Vitreous Renew Path

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

VITREOUS RENEW PATH

Practice address

5505 Greenwood Ave
Pleasant Hill, IA 50327-1992

Phone

(515) 603-2324

NPI assigned

Apr 22, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Princess 1 Mericle Brown

Title

Ceo & Founder

Phone

(515) 603-2324

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1003603119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 GREENWOOD AVE",
            "city": "PLEASANT HILL",
            "state": "IA",
            "postal_code": "503271992",
            "telephone_number": "515-603-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 GREENWOOD AVE",
            "city": "PLEASANT HILL",
            "state": "IA",
            "postal_code": "503271992",
            "telephone_number": "515-603-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITREOUS RENEW PATH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "PRINCESS 1",
        "authorized_official_middle_name": "MERICLE",
        "authorized_official_title_or_position": "CEO  & FOUNDER",
        "authorized_official_telephone_number": "515-603-2324",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Tacke, DO
• Tender Care Home Health
• Hannah Rachel Turner
• Melanie Verbrugge
• Timothy J Vermillion, DO
• Whitney Milligan Waite, MD, MPH
• Matthew L Ward, OD
• Louis Wenger, DMD
• Kathryn Kahle Williams, M.S., LMHC

• Personal Care Attendant in Pleasant Hill, IA
• Providers in Pleasant Hill, IA by specialty
• Personal Care Attendant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.