Providence Square Home Training

LBN: Able Dialysis Llc
Providence Square Home Training is an health care organization with primary practice located at 2835 W Chester Pike Ste 2 , Broomall PA 19008-1833. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Able Dialysis Llc can be contacted via phone (610) 356-2719, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
2835 W Chester Pike Ste 2 Broomall PA 19008-1833
Phone: (610) 356-2719
Fax: (610) 356-3647
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel T
Phone: (615) 341-6641

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1417389321
LBN Legal business name Able Dialysis Llc
DBA Doing business as Providence Square Home Training
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2013
Last updated Dec 21st, 2023 - about last year

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 1417389321 NPPES
Pennsylvania MEDICAID 1029052960001

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