Provider Demographics
NPI:1730778135
Name:VITAE CARE, INC.
Entity type:Organization
Organization Name:VITAE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRWOMAN & CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:PECINOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-268-6556
Mailing Address - Street 1:4023 KENNETT PIKE STE 235
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19807-2018
Mailing Address - Country:US
Mailing Address - Phone:844-824-7117
Mailing Address - Fax:303-209-9320
Practice Address - Street 1:71 BROADWAY STE 339
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10006-2601
Practice Address - Country:US
Practice Address - Phone:844-824-7227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service