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PROFESSIONAL PICC SERVICES LLC NPI 1194195370


NPI Information

NPI: 1194195370
Provider Name: PROFESSIONAL PICC SERVICES LLC

Doing Business As: PROFESSIONAL DIALYSIS SERVICES

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization
Address:
115 WOODVIEW DR
CORTLAND, OH
ZIP 44410
Phone: (330) 637-1940
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PROFESSIONAL PICC SERVICES LLC is a skilled nursing facility in Cortland, OH. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. PROFESSIONAL PICC SERVICES LLC NPI is 1194195370. The provider is registered as an organization entity type.
The provider Is Doing Business As Professional Dialysis Services.

The provider's business location address is:

115 WOODVIEW DR
CORTLAND, OH
ZIP 44410-247
Phone: (330) 637-1940
Fax: (440) 259-1055

The provider's authorized official is David A. Davis .
The authorized official title is Vice President and has the following contact phone number (330) 637-1940.

The enumeration date for this NPI number is 10/1/2015 and was last updated on 10/1/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityNo
2314000000XSkilled Nursing FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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