Provider Demographics
NPI:1609115021
Name:VIDA HEALTHCARE SYSTEMS, LLC
Entity Type:Organization
Organization Name:VIDA HEALTHCARE SYSTEMS, LLC
Other - Org Name:VIDA CARE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ELENA
Authorized Official - Middle Name:G
Authorized Official - Last Name:RECINOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-248-0277
Mailing Address - Street 1:5100 N 6TH ST STE 112
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-7506
Mailing Address - Country:US
Mailing Address - Phone:559-248-0277
Mailing Address - Fax:559-248-0279
Practice Address - Street 1:5100 N 6TH ST STE 112
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-7506
Practice Address - Country:US
Practice Address - Phone:559-248-0277
Practice Address - Fax:559-248-0279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-05
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health