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Contact Information

FAMILY 1579 LLC.
420 OAK ST
INDIANA, PA15701-1934
 Phone: 724-464-4641
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Supports Brokerage

251X00000X
Indicates primary specialty

NPI Profile & details for FAMILY 1579 LLC.

NPI Number 1306792601
LBN Legal business name FAMILY 1579 LLC.
Authorized official MICHAEL BOOTH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/09/2026
Last updated 03/09/2026 - About 3 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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