Provider Demographics
NPI:1114323540
Name:VINEDALE HEALTH CARE, INC.
Entity Type:Organization
Organization Name:VINEDALE HEALTH CARE, INC.
Other - Org Name:UNIVERSAL MEDICAL RENTALS AND EQUIPMENT SALES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SAMVEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SARIBEKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-699-9463
Mailing Address - Street 1:2514 ROOSEVELT AVE
Mailing Address - Street 2:SUITE 16
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46218-3643
Mailing Address - Country:US
Mailing Address - Phone:858-699-9463
Mailing Address - Fax:
Practice Address - Street 1:2514 ROOSEVELT AVE
Practice Address - Street 2:SUITE 16
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46218-3643
Practice Address - Country:US
Practice Address - Phone:858-699-9463
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-12
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies