Provider Demographics
NPI:1306842158
Name:VIP HEALTH CARE SERVICES INC.
Entity Type:Organization
Organization Name:VIP HEALTH CARE SERVICES INC.
Other - Org Name:KWIK CARE LTD
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ZIPORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:WILON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-847-9800
Mailing Address - Street 1:11608 MYRTLE AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11418-1748
Mailing Address - Country:US
Mailing Address - Phone:718-847-9800
Mailing Address - Fax:718-847-9652
Practice Address - Street 1:11608 MYRTLE AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11418-1748
Practice Address - Country:US
Practice Address - Phone:718-847-9800
Practice Address - Fax:718-847-9652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-27
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1493L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02118569Medicaid