Provider Demographics
NPI:1275659781
Name:ST. VINCENT HEALTH CARE SERVICES, INC.
Entity Type:Organization
Organization Name:ST. VINCENT HEALTH CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:DONABELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ORONOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-252-0575
Mailing Address - Street 1:3900 NW 79TH AVE
Mailing Address - Street 2:SUITE 708
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6556
Mailing Address - Country:US
Mailing Address - Phone:305-463-8366
Mailing Address - Fax:305-463-8376
Practice Address - Street 1:3900 NW 79TH AVE
Practice Address - Street 2:SUITE 708
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6556
Practice Address - Country:US
Practice Address - Phone:305-463-8366
Practice Address - Fax:305-463-8376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health