VITAL HEALTH PRIMARY CARE LLC
NPI 1992315659
Clinic/Center - Primary Care in Huntingdon Valley, PA

Q: What is Vital Health Primary Care LLC's NPI number?

The NPI number for Vital Health Primary Care LLC is 1992315659. It was assigned to this organization in the NPPES registry on August 6, 2020.

Q: What is Vital Health Primary Care LLC's specialty?

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

Active since August 06, 2020CLIA 39D2258473 · Waiver

930 HENRIETTA AVE STE C, HUNTINGDON VALLEY, PA 19006(215) 663-9380(215) 663-9383 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 9, 2021, Aug 6, 2020 (2 updates tracked since 2020).

On this page

About Vital Health Primary Care Llc NPPES

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

VITAL HEALTH PRIMARY CARE LLC (NPI 1992315659) is a healthcare organization registered as a primary care in Huntingdon Valley, Pennsylvania and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through April 21, 2028 and lists Jessly Alex, Authorized Signatory, as its authorized official.

NPPES Registry Identity

NPI1992315659

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameVITAL HEALTH PRIMARY CARE LLC

Location Address930 HENRIETTA AVE STE CHuntingdon Valley, PA 19006-8523

Mailing Address293 Pheasant DrHuntingdon Valley, PA 19006-3036

Phone(215) 663-9380

Fax(215) 663-9383

Organization SubpartNo

Authorized OfficialJessly AlexAuthorized Signatory · (215) 738-2072

Enumeration DateAugust 6, 2020

Last NPPES UpdateSeptember 9, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2021

✔ NPI 1992315659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

930 HENRIETTA AVE STE C, Huntingdon Valley, PA 19006

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2258473

Vital Health Primary Care LLC · Huntingdon Valley, PA

Active · expires Apr 21, 2028

CLIA Number39D2258473

Laboratory TypePcp Office Np Owned

Certificate Effective DateApril 22, 2026

Certificate Expiration DateApril 21, 2028

Laboratory DirectorDr. Chet A. Tharpe

Laboratory Phone(215) 663-9380

Laboratory LocationVital Health Primary Care LLC930 Henrietta Ave, Unit C, Huntingdon Valley, PA 19006

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JESSLY ALEX CRNP

Nurse Practitioner (Primary Care)

930 HENRIETTA AVE STE C
HUNTINGDON VALLEY, PA 19006

Montgomery County (215) 663-9380

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 Vital Health Primary Care LLC's NPI number?

The NPI number for Vital Health Primary Care LLC is 1992315659. It was assigned to this organization in the NPPES registry on August 6, 2020.

Where is Vital Health Primary Care LLC located?

Vital Health Primary Care LLC is located at 930 Henrietta Ave Ste C, Huntingdon Valley, PA 19006. The listed phone number is (215) 663-9380.

What is Vital Health Primary Care LLC's specialty?

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

Does Vital Health Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2258473) is associated with this NPI, valid through April 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vital Health Primary Care LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Vital Health Primary Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vital Health Primary Care LLC was last updated on September 9, 2021. 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.