Organization Active NPI

Ageless Health, LLC

  • Internal Medicine Physician
  • West Chester, PA
National Provider Identifier
1215087267
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS008887L Issued in PA
Legal business name
AGELESS HEALTH, LLC
Practice address
600 E Marshall St
Suite 303
West Chester, PA 19380-4441
Phone
(610) 436-1584
Fax
(610) 436-9057
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Authorized official

Name
Dr. Helise Beverly Bichefsky, D. O.NPI 1770533267
Title
Proprietor
Phone
(610) 436-1584

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X OS008887L PA Primary

Addresses

Primary practice location

600 E Marshall St
Suite 303
West Chester, PA 19380-4441

Mailing address

32 Raffaela Dr
Malvern, PA 19355-2559
Phone (610) 436-1584

Other identifiers 3

IdentifierTypeStateIssuer
110233030OtherPARAIL ROAD MEDICARE
2222550001OtherPAKEYSTONE HPE
0017243190003MedicaidPA

Other names 1

  • Helise Bichefsky, DO Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081107000127 PA Part B Supplier - Clinic/Group Practice 3678632502 Receives reassigned benefits from 1 practitioner
Practice locations: West Chester, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1215087267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 RAFFAELA DR",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193552559",
            "telephone_number": "610-436-1584",
            "fax_number": "610-436-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E MARSHALL ST",
            "address_2": "SUITE 303",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804441",
            "telephone_number": "610-436-1584",
            "fax_number": "610-436-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGELESS HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "BICHEFSKY",
        "authorized_official_first_name": "HELISE",
        "authorized_official_middle_name": "BEVERLY",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "610-436-1584",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS008887L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "110233030",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HPE",
            "identifier": "2222550001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017243190003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Helise Bichefsky, DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.