Provider Demographics
NPI:1508502576
Name:VITASANA, INC.
Entity Type:Organization
Organization Name:VITASANA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:BUDRAITIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-465-4663
Mailing Address - Street 1:8771 WOLFF CT STE 100
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-6949
Mailing Address - Country:US
Mailing Address - Phone:303-465-4663
Mailing Address - Fax:720-458-3901
Practice Address - Street 1:8771 WOLFF CT STE 100
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-6949
Practice Address - Country:US
Practice Address - Phone:303-465-4663
Practice Address - Fax:720-458-3901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-11
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care