Healthcare Provider Details

I. General information

NPI: 1720532765
Provider Name (Legal Business Name): VITALCARE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2016
Last Update Date: 02/26/2021
Certification Date: 02/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 W 122ND AVE STE 140
WESTMINSTER CO
80234-3440
US

IV. Provider business mailing address

1400 W 122ND AVE STE 140
WESTMINSTER CO
80234-3440
US

V. Phone/Fax

Practice location:
  • Phone: 888-664-4222
  • Fax:
Mailing address:
  • Phone: 888-664-4222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateCO

VIII. Authorized Official

Name: MATTHEW DOLPH
Title or Position: PRESIDENT / CEO
Credential:
Phone: 720-273-7331