Vital Support Support Coordination Agency, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

VITAL SUPPORT SUPPORT COORDINATION AGENCY, INC.

Practice address

333 Township Line Rd
Suite 201
Elkins Park, PA 19027-2272

Phone

(215) 379-3300

Fax

(215) 379-3400

NPI assigned

Aug 12, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Vareline Vazquez

Title

Ceo

Phone

(215) 379-3300

Specialties & licenses 6

Addresses

Locations

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1336371236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 TOWNSHIP LINE RD",
            "address_2": "SUITE 201",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272272",
            "telephone_number": "215-379-3300",
            "fax_number": "215-379-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 TOWNSHIP LINE RD",
            "address_2": "SUITE 201",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272272",
            "telephone_number": "215-379-3300",
            "fax_number": "215-379-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL SUPPORT SUPPORT COORDINATION AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-12",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "VARELINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-379-3300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Elkins Park, PA
• Providers in Elkins Park, PA by specialty
• Case Management Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.