1952374688 NPI number — DESIGNATED COMPANIES, INC.

Table of content: (NPI 1952374688)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952374688 NPI number — DESIGNATED COMPANIES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DESIGNATED COMPANIES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
AMERICAN HOMEPATIENT
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952374688
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/05/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 827132
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PHILADELPHIA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19182-7132
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
716-827-3710
Provider Business Mailing Address Fax Number:
716-827-1151

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
26 OSBORNE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AUBURN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13021-3818
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-255-2597
Provider Business Practice Location Address Fax Number:
315-255-6857
Provider Enumeration Date:
02/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
POWERS
Authorized Official First Name:
FRANK
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF OPERATING OFFICER
Authorized Official Telephone Number:
615-221-8149

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BP3500X , with the licence number: 023179 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BX2000X , with the licence number: 023179 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 02439554 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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