Providence Care Center

LBN: Providence Care Center, Llc
Providence Care Center is an health care organization with primary practice located at 900 3Rd Ave , Beaver Falls PA 15010-4613. 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. Providence Care Center, Llc can be contacted via phone (724) 846-8504, or through Hennell, Herbert H via phone (412) 963-9150.

Contact Information

Primary practice address
900 3Rd Ave Beaver Falls PA 15010-4613
Fax: (724) 847-7927
Website:
Authorized official contact:
Name: Hennell, Herbert H

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 425002 Pennsylvania

Profile Details

NPI number 1962400317
LBN Legal business name Providence Care Center, Llc
DBA Doing business as Providence Care Center
Authorized official Hennell, Herbert H
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2005
Last updated Sep 26th, 2016 - about 9 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 1962400317 NPPES
Pennsylvania Other 1383 SECURITY BLUE
Pennsylvania MEDICAID 0018363330001 SECURITY BLUE
Pennsylvania Other 217007 SECURITY BLUE
Pennsylvania Other 251144 SECURITY BLUE
Pennsylvania Other 1035476 SECURITY BLUE
Pennsylvania Other 251144 SECURITY BLUE
Pennsylvania Other 000000095232 SECURITY BLUE
Pennsylvania Other 2058628 SECURITY BLUE
Pennsylvania Other 506655 SECURITY BLUE
Pennsylvania Other 1383 SECURITY BLUE

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