AHI SKIN REJUVENATION CENTER


Address: 415 Business Park Ln, Allentown, PA 18109-9120
Phone: 2673191530

AHI SKIN REJUVENATION CENTER (NPI# 1841475225) 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) 1841475225
Entity Type Organization
Organization Name AHI SKIN REJUVENATION CENTER
Other Organization Name AT HOME INC
Practice Address 415 Business Park Ln
Allentown
PA 18109-9120
Mailing Address 1233 Locust Street
Suite 304
Philadelphia
PA 19107
Practice Telephone 2673191530
Practice Fax Number 2673191531
Mailing Telephone 2673191530
Mailing Fax Number 2673191531
Enumeration Date 2008-01-04
Last Update Date 2010-08-17
Authorized Official Name MR. PATRICK ROBERT STONICH (DIRECTOR OF NURSING)
Authorized Official Telephone 2673191530
Authorized Official Credential RN,BSN
Is Organization Subpart Y
Parent Organization Name AT HOME INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261Q00000X Clinic/Center Ambulatory Health Care Facilities
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
PA 1021144150001 05
PA 1018007450002 05
PA 1021141200001 05
PA NPI ERIC 1083814933 01
PA 1021082020001 05
PA 1022406620001 05

Other Provider/Organization Names

Other Name Type Code
At Home Inc Former Legal Business Name - Organization

Office Location

Street Address 415 BUSINESS PARK LN
City ALLENTOWN
State PA
Zip Code 18109-9120

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497857577 Joseph A Silvaggio Dmd PC Dentist 415 Business Park Ln, Allentown, PA 18109-9120 2006-09-01
1285946400 Julee Plastow Gil Dentist 415 Business Park Ln, Allentown, PA 18109-9120 2010-07-02
1386808418 Bilal A. H. Chaudhry Student in an Organized Health Care Education/Training Program 415 Business Park Ln, Allentown, PA 18109-9120 2008-07-17
1972777530 Joseph A Silvaggio Dentist 415 Business Park Ln, Allentown, PA 18109-9120 2008-04-15
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

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Competitor

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City ALLENTOWN
Zip Code 18109

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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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