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Contact Information

VIP CARE MANAGEMENT INC
2270 ASHBY AVE
BERKELEY, CA94705
 Phone: 510-841-9494
 Fax: 510-841-1120
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for VIP CARE MANAGEMENT INC

NPI Number 1972601987
LBN Legal business name VIP CARE MANAGEMENT INC
Authorized official DAVID DEDIACHVILI - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/21/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
CA Medicaid LTM90004 I
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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