Cool Waters, Llc

LBN: Cool Waters, Llc
Cool Waters, Llc is an health care organization with primary practice located at 4601 Locust Ln Ste 305 , Harrisburg PA 17109-4446. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Cool Waters, Llc can be contacted via phone (717) 545-2920, or through Mbaya, Ester via phone (858) 245-8327.

Contact Information

Primary practice address
4601 Locust Ln Ste 305 Harrisburg PA 17109-4446
Phone: (717) 545-2920
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mbaya, Ester
Phone: (858) 245-8327

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 06310501 Pennsylvania

Profile Details

NPI number 1003247925
LBN Legal business name Cool Waters, Llc
DBA Doing business as
Authorized official Mbaya, Ester
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2013
Last updated Aug 19th, 2016 - about 10 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 1003247925 NPPES
Pennsylvania MEDICAID 102887053

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