Organization
VIDAL HOME CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASHAN PRUITT (OWNER)
(267) 229-7556
Entity
Organization
Contact information
Practice address
510 N BROAD ST APT 305, PHILADELPHIA, PA 19130-4335
(267) 229-7556
Mailing address
40 ROCKY POOL LN, LEVITTOWN, PA 19055-1128
(267) 229-7556
Taxonomy
Speciality
Code
Description
License number
State
364SH0200X
Home Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up