Healthcare Provider Details

I. General information

NPI: 1467124164
Provider Name (Legal Business Name): VETERANS ARE PEOPLE 2 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2021
Last Update Date: 02/07/2024
Certification Date: 02/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

159 W MANHEIM ST APT 1F
PHILADELPHIA PA
19144-3669
US

IV. Provider business mailing address

2445 W CUMBERLAND ST
PHILADELPHIA PA
19132-4121
US

V. Phone/Fax

Practice location:
  • Phone: 267-596-3163
  • Fax:
Mailing address:
  • Phone: 267-596-3163
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MS. SHANDA JACKSON
Title or Position: CEO
Credential: OWNER
Phone: 267-596-3163