Waiver Provider

LBN: Waiver Provider
Waiver Provider is an health care organization with primary practice located at 1645 Harding Ave , Ashland OH 44805-3555. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Waiver Provider can be contacted via phone (419) 606-5213, or through Standridge, Christina Hope via phone (419) 606-5213.

Contact Information

Primary practice address
1645 Harding Ave Ashland OH 44805-3555
Phone: (419) 606-5213
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Standridge, Christina Hope
Phone: (419) 606-5213

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X PN.124691-IV Ohio

Profile Details

NPI number 1255515334
LBN Legal business name Waiver Provider
DBA Doing business as
Authorized official Standridge, Christina Hope
Entity Organization
Organization subpart 1 No
Enumeration date Dec 24th, 2007
Last updated Dec 24th, 2007 - about 18 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 1255515334 NPPES
Ohio Other PN.124691-IV LPN LICENSE

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