Provider Demographics
NPI:1851107437
Name:NEW ENGLAND VITAL CARE LLC
Entity type:Organization
Organization Name:NEW ENGLAND VITAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR/CARE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BEATRIZ
Authorized Official - Middle Name:EMILIA
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-263-0240
Mailing Address - Street 1:1A BONAZZOLI AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:MA
Mailing Address - Zip Code:01749-2927
Mailing Address - Country:US
Mailing Address - Phone:508-263-0240
Mailing Address - Fax:
Practice Address - Street 1:1A BONAZZOLI AVE STE 4
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:MA
Practice Address - Zip Code:01749-2927
Practice Address - Country:US
Practice Address - Phone:508-263-0240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency