Pediatric Advanced Life Services Home Health Llc

LBN: Pediatric Advanced Life Services Home Health Llc
Pediatric Advanced Life Services Home Health Llc is an health care organization with primary practice located at 3640 W Waco Dr , Waco TX 76710. The organization recently has 3 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Hospice Care, Community Based, Respite Care Facility / Respite Care, Physical Disabilities, Child. Agencies / Home Health is the primary health care specialty. Pediatric Advanced Life Services Home Health Llc can be contacted via phone (254) 307-8607, or through Martin, Tyler via phone (254) 307-8607.

Contact Information

Primary practice address
3640 W Waco Dr Waco TX 76710
Phone: (254) 307-8607
Fax: (254) 765-2501
Website:
Map and Directions
Authorized official contact:
Name: Martin, Tyler
Phone: (254) 307-8607

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Agencies / Hospice Care, Community Based 251G00000X
Respite Care Facility / Respite Care, Physical Disabilities, Child 385HR2065X

Profile Details

NPI number 1649662495
LBN Legal business name Pediatric Advanced Life Services Home Health Llc
DBA Doing business as
Authorized official Martin, Tyler
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2015
Last updated May 29th, 2024 - 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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