Active NPI
Virtue Independence, LLC.
- In Home Supportive Care Agency
- Conshohocken, PA
National Provider Identifier
1508408972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- VIRTUE INDEPENDENCE, LLC.
- Practice address
- 306 Overlook LN
Conshohocken, PA 19428-2634 - Phone
- (484) 222-0821
- NPI assigned
- Oct 17, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brian R Joell, ESQ.
- Title
- Owner
- Phone
- (267) 847-2567
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
306 Overlook LN
Conshohocken, PA 19428-2634
Mailing address
306 Overlook LN
Conshohocken, PA 19428-2634
Phone (484) 222-0821
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10367100 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571270400000",
"number": "1508408972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 OVERLOOK LN",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194282634",
"telephone_number": "484-222-0821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 OVERLOOK LN",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194282634",
"telephone_number": "484-222-0821"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIRTUE INDEPENDENCE, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-17",
"last_updated": "2019-10-17",
"status": "A",
"authorized_official_last_name": "JOELL",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "267-847-2567",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "ESQ."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10367100",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conshohocken, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.