Healthcare Provider Details

I. General information

NPI: 1790452266
Provider Name (Legal Business Name): VCARE HEALTH SYSTEMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2021
Last Update Date: 01/21/2022
Certification Date: 01/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

485 GEORGES RD STE 114
DAYTON NJ
08810-2439
US

IV. Provider business mailing address

485 GEORGES RD STE 114
DAYTON NJ
08810-2439
US

V. Phone/Fax

Practice location:
  • Phone: 856-465-7728
  • Fax:
Mailing address:
  • Phone: 888-460-1151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: MR. SIVAKUMAR BALASUBRAMIAN
Title or Position: PRESIDENT
Credential:
Phone: 888-460-1151