Provider Demographics
NPI:1609389766
Name:VITALCARE CORPORATION
Entity Type:Organization
Organization Name:VITALCARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-664-4222
Mailing Address - Street 1:1400 W 122ND AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80234-3440
Mailing Address - Country:US
Mailing Address - Phone:888-664-4222
Mailing Address - Fax:
Practice Address - Street 1:1400 W 122ND AVE STE 140
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-3440
Practice Address - Country:US
Practice Address - Phone:888-664-4222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VITALCARE CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-11-13
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
No253Z00000XAgenciesIn Home Supportive Care