VIDAL HOME CARE SERVICES, LLC
NPI 1063246809
Clinical Nurse Specialist - Home Health in Philadelphia, PA

Active since August 26, 2024
510 N BROAD ST APT 305, PHILADELPHIA, PA 19130(267) 229-7556 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vidal Home Care Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIDAL HOME CARE SERVICES, LLC (NPI 1063246809) is a healthcare organization registered as a home health in Philadelphia, Pennsylvania and active in the NPI registry since August 2024. The organization lists Kashan Pruitt, Owner, as its authorized official.

NPPES Registry Identity

NPI1063246809
Entity TypeOrganization
Primary Taxonomy364SH0200X
Legal Business NameVIDAL HOME CARE SERVICES, LLC
Location Address510 N BROAD ST APT 305Philadelphia, PA 19130-4335
Mailing Address40 Rocky Pool LnLevittown, PA 19055-1128 · (267) 229-7556
Organization SubpartNo
Authorized OfficialKashan PruittOwner · (267) 229-7556
Enumeration DateAugust 26, 2024
NPPES CertifiedAugust 26, 2024
NPI 1063246809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Nurse Specialist · Home HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SH0200X
510 N BROAD ST APT 305, Philadelphia, PA 19130

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vidal Home Care Services, LLC's NPI number?

The NPI number for Vidal Home Care Services, LLC is 1063246809. It was assigned to this organization in the NPPES registry on August 26, 2024.

Where is Vidal Home Care Services, LLC located?

Vidal Home Care Services, LLC is located at 510 N Broad St Apt 305, Philadelphia, PA 19130. The listed phone number is (267) 229-7556.

What is Vidal Home Care Services, LLC's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Home Health, with taxonomy code 364SH0200X.

When was this NPI record last updated?

The NPPES record for Vidal Home Care Services, LLC was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.