Provider Demographics
NPI:1538676796
Name:VINTEX QUALITY CARE, INC.
Entity Type:Organization
Organization Name:VINTEX QUALITY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABO
Authorized Official - Middle Name:
Authorized Official - Last Name:OMACHONU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-666-8331
Mailing Address - Street 1:7400 SW 50TH TER STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-4486
Mailing Address - Country:US
Mailing Address - Phone:305-666-8331
Mailing Address - Fax:
Practice Address - Street 1:7951 RIVIERA BLVD STE 312
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-6438
Practice Address - Country:US
Practice Address - Phone:954-505-7984
Practice Address - Fax:305-666-8462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-09
Last Update Date:2018-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299994451251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health