Healthcare Provider Details

I. General information

NPI: 1316530603
Provider Name (Legal Business Name): VIRTUE CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2021
Last Update Date: 02/17/2021
Certification Date: 02/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

499 PLAINFIELD AVE
EDISON NJ
08817-2514
US

IV. Provider business mailing address

499 PLAINFIELD AVE
EDISON NJ
08817-2514
US

V. Phone/Fax

Practice location:
  • Phone: 732-306-7437
  • Fax:
Mailing address:
  • Phone: 732-306-7437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: SARVESH DHARAYAN
Title or Position: CEO
Credential:
Phone: 732-306-7437