<Unavail>
LBN: 125 Holly Road Operations Llc
<Unavail> is an health care organization with primary practice located at 125 Holly Rd , Hamburg PA 19526-8729. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
125 Holly Road Operations Llc can be contacted via phone (610) 562-2284, or through Berg, Michael T via phone (610) 444-6350.
Contact Information
Primary practice address
125 Holly Rd
Hamburg PA 19526-8729
Phone: (610) 562-2284
Fax: (610) 562-0776
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | 222020 | Pennsylvania |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 123902 | Pennsylvania |
Profile Details
| NPI number | 1356523666 |
|---|---|
| LBN Legal business name | 125 Holly Road Operations Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Berg, Michael T |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 28th, 2007 |
| Last updated | Jun 26th, 2025 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356523666 | NPPES |
| Pennsylvania | MEDICAID | 1025701670001 |
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