Provider Demographics
NPI:1790190734
Name:VERTEX HEALTHCARE SOLUTIONS, INC.
Entity Type:Organization
Organization Name:VERTEX HEALTHCARE SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:BERARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-761-2340
Mailing Address - Street 1:5021 VERDUGO WAY
Mailing Address - Street 2:SUITE 105-305
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93012-8675
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5021 VERDUGO WAY
Practice Address - Street 2:SUITE 105-305
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93012-8675
Practice Address - Country:US
Practice Address - Phone:800-761-2340
Practice Address - Fax:805-233-7636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-28
Last Update Date:2014-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty