Provider Demographics
NPI:1184907909
Name:VIP CARE, INC.
Entity type:Organization
Organization Name:VIP CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUDINSKAYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-610-0066
Mailing Address - Street 1:286 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-5707
Mailing Address - Country:US
Mailing Address - Phone:201-342-2211
Mailing Address - Fax:201-342-2241
Practice Address - Street 1:286 MAIN ST
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-5707
Practice Address - Country:US
Practice Address - Phone:201-342-2211
Practice Address - Fax:201-342-2241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-28
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0060004251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health