Healthcare Provider Details

I. General information

NPI: 1932089547
Provider Name (Legal Business Name): VIRTUAL PREVENTIVE CARE SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2025
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

507 S MARYLAND AVE STE 3
WILMINGTON DE
19804-1611
US

IV. Provider business mailing address

7018 SAYBROOK AVE
PHILADELPHIA PA
19142-1124
US

V. Phone/Fax

Practice location:
  • Phone: 215-847-7711
  • Fax: 610-734-0272
Mailing address:
  • Phone: 215-847-7711
  • Fax: 610-734-0272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: KATINA GEIGER
Title or Position: CEO
Credential:
Phone: 215-847-7711