Provider Demographics
NPI:1720532765
Name:VITALCARE CORPORATION
Entity type:Organization
Organization Name:VITALCARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-273-7331
Mailing Address - Street 1:1400 W 122ND AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80234-3440
Mailing Address - Country:US
Mailing Address - Phone:888-664-4222
Mailing Address - Fax:
Practice Address - Street 1:1400 W 122ND AVE STE 140
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-3440
Practice Address - Country:US
Practice Address - Phone:888-664-4222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-08
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
CO253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care