0800XTransportation ServicesAmbulanceAir Transport
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)