Provider Demographics
NPI:1619973740
Name:DLS HOLDINGS LLC
Entity Type:Organization
Organization Name:DLS HOLDINGS LLC
Other - Org Name:LIFELINE THERAPY FH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:J
Authorized Official - Last Name:BREHM
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:412-829-2450
Mailing Address - Street 1:100 FOREST HILLS PLAZA
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221
Mailing Address - Country:US
Mailing Address - Phone:412-829-2450
Mailing Address - Fax:412-829-2468
Practice Address - Street 1:100 FOREST HILLS PLAZA
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221
Practice Address - Country:US
Practice Address - Phone:412-829-2450
Practice Address - Fax:412-829-2468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-23
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA394559261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA3328860OtherAETNA
PA001902152000Medicaid
PA1551432OtherGATEWAY
PA251096OtherHEALTH AMERICA
PA8370714OtherCIGNA
PA1368773OtherHIGHMARK BCBS
PA8370714OtherCIGNA
PA394559Medicare ID - Type UnspecifiedVERITUS MEDICARE SERVICES
PA1551432OtherGATEWAY
PA063065Medicare ID - Type UnspecifiedHGSA MEDICARE NUMBER
PA394559Medicare PIN