Provider Demographics
NPI:1386800548
Name:VIDACURA INC.
Entity type:Organization
Organization Name:VIDACURA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:D
Authorized Official - Last Name:MORASUTTI
Authorized Official - Suffix:
Authorized Official - Credentials:RN MBA
Authorized Official - Phone:800-704-8432
Mailing Address - Street 1:222 MAIN ST
Mailing Address - Street 2:STE 244
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032-3623
Mailing Address - Country:US
Mailing Address - Phone:800-704-8432
Mailing Address - Fax:888-262-3870
Practice Address - Street 1:222 MAIN ST
Practice Address - Street 2:STE 244
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-3623
Practice Address - Country:US
Practice Address - Phone:800-704-8432
Practice Address - Fax:888-262-3870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-06
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT332B00000X, 332BC3200X, 332BD1200X, 332BN1400X, 332BP3500X, 332BX2000X, 332S00000X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332S00000XSuppliersHearing Aid Equipment
No335E00000XSuppliersProsthetic/Orthotic Supplier