Organization Active NPI

Vital Support Home Health Care Agency, Inc.

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1497846992
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
83918950 Issued in PA
Legal business name
VITAL SUPPORT HOME HEALTH CARE AGENCY, INC.
Practice address
4711 Wellington St
Philadelphia, PA 19135-1320
Phone
(215) 333-6000
Fax
(215) 333-5050
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Authorized official

Name
Mr. Roman A Shpigel
Title
President
Phone
(215) 917-3304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 83918950 PA Primary

Addresses

Primary practice location

4711 Wellington St
Philadelphia, PA 19135-1320

Mailing address

4711 Wellington St
Philadelphia, PA 19135-1320
Phone (215) 333-6000

National Provider Directory

National Provider Directory

Locations

333 Township Line Rd
#101
Elkins Park, PA 19027
Phone (215) 379-3300

1665 Bustleton Pike
#1A
Feasterville Trevose, PA 19053
Phone (215) 671-0767

4711 Wellington St
Philadelphia, PA 19135
Phone (215) 333-6000

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1497846992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 WELLINGTON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191351320",
            "telephone_number": "215-333-6000",
            "fax_number": "215-333-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 WELLINGTON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191351320",
            "telephone_number": "215-333-6000",
            "fax_number": "215-333-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL SUPPORT HOME HEALTH CARE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "SHPIGEL",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-917-3304",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "83918950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.