Provider Demographics
NPI:1366303976
Name:VITACORE CARE SOLUTIONS LLC
Entity type:Organization
Organization Name:VITACORE CARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:KELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-908-5128
Mailing Address - Street 1:10108 GLEN EDGE LN
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:IN
Mailing Address - Zip Code:46774-7411
Mailing Address - Country:US
Mailing Address - Phone:260-908-5128
Mailing Address - Fax:
Practice Address - Street 1:16827 KELL RD
Practice Address - Street 2:
Practice Address - City:HUNTERTOWN
Practice Address - State:IN
Practice Address - Zip Code:46748-9715
Practice Address - Country:US
Practice Address - Phone:260-908-5128
Practice Address - Fax:260-908-5128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-21
Last Update Date:2025-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health