LAUREN'S HOUSE, LLC


Address: 17 Creek Pkwy, Suite 200, Boothwyn, PA 19061-3148
Phone: 8883409420

LAUREN'S HOUSE, LLC (NPI# 1235277690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235277690
Entity Type Organization
Organization Name LAUREN'S HOUSE, LLC
Practice Address 17 Creek Pkwy
Suite 200
Boothwyn
PA 19061-3148
Practice Telephone 8883409420
Practice Fax Number 8882250529
Mailing Telephone 8883409420
Mailing Fax Number 8882250529
Enumeration Date 2007-02-01
Last Update Date 2020-08-22
Authorized Official Name MR. MAURICE D GLAVIN (CHAIRMAN)
Authorized Official Telephone 4844902100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM3000X Clinic/Center
Specialization: Medically Fragile Intants and Children Day Care
15354001 PA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
PA 01854064 05

Office Location

Street Address 17 CREEK PKWY
SUITE 200
City BOOTHWYN
State PA
Zip Code 19061-3148

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1205048790 Diane Faith Senn Pharmacist 643 Conchester Highway, Boothwyn, PA 19061 2007-05-04
1205048709 Nicole Marie Nelson Speech-Language Pathologist Naamans Creek Country Manor, 1194 Naamans Creek Road, Boothwyn, PA 19061 2007-05-04
1932221322 Marcus Hook-trainer Fire Dept Station 68 Inc Ambulance 617 East 10 St, Marcus Hook, PA 19061 2007-04-04
1215059175 Sarah Margaret Clark Physical Therapist 1194 Naanans Creek Rd, Boothwyn, PA 19061 2007-04-04
1235257783 Julie Ramsey Occupational Therapist 1194 Naamans Creek Road, Boothwyn, PA 19061 2007-03-26
1316071293 Nancy Elizabeth Jordan Physical Therapist 1531 Springmeadow Ln., Boothwyn, PA 19061 2007-03-15
1306979133 Elwyn Intermediate Care Facility, Mentally Retarded 5240 Chichester Ave., Boothwyn, PA 19061 2007-03-13
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Taxonomy Information

Taxonomy Code 261QM3000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medically Fragile Intants and Children Day Care

Taxonomy Definition

An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).
Notes: [7/1/2003: new]

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Competitor

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City BOOTHWYN
Zip Code 19061

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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