INTEGRATED HOME DIALYSIS STAFF ASSISTANT LLC – NPI #1558950022
Technician, Other

INTEGRATED HOME DIALYSIS STAFF ASSISTANT LLC is a technician located in POMONA, CA. NPPES has assigned the NPI number 1558950022 to INTEGRATED HOME DIALYSIS STAFF ASSISTANT LLC on January 11, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2472R0900X from the Health Care Provider Taxonomy code set, which is classified as Technician, Other, specializing in Renal Dialysis

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INTEGRATED HOME DIALYSIS STAFF ASSISTANT LLC below.

NPI Profile for
INTEGRATED HOME DIALYSIS STAFF ASSISTANT LLC

NPI Number
1558950022
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INTEGRATED HOME DIALYSIS STAFF ASSISTANT LLC
Primary location
1507 ROSS ST
POMONA, CA 91767-4246
Phone: (310) 614-8740 Fax:
Mailing address
PO BOX 76016
LOS ANGELES, CA 90076-0016
Phone: (310) 614-8740 Fax:
Organization Subpart
No
Authorized Official
SAM OBEMBE
CFO
Phone: (310) 614-8740
Updated
Certification Date
Jan 11, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2472R0900X
- Technician, Other / Renal Dialysis (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.