Healthcare Provider Details

I. General information

NPI: 1992205041
Provider Name (Legal Business Name): VITAE CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2018
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 COLORADO BLVD STE 283
DENVER CO
80206-4084
US

IV. Provider business mailing address

4023 KENNETT PIKE STE 235
WILMINGTON DE
19807-2018
US

V. Phone/Fax

Practice location:
  • Phone: 303-218-9353
  • Fax: 303-209-9320
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. ANNETTE PECINOVA
Title or Position: CHAIRWOMAN & CEO
Credential:
Phone: 303-218-9353