Provider Demographics
NPI:1194411595
Name:VIRTUAL PREVENTIVE CARE SERVICES
Entity type:Organization
Organization Name:VIRTUAL PREVENTIVE CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KATINA
Authorized Official - Middle Name:VIVIAN
Authorized Official - Last Name:CARTER-GEIGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-661-2257
Mailing Address - Street 1:PO BOX 60
Mailing Address - Street 2:
Mailing Address - City:UPPER DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19082-0060
Mailing Address - Country:US
Mailing Address - Phone:267-591-9755
Mailing Address - Fax:
Practice Address - Street 1:160 LONG LN STE 3
Practice Address - Street 2:
Practice Address - City:UPPER DARBY
Practice Address - State:PA
Practice Address - Zip Code:19082-3439
Practice Address - Country:US
Practice Address - Phone:267-597-9755
Practice Address - Fax:610-734-0272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-18
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Multi-Specialty
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No332U00000XSuppliersHome Delivered MealsGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty