Provider Demographics
NPI:1114206976
Name:VITAL CARE HEALTH SYSTEMS
Entity Type:Organization
Organization Name:VITAL CARE HEALTH SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LEILANI
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:858-688-8032
Mailing Address - Street 1:444 CAMINO DEL RIO SOUTH
Mailing Address - Street 2:SUITE 219
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-3587
Mailing Address - Country:US
Mailing Address - Phone:619-291-7888
Mailing Address - Fax:619-291-7889
Practice Address - Street 1:444 CAMINO DEL RIO S
Practice Address - Street 2:SUITE 219
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3510
Practice Address - Country:US
Practice Address - Phone:619-291-7888
Practice Address - Fax:619-291-7889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-11
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health