Williamsport Home

LBN: Williamsport Home
Williamsport Home is an health care organization with primary practice located at 1900 Ravine Rd , Williamsport PA 17701-1799. 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. Williamsport Home can be contacted via phone (570) 323-8781, or through Pote, Donald S. via phone (570) 323-8781.

Contact Information

Primary practice address
1900 Ravine Rd Williamsport PA 17701-1799
Phone: (570) 323-8781
Fax: (570) 323-4858
Website:
Map and Directions
Authorized official contact:
Name: Pote, Donald S. NHA
Phone: (570) 323-8781

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 491902 Pennsylvania

Profile Details

NPI number 1336149129
LBN Legal business name Williamsport Home
DBA Doing business as
Authorized official Pote, Donald S. NHA
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2005
Last updated Nov 4th, 2011 - about 15 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 1336149129 NPPES
Other 800632 FIRST PRIORITY
MEDICAID 0007492980001 FIRST PRIORITY

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