VITAL SUPPORT HOME CARE AGENCY, INC. (NPI# 1083906333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083906333 |
| Entity Type | Organization |
| Organization Name | VITAL SUPPORT HOME CARE AGENCY, INC. |
| Practice Address |
4711 Wellington St Philadelphia PA 19135-1320 |
| Practice Telephone | 2153793300 |
| Practice Fax Number | 2153793400 |
| Mailing Telephone | 2153793300 |
| Mailing Fax Number | 2153793400 |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-05-04 |
| Authorized Official Name | MR. ROMAN SHPIGEL (CEO) |
| Authorized Official Telephone | 2153793300 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 251X00000X | Supports Brokerage | Agencies | ||
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
4711 WELLINGTON ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19135-1320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497846992 | Vital Support Home Health Care Agency, Inc. | Home Health | 4711 Wellington St, Philadelphia, PA 19135-1320 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922508001 | Creative Steps Services Inc | Local Education Agency (LEA) | 7036 Frankford Avenue (first Floor), Philadelpha, PA 19135 | 2018-02-15 |
| 1467856716 | Louise Jones | Counselor | 4043 Comly Street Floor 1, Philadelphia, PA 19135 | 2014-10-15 |
| 1497198493 | Dinah Warren | Nurse Practitioner | 7001 Frankford Ave #7027, Philadelphia, PA 19135 | 2013-04-10 |
| 1447480470 | Benny M Ninan | Pharmacist | 6327 43 Torresdale Ave, Philadelphia, PA 19135 | 2009-07-24 |
| 1396894606 | Paul A Cohen Dds | Dentist | 6808 Frankford Ave, Phila, PA 19135 | 2007-01-09 |
| 1821152315 | Stuart Cobert Baer | Family Medicine | 4600 Cottman Ave, Phila, PA 19135 | 2006-12-20 |
| 1568520401 | The Foot and Ankle Group PC | Podiatrist | 6921 Frankford Avenue, Suite D, Philadelphia, PA 19135 | 2006-12-04 |
| 1497841290 | Paul A Cohen | Dentist | 6808 Frankford Avenue, Philadelphia, PA 19135 | 2006-10-05 |
| 1215948344 | Young J Genau | Family Medicine | 7131-39 Frankford Avenue, Philadelphia, PA 19135 | 2006-08-11 |
| 1992735294 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 6327 43 Torresdale Avenue, Philadelphia, PA 19135 | 2006-07-03 |
| Find all providers in zip 19135 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174585 | Reputable Solutions Homecare LLC | Home Health | 1005 E Price St, Philadelphia, PA 19138-1806 | 2020-11-06 |
| 1326649799 | Joined Hands Homecare LLC | Home Health | 3728 Lankenau Rd, Philadelphia, PA 19131-2817 | 2020-11-03 |
| 1558962951 | Wilson and Gray Home Care Services LLC | Home Health | 5119 Chester Ave, Philadelphia, PA 19143-4347 | 2020-11-03 |
| 1639779457 | Sisters and Brothers Homecare Agency LLC | Home Health | 2439 S Milan St, Philadelphia, PA 19153-1418 | 2020-10-30 |
| 1831799709 | Kings Health Care, LLC. | Home Health | 5000 Lancaster Ave, Philadelphia, PA 19131-4551 | 2020-10-29 |
| 1316547318 | Brian's Home Care | Home Health | 1103 Princeton Ave, Philadelphia, PA 19111-4232 | 2020-10-28 |
| 1831799147 | All Loving Caregivers Homecare LLC | Home Health | 5443 Wakefield St, Philadelphia, PA 19144-2236 | 2020-10-27 |
| 1083213573 | 1st Independence LLC | Home Health | 1735 Market St Ste A530, Philadelphia, PA 19103-7501 | 2020-10-26 |
| 1932708112 | Stephanie Pierrelouis | Home Health | 101 Beth Dr, Philadelphia, PA 19115-2702 | 2020-10-20 |
| 1548869746 | Aza Sims | Home Health | 30 S 15th St Fl 15, Philadelphia, PA 19102-4806 | 2020-10-20 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19135 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.