Haslam Properties

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

23093601 Issued in PA

Legal business name

HASLAM PROPERTIES

Practice address

630 Freedom Business Ctr Dr
3Rd Floor
King of Prussia, PA 19406-1331

Phone

(484) 938-7375

Fax

(610) 768-7755

NPI assigned

Aug 14, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Edward T Haslam

Title

Ceo / President

Phone

(484) 938-7375

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HomeWell Of Southeastern Pennsylvania Doing business as

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1326447459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 FREEDOM BUSINESS CTR DR",
            "address_2": "3RD FLOOR",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061331",
            "telephone_number": "484-938-7375",
            "fax_number": "610-768-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 FREEDOM BUSINESS CTR DR",
            "address_2": "3RD FLOOR",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061331",
            "telephone_number": "484-938-7375",
            "fax_number": "610-768-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASLAM PROPERTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "HASLAM",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO / PRESIDENT",
        "authorized_official_telephone_number": "484-938-7375",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "23093601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA  (MEDICAL ASSISTANCE PROGRAM)",
            "identifier": "1027597880001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HomeWell Of Southeastern Pennsylvania",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.