Provider Demographics
NPI:1912020256
Name:VITALIFE HOME HEALTH CARE, INC
Entity Type:Organization
Organization Name:VITALIFE HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RUBERMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMADRID
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:786-281-9070
Mailing Address - Street 1:8532 SW 8TH ST
Mailing Address - Street 2:SUITE 290
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-4054
Mailing Address - Country:US
Mailing Address - Phone:305-266-8552
Mailing Address - Fax:305-266-8553
Practice Address - Street 1:8532 SW 8TH ST
Practice Address - Street 2:SUITE 290
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-4054
Practice Address - Country:US
Practice Address - Phone:305-266-8552
Practice Address - Fax:305-266-8553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health