Provider Demographics
NPI:1740159490
Name:VITALIS CARE GROUP LLC
Entity type:Organization
Organization Name:VITALIS CARE GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HAMZAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:ABBAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-230-1693
Mailing Address - Street 1:1001 SUFFIELD ST
Mailing Address - Street 2:
Mailing Address - City:AGAWAM
Mailing Address - State:MA
Mailing Address - Zip Code:01001-2997
Mailing Address - Country:US
Mailing Address - Phone:413-230-1693
Mailing Address - Fax:
Practice Address - Street 1:1001 SUFFIELD ST
Practice Address - Street 2:
Practice Address - City:AGAWAM
Practice Address - State:MA
Practice Address - Zip Code:01001-2997
Practice Address - Country:US
Practice Address - Phone:413-230-1693
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-31
Last Update Date:2025-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care