Vitacare Fha

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

VITACARE FHA

Practice address

255 E Street Rd
Feasterville Trevose, PA 19053-6157

Phone

(215) 953-9225

Fax

(215) 953-9301

NPI assigned

Nov 26, 2010

Last updated

Nov 26, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Alexandra Khristitch

Title

Director

Phone

(215) 953-9225

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1290729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290729600000",
    "number": "1659673549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E STREET RD",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536157",
            "telephone_number": "215-953-9225",
            "fax_number": "215-953-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E STREET RD",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536157",
            "telephone_number": "215-953-9225",
            "fax_number": "215-953-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITACARE FHA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-26",
        "last_updated": "2010-11-26",
        "status": "A",
        "authorized_official_last_name": "KHRISTITCH",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "215-953-9225",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alexandr Volchonok, DDS
• Walgreen Co (Walgreens #07590)

• Supports Brokerage Agency in Feasterville Trevose, PA
• Providers in Feasterville Trevose, PA by specialty
• Supports Brokerage Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2010; 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.