Provider Demographics
NPI:1427616648
Name:HYMANS, VIETA (HOME HEALTH AID)
Entity type:Individual
Prefix:MS
First Name:VIETA
Middle Name:
Last Name:HYMANS
Suffix:
Gender:F
Credentials:HOME HEALTH AID
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3473 JACOBY RD
Mailing Address - Street 2:
Mailing Address - City:COOPERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18036-1220
Mailing Address - Country:US
Mailing Address - Phone:484-426-4802
Mailing Address - Fax:
Practice Address - Street 1:3473 JACOBY RD
Practice Address - Street 2:
Practice Address - City:COOPERSBURG
Practice Address - State:PA
Practice Address - Zip Code:18036-1220
Practice Address - Country:US
Practice Address - Phone:484-426-4802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-03
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty