Organization Active NPI

Tower Health at Home - Pottstown

  • Clinical Medical Laboratory
  • Pottstown, PA
National Provider Identifier
1275833006
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLIA 39D0204552
Legal business name
TOWER HEALTH AT HOME - POTTSTOWN
Practice address
1963 E. High Street
Pottstown, PA 19464
Phone
(610) 327-5700
Fax
(610) 327-5701
NPI assigned
Oct 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lynann Louise Decusatis, MS CCC SLP
Title
Interim Ceo
Phone
(610) 378-0481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CLIA 39D0204552 Primary

Addresses

Primary practice location

1963 E. High Street
Pottstown, PA 19464

Mailing address

1170 Berkshire Boulevard
Wyomissing, PA 19610
Phone (610) 378-0481

Other identifiers 1

IdentifierTypeStateIssuer
1007496750003MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549584000000",
    "number": "1275833006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 BERKSHIRE BOULEVARD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "19610",
            "telephone_number": "610-378-0481",
            "fax_number": "610-378-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1963 E. HIGH STREET",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "19464",
            "telephone_number": "610-327-5700",
            "fax_number": "610-327-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWER HEALTH AT HOME - POTTSTOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2019-02-08",
        "status": "A",
        "authorized_official_last_name": "DECUSATIS",
        "authorized_official_first_name": "LYNANN",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "610-378-0481",
        "authorized_official_credential": "MS CCC SLP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": "CLIA 39D0204552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007496750003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.