=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891582466
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LABUBRHAR LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/24/2025
-----------------------------------------------------
Last Update Date | 04/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1778 FARMINGTON AVE
-----------------------------------------------------
City | POTTSTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19464-1346
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 484-300-8632
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1778 FARMINGTON AVE
-----------------------------------------------------
City | POTTSTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19464-1346
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 484-300-8632
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | MICHELLE SHERRY HARDEN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 610-539-4628
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------