South San Francisco At Home

LBN: Percha Dialysis Llc
South San Francisco At Home is an health care organization with primary practice located at 74 Camaritas Ave , South San Francisco CA 94080-3133. 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. Percha Dialysis Llc can be contacted via phone (650) 589-8562, or through Wey, Samuel T. via phone (615) 341-6641.

Contact Information

Primary practice address
74 Camaritas Ave South San Francisco CA 94080-3133
Phone: (650) 589-8562
Fax: (650) 589-8494
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 1417213554
LBN Legal business name Percha Dialysis Llc
DBA Doing business as South San Francisco At Home
Authorized official Wey, Samuel T.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2012
Last updated Apr 5th, 2024 - about 8 months 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 1417213554 NPPES
California MEDICAID 1417213554

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