Vital Care Group, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

VITAL CARE GROUP, INC

Practice address

6351 Alderton St
Rego Park, NY 11374-2824

Phone

(718) 899-9400

Fax

(718) 899-9401

NPI assigned

Jan 29, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amner Khaimov

Title

President

Phone

(718) 899-9400

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1003407339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6351 ALDERTON ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742824",
            "telephone_number": "718-899-9400",
            "fax_number": "718-899-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6351 ALDERTON ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742824",
            "telephone_number": "718-899-9400",
            "fax_number": "718-899-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL CARE GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "KHAIMOV",
        "authorized_official_first_name": "AMNER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-899-9400"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.