Provider Demographics
NPI:1518067198
Name:VITACARE CORP USA
Entity Type:Organization
Organization Name:VITACARE CORP USA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:EZECHUKWU
Authorized Official - Last Name:OHAKA
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:405-605-2790
Mailing Address - Street 1:5022 N MAY AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-6010
Mailing Address - Country:US
Mailing Address - Phone:405-605-2790
Mailing Address - Fax:405-605-2792
Practice Address - Street 1:5022 N MAY AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-6010
Practice Address - Country:US
Practice Address - Phone:405-605-2790
Practice Address - Fax:405-605-2792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies