MEDICARE: HEALTHONE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	3416L0300X	Land Ambulance
2	343900000X	Non-emergency Medical Transport (VAN)
3	341600000X	Ambulance

General Provider Information

NPI Number	:	1104144138
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHONE, INC.

Provider Business Mailing Address
First Line	:	8362 STATE RD UNIT L
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19136-2932
Country	:	US
Telephone Number	:	215-789-1291
Fax Number	:

Provider Business Practice Location Address
First Line	:	8362 STATE RD UNIT L
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19136-2932
Country	:	US
Telephone Number	:	215-789-1291
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MALVINA GARANINA
Credential	:
Telephone Number	:	215-789-1291

Provider Enumeration Date	:	05/14/2010
Last Update Date	:	05/14/2010

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Directions to “HEALTHONE, INC. ” Practice Location

Language	Start Address	Practice Location

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