Angel Hearts Pediatric Care, Llc

LBN: Angel Hearts Pediatric Care, Llc
Angel Hearts Pediatric Care, Llc is an health care organization with primary practice located at 44 E Independence St , Shamokin PA 17872-6804. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Angel Hearts Pediatric Care, Llc can be contacted via phone (570) 648-6100, or through Long, Ricky J via phone (570) 875-9094.

Contact Information

Primary practice address
44 E Independence St Shamokin PA 17872-6804
Phone: (570) 648-6100
Fax: (570) 648-6104
Website:
Map and Directions
Authorized official contact:
Name: Long, Ricky J CEO
Phone: (570) 875-9094

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 05640501 Pennsylvania

Profile Details

NPI number 1063800712
LBN Legal business name Angel Hearts Pediatric Care, Llc
DBA Doing business as
Authorized official Long, Ricky J CEO
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2015
Last updated Jul 1st, 2015 - about 10 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 1063800712 NPPES
Pennsylvania MEDICAID 1029803430001

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