Provider Demographics
NPI:1013441542
Name:VIBRANT HEALTH CARE, INC.
Entity Type:Organization
Organization Name:VIBRANT HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SARETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZECHARIA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:480-874-5806
Mailing Address - Street 1:4900 N SCOTTSDALE RD STE 2400
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-7652
Mailing Address - Country:US
Mailing Address - Phone:480-383-3882
Mailing Address - Fax:
Practice Address - Street 1:4900 N SCOTTSDALE RD STE 2400
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-7652
Practice Address - Country:US
Practice Address - Phone:480-320-3004
Practice Address - Fax:480-383-6540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-11
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3554103T00000X
207Q00000X, 2081S0010X, 261QM1300X
AZ251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports MedicineGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health