PURA VIDA HEALTH INSTITUTE LLC
NPI 1588315865
Clinic/Center - Primary Care in Wayne, PA

Active since January 18, 2022
215 SUGARTOWN RD, WAYNE, PA 19087(215) 806-6270 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2022, Apr 7, 2022, Jan 18, 2022 (3 updates tracked since 2022).

About Pura Vida Health Institute Llc NPPES

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

PURA VIDA HEALTH INSTITUTE LLC (NPI 1588315865) is a healthcare organization registered as a primary care in Wayne, Pennsylvania and active in the NPI registry since January 2022. The organization lists Christopher Mulholland, Owner, as its authorized official.

NPPES Registry Identity

NPI1588315865
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePURA VIDA HEALTH INSTITUTE LLC
Location Address215 SUGARTOWN RDWayne, PA 19087-3137
Mailing Address215 Sugartown RdWayne, PA 19087-3137
Organization SubpartNo
Authorized OfficialChristopher MulhollandOwner · (215) 806-6270
Enumeration DateJanuary 18, 2022
Last NPPES UpdateJuly 8, 20223 updates tracked since enumeration
NPPES CertifiedJuly 8, 2022
✔ NPI 1588315865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X
215 SUGARTOWN RD, Wayne, PA 19087

Other Identifiers 1

OtherOS020055PA · Pennsylvania Department Of State - Professional Licensing Board

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pura Vida Health Institute Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pura Vida Health Institute LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1528597549
215 SUGARTOWN RD
Wayne, PA 19087
(484) 367-7460
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Pura Vida Health Institute LLC's NPI number?

The NPI number for Pura Vida Health Institute LLC is 1588315865. It was assigned to this organization in the NPPES registry on January 18, 2022.

Where is Pura Vida Health Institute LLC located?

Pura Vida Health Institute LLC is located at 215 Sugartown Rd, Wayne, PA 19087. The listed phone number is (215) 806-6270.

What is Pura Vida Health Institute LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Pura Vida Health Institute LLC enrolled in Medicare?

Yes. Pura Vida Health Institute LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pura Vida Health Institute LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Pura Vida Health Institute LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pura Vida Health Institute LLC was last updated on July 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.