Provider Demographics
NPI:1457573859
Name:VITAL CARE HOME HEALTH SERVICES INC.
Entity Type:Organization
Organization Name:VITAL CARE HOME HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-599-8373
Mailing Address - Street 1:10200 NW 25TH ST
Mailing Address - Street 2:SUITE 114 SECOND FLOOR
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172-5921
Mailing Address - Country:US
Mailing Address - Phone:305-599-8373
Mailing Address - Fax:305-599-8372
Practice Address - Street 1:10200 NW 25 STREET
Practice Address - Street 2:SUITE 114 SECOND FLOOR
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172
Practice Address - Country:US
Practice Address - Phone:305-599-8373
Practice Address - Fax:305-599-8372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health