Provider Demographics
NPI:1992205041
Name:VITAE CARE, INC.
Entity Type:Organization
Organization Name:VITAE CARE, INC.
Other - Org Name:VITAE CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:CHAIRWOMAN & CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:PECINOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-218-9353
Mailing Address - Street 1:4023 KENNETT PIKE STE 235
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19807-2018
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:700 COLORADO BLVD STE 283
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-4084
Practice Address - Country:US
Practice Address - Phone:303-218-9353
Practice Address - Fax:303-209-9320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-15
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy