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RESIDENTIALIST HOUSECALL MED GRP PC A PENNSYLVANIA CORP NPI 1104205400


NPI Information

NPI: 1104205400
Provider Name: RESIDENTIALIST HOUSECALL MED GRP, PC A PENNSYLVANIA CORP
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
4190 CITY AVE
PCOM - ROWLAND HALL, ROOM 528
PHILADELPHIA, PA
ZIP 19131
Phone: (949) 366-1053
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RESIDENTIALIST HOUSECALL MED GRP, PC A PENNSYLVANIA CORP is a geriatric medicine family medicine in Philadelphia, PA. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. RESIDENTIALIST HOUSECALL MED GRP, PC A PENNSYLVANIA CORP NPI is 1104205400. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4190 CITY AVE
PCOM - ROWLAND HALL, ROOM 528
PHILADELPHIA, PA
ZIP 19131-626
Phone: (949) 366-1053
Fax: (949) 544-7880

The provider's authorized official is Norman Edward Vinn .
The authorized official title is Ceo, Cfo, And Secretary and has the following contact phone number (949) 366-1053.

The enumeration date for this NPI number is 5/20/2015 and was last updated on 6/19/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QG0300XFamily MedicineGeriatric MedicineOS017618PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.