Healthcare Provider Details

I. General information

NPI: 1437531084
Provider Name (Legal Business Name): HEALTHY MEASURES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2015
Last Update Date: 07/13/2021
Certification Date: 07/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1260 VALLEY FORGE RD STE 109
PHOENIXVILLE PA
19460-2691
US

IV. Provider business mailing address

1260 VALLEY FORGE RD STE 109
PHOENIXVILLE PA
19460-2691
US

V. Phone/Fax

Practice location:
  • Phone: 610-564-3775
  • Fax: 610-422-2638
Mailing address:
  • Phone: 610-564-3775
  • Fax: 610-422-2638

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number031991
License Number StatePA

VIII. Authorized Official

Name: JOSE L BELTRAN
Title or Position: FOUNDING PARTNER
Credential:
Phone: 610-933-3402