Healthcare Provider Details

I. General information

NPI: 1679408140
Provider Name (Legal Business Name): RESTORED CONFIDENCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 WEIR RD
ASTON PA
19014-1641
US

IV. Provider business mailing address

502 W 7TH ST STE 100
ERIE PA
16502-1333
US

V. Phone/Fax

Practice location:
  • Phone: 814-273-5834
  • Fax:
Mailing address:
  • Phone: 814-273-8534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: TAYA VIETRO
Title or Position: MANAGING MEMBER
Credential:
Phone: 610-773-8805