Provider Demographics
NPI:1275610644
Name:HEALTH1ST LLC
Entity Type:Organization
Organization Name:HEALTH1ST LLC
Other - Org Name:HEALTH1ST HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SNR VP OPERATIONS
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:A
Authorized Official - Last Name:ADENIRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-449-1175
Mailing Address - Street 1:1230 BURMONT ROAD
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-4504
Mailing Address - Country:US
Mailing Address - Phone:610-449-1175
Mailing Address - Fax:610-356-0274
Practice Address - Street 1:1230 BURMONT RD
Practice Address - Street 2:
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026-4504
Practice Address - Country:US
Practice Address - Phone:610-449-1175
Practice Address - Fax:610-356-0274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2021-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA02630501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA398042Medicare ID - Type Unspecified