Healthcare Provider Details

I. General information

NPI: 1750723086
Provider Name (Legal Business Name): EBS HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2013
Last Update Date: 07/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 SKILES BLVD
WEST CHESTER PA
19382-7321
US

IV. Provider business mailing address

200 SKILES BLVD
WEST CHESTER PA
19382-7321
US

V. Phone/Fax

Practice location:
  • Phone: 800-578-7906
  • Fax: 800-887-5852
Mailing address:
  • Phone: 800-578-7906
  • Fax: 800-887-5852

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StatePA

VIII. Authorized Official

Name: MR. JOHN GUMPERT
Title or Position: SPECIAL EDUCATION COORDINATOR
Credential:
Phone: 800-578-7906