LLEWELLYN'S LTC (NPI# 1932430998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932430998 |
Entity Type | Organization |
Organization Name | LLEWELLYN'S LTC |
Other Organization Name | LLEWELLYN'S INC |
Practice Address |
703b Main St Avoca PA 18641 |
Mailing Address |
703 B Main St Avoca PA 18641 |
Practice Telephone | 5702378000 |
Mailing Telephone | 5704572221 |
Mailing Fax Number | 5704573224 |
Enumeration Date | 2010-01-14 |
Last Update Date | 2016-01-29 |
Authorized Official Name | MR. JOSEPH ROBERT DESANTO (PRESIDENT) |
Authorized Official Telephone | 5704572221 |
Is Organization Subpart | Y |
Parent Organization Name | LLEWELLYNS INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PP411400L | PA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 0017030320001 | 05 |
Other Name | Type Code |
---|---|
LLEWELLYN'S INC | Other Name - Individual/Organization |
Street Address |
703B MAIN ST |
City | AVOCA |
State | PA |
Zip Code | 18641 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245724970 | Adam Christopher Hook | Dietitian, Registered | 216 Center St, Dupont, PA 18641 | 2018-06-16 |
1811122237 | Jennifer Culp | Speech-Language Pathologist | 604 South St, Avoca, PA 18641 | 2009-05-29 |
1467523803 | Peter J Loiacono | Dentist | 180 South Main St, Avoca, PA 18641 | 2006-11-09 |
1760592430 | John P Konicki | Dentist | 278 Main Street, Suite 101, Dupont, PA 18641 | 2006-08-30 |
1750875241 | Altitude Nutrition and Exercise Consulting LLC | Dietitian, Registered | 216 Center St, Dupont, PA 18641 | 2018-06-18 |
1063855237 | Deborah L Khalife | Physician Assistant | 824 Mcalpine St, Avoca, PA 18641 | 2013-04-08 |
1922377886 | Llewellyns Inc | Durable Medical Equipment & Medical Supplies | 703 Main St, Avoca, PA 18641 | 2011-12-22 |
1164433199 | George Richard Stanis | Dentist | 1305 Main St, Avoca, PA 18641 | 2006-08-11 |
1972707016 | Dequevedo Chiropractic | Chiropractor | Po Box 5172, Avoca, PA 18641-0172 | 2007-06-13 |
1770607004 | Michael Gary Mulea | Physical Therapist | 213 Skytop Dr, Avoca, PA 18641-1052 | 2007-03-19 |
Find all providers in zip 18641 |
Taxonomy Code | 3336L0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Long Term Care Pharmacy |
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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Find all providers with the same taxonomy |
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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.