123 Pediatric Home Healthcare Corporation

LBN: 123 Pediatric Home Healthcare Corporation
123 Pediatric Home Healthcare Corporation is an health care organization with primary practice located at 6309 Hallwood Dr , Verona PA 15147-2526. The organization recently has 13 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Nursing Service Providers / General Practice, Nursing Service Providers / Home Health, Nursing Service Providers / Infusion Therapy, Nursing Service Providers / Pediatrics, Nursing Service Providers / Pediatric Oncology, Nursing Service Providers / Wound Care, Nursing Service Providers / Oncology, Agencies / Case Management, Agencies / Home Health, Agencies / Home Infusion, Agencies / Nursing Care, Agencies / In Home Supportive Care. Agencies / Home Health is the primary health care specialty. 123 Pediatric Home Healthcare Corporation can be contacted via phone (412) 377-9102, or through Washington, Lisa Juanita via phone (412) 377-9102.

Contact Information

Primary practice address
6309 Hallwood Dr Verona PA 15147-2526
Phone: (412) 377-9102
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Washington, Lisa Juanita Registered Nurse (RN)
Phone: (412) 377-9102

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW017087 Pennsylvania
Nursing Service Providers / General Practice 163WG0000X RN620599 Pennsylvania
Nursing Service Providers / Home Health 163WH0200X RN620599 Pennsylvania
Nursing Service Providers / Infusion Therapy 163WI0500X RN620599 Pennsylvania
Nursing Service Providers / Pediatrics 163WP0200X RN620599 Pennsylvania
Nursing Service Providers / Pediatric Oncology 163WP0218X RN620599 Pennsylvania
Nursing Service Providers / Wound Care 163WW0000X RN620599 Pennsylvania
Nursing Service Providers / Oncology 163WX0200X RN620599 Pennsylvania
Agencies / Case Management 251B00000X 06400501 Pennsylvania
Agencies / Home Health 251E00000X 06400501 Pennsylvania
Agencies / Home Infusion 251F00000X 06400501 Pennsylvania
Agencies / Nursing Care 251J00000X 06400501 Pennsylvania
Agencies / Nursing Care 251J00000X RN620599 Pennsylvania
Agencies / In Home Supportive Care 253Z00000X 30153601 Pennsylvania

Profile Details

NPI number 1245696434
LBN Legal business name 123 Pediatric Home Healthcare Corporation
DBA Doing business as
Authorized official Washington, Lisa Juanita Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2016
Last updated Apr 18th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245696434 NPPES
Pennsylvania Other 1030784200001 STATE OF PA DHS OFFICE OF INTELLECTUAL DISABILITIES PROVIDER NUMBER
Pennsylvania Other 06400501 STATE OF PA DHS OFFICE OF INTELLECTUAL DISABILITIES PROVIDER NUMBER
Pennsylvania Other 30153601 STATE OF PA DHS OFFICE OF INTELLECTUAL DISABILITIES PROVIDER NUMBER
Pennsylvania Other 1030784200002 STATE OF PA DHS OFFICE OF INTELLECTUAL DISABILITIES PROVIDER NUMBER

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