Lauren'S House North Philadelphia, LLC

Primary specialty

Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X

License

20754001 Issued in PA

Legal business name

LAUREN'S HOUSE NORTH PHILADELPHIA, LLC

Practice address

1318 W Clearfield St
Suite 300
Philadelphia, PA 19132-2423

Phone

(888) 340-9430

Fax

(888) 225-0529

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Maurice D Glavin

Title

Chairman

Phone

(484) 490-2100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699813063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CREEK PKWY",
            "address_2": "SUITE 200",
            "city": "BOOTHWYN",
            "state": "PA",
            "postal_code": "190613148",
            "telephone_number": "888-340-9420",
            "fax_number": "888-225-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 W CLEARFIELD ST",
            "address_2": "SUITE 300",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191322423",
            "telephone_number": "888-340-9430",
            "fax_number": "888-225-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREN'S HOUSE NORTH PHILADELPHIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLAVIN",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "484-490-2100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": "PA",
            "license": "20754001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212512",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Medically Fragile Infants and Children Day Care in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Medically Fragile Infants and Children Day Care in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.