Healthcare Provider Details
I. General information
NPI: 1588333157
Provider Name (Legal Business Name): CONTINUUM, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/08/2021
Last Update Date: 09/08/2021
Certification Date: 09/08/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
602 BIG A ROAD SUITE 120
TOCCOA GA
30577-3167
US
IV. Provider business mailing address
162 INDUSTRY DR
PITTSBURGH PA
15275-1014
US
V. Phone/Fax
- Phone: 800-344-1550
- Fax:
- Phone: 800-344-1550
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
| # 1 | |
| Identifier | 0015172510004 |
| Identifier Type | MEDICAID |
| Identifier State | PA |
| Identifier Issuer | |
VIII. Authorized Official
Name: MRS.
HEATHER
A
EDMUNDS
Title or Position: CEO
Credential:
Phone: 412-226-9707