NPIMap

Organization Active NPI

At Ease Dialysis Support, LLC

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1710279674
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
3827564 Issued in PA
Legal business name
AT EASE DIALYSIS SUPPORT, LLC
Practice address
1167 Cleveland St.
Philadelphia, PA 19146-2909
Phone
(267) 333-5150
NPI assigned
May 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2011

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

Authorized official

Name
Mr. Louis Taylor
Title
Owner/Technician
Phone
(267) 333-5150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 3827564 PA Primary

Addresses

Primary practice location

1167 Cleveland St.
Philadelphia, PA 19146-2909

Mailing address

1167 Cleveland St.
Philadelphia, PA 19146-2909
Phone (267) 333-5150

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1710279674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1167 CLEVELAND ST.",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191462909",
            "telephone_number": "267-333-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1167 CLEVELAND ST.",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191462909",
            "telephone_number": "267-333-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT EASE DIALYSIS SUPPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER/TECHNICIAN",
        "authorized_official_telephone_number": "267-333-5150",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "3827564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.