Stimpak Wellness Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

PN289203 Issued in PA

Legal business name

STIMPAK WELLNESS SERVICES LLC

Practice address

1108 Brandywine St
Philadelphia, PA 19123-3312

Phone

(267) 897-5117

NPI assigned

Feb 14, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Heisler, LPN

Title

Sole Proprietor

Phone

(267) 897-5117

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1083038822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 BRANDYWINE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233312",
            "telephone_number": "267-897-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 BRANDYWINE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233312",
            "telephone_number": "267-897-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STIMPAK WELLNESS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-14",
        "last_updated": "2014-02-14",
        "status": "A",
        "authorized_official_last_name": "HEISLER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "267-897-5117",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "PN289203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly A Stillwell
• George William Stilwell, L.S.W.
• Jessica Ashley Stilwell, ATC
• Laura Rose Stilwell, MD
• Susan Mary Stimmell, L.P.C.
• Michele Stiner, PT
• Althea Stinson
• Connor John Stinson
• Hannah Stinson, MD
• Caroline Stires

• Home Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; 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.