National Provider Identifier Database

LAURENS HOUSE NORTH PHILADELPHIA LLC
Medically Fragile Infants and Children Day Care

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.).


Contact Information

LAUREN'S HOUSE NORTH PHILADELPHIA, LLC
1318 W CLEARFIELD ST
SUITE 300
PHILADELPHIA, PA19132-2423
Phone: 888-340-9430
Fax: 888-225-0529
Website:
Specialty Taxonomy Code
* Medically Fragile Infants and Children Day Care 261QM3000X

* Indicates primary specialty

NPI Profile & details for LAUREN'S HOUSE NORTH PHILADELPHIA, LLC

NPI Number 1699813063
Legal business name
LBN
LAUREN'S HOUSE NORTH PHILADELPHIA, LLC
Authorized official MAURICE GLAVIN - (CHAIRMAN)
Entity Organization
Organization subpart No
Enumeration date 02/01/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: 20754001
  • PA Medicaid: 212512

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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