AXIVA INFUSION CENTERS - HT LLC (NPI# 1972065043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972065043 |
Entity Type | Organization |
Organization Name | AXIVA INFUSION CENTERS - HT LLC |
Practice Address |
1120 W Township Line Rd Ste 300 Havertown PA 19083-4929 |
Practice Telephone | 6106010760 |
Practice Fax Number | 6107560670 |
Mailing Telephone | 6106010760 |
Mailing Fax Number | 6107560670 |
Enumeration Date | 2019-04-05 |
Last Update Date | 2019-10-16 |
Authorized Official Name | JENNY HUSTEK (VP OF REVENUE CYCLE) |
Authorized Official Telephone | 6106097399 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities |
Street Address |
1120 W TOWNSHIP LINE RD STE 300 |
City | HAVERTOWN |
State | PA |
Zip Code | 19083-4929 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043835457 | Kelly Anne Clarke | Counselor | American Treatment Network Physician & Associates, 1120 Township Line Road, Havertown, PA 19083 | 2020-06-11 |
1588216238 | Angela Wrolstad | Registered Nurse | 614 Darby Road, Havertown, PA 19083 | 2019-07-12 |
1639696214 | Osaru Anyumba | Case Manager/Care Coordinator | 311 Lansdowne Road, Havertown, PA 19083 | 2017-08-24 |
1346762739 | Luke Francis Mattson | Pharmacist | 60 West Hillcrest Avenue, Havertown, PA 19083 | 2017-07-07 |
1124558150 | Clare M Chakey | Counselor | 1631 Ridgeway Road, Haventown, PA 19083 | 2017-06-13 |
1205382553 | Silverware Home Care Service LLC | Residential Treatment Facility, Physical Disabilities | 2010 Wester Chester Pike, Suite 448, Havertown, PA 19083 | 2016-08-28 |
1275903486 | Megan Keeley Ramaika | Dietitian, Registered | 404 Fairmont Road, Havertown, PA 19083 | 2015-09-30 |
1972987246 | Katie Paugh | Occupational Therapist | One North Belfield Avenue, Havertown, PA 19083 | 2015-07-16 |
1497140180 | Total Health Home Care Corporation | Nurse's Aide | 2710 West Township Line Rd, Havertown, PA 19083 | 2015-03-31 |
1851704084 | Ul Sik Jason Chong | Pharmacist | 700 East Townshipline Road Ste Ll, Havertown, PA 19083 | 2014-06-05 |
Find all providers in zip 19083 |
Taxonomy Code | 261QI0500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Infusion Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285283044 | Jk Marketing, LLC | Clinic/Center | 6091 Steubenville Pike Ste 7b, Mc Kees Rocks, PA 15136-1336 | 2019-09-05 |
1255892535 | Jk Marketing, LLC | Clinic/Center | 280 Indian Springs Rd Ste 131, Indiana, PA 15701-3676 | 2019-03-28 |
1528527256 | Axiva Infusion Centers - Hv LLC | Clinic/Center | 2042 County Line Rd, Huntingdon Valley, PA 19006-1739 | 2019-03-12 |
1083187520 | East Goshen Pharmacy, Inc. | Clinic/Center | 729 Grove Ave Unit 5, Southampton, PA 18966-6008 | 2019-01-08 |
1811419088 | Infusion Center of Berks County PC | Clinic/Center | 2760 Century Blvd Ste 3, Wyomissing, PA 19610-3359 | 2017-07-10 |
1184179236 | Infusion Express of Pennsylvania Pllc | Clinic/Center | 70 E Swedesford Rd Ste 130, Malvern, PA 19355-1482 | 2016-08-18 |
1679832448 | Oasis Infusion Center PC | Clinic/Center | 1926 Grant Avenue, Philadelphia, PA 19115-4307 | 2012-05-14 |
1700181476 | Option Care Enterprises, Inc | Clinic/Center | 540 Seco Rd, Suite A, Monroeville, PA 15146-1460 | 2011-01-11 |
1033166244 | Chartwell Pennsylvania, Lp | Clinic/Center | 1001 Oakdale Rd, Oakdale, PA 15071-1502 | 2006-05-31 |
1124073507 | Option Care Enterprises, Inc. | Clinic/Center | 4000 Chemical Rd, Suite 100, Plymouth Meeting, PA 19462-1728 | 2006-05-23 |
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.