Provider Demographics
NPI:1164460820
Name:UTOPIA HOME CARE INC
Entity Type:Organization
Organization Name:UTOPIA HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:KYLE
Authorized Official - Last Name:VITALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-466-3050
Mailing Address - Street 1:60 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:KINGS PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11754-2710
Mailing Address - Country:US
Mailing Address - Phone:631-544-6005
Mailing Address - Fax:
Practice Address - Street 1:444 FOXON RD
Practice Address - Street 2:
Practice Address - City:EAST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06513-2037
Practice Address - Country:US
Practice Address - Phone:203-466-3050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTC9714510251E00000X, 376J00000X, 376J00000X, 251E00000X, 251E00000X
SC000000251E00000X, 251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004181468Medicaid
SC00000000Medicaid
CT004182226OtherCHC
NY01133513Medicaid
CT004181468Medicaid
CT004182226OtherCHC
FL679738500Medicaid
NY00842351Medicaid
FL677075400Medicaid
NY00842351Medicaid
NC0Medicaid