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NPI Code Detail

MEDICARE: LAUNCHPAD HEALTH LLC

MEDICARE: LAUNCHPAD HEALTH LLC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency
2311ZA0620XAdult Care Home Facility
3332BD1200XDialysis Equipment & Supplies (DME)
4261QM1300XMulti-Specialty Clinic/Center
5343900000XNon-emergency Medical Transport (VAN)
6101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1932970498
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAUNCHPAD HEALTH LLC
Provider Business Mailing Address
First Line : 6508 MILITARY PKWY
Second Line :
City : DALLAS
State : TX
Zip : 75227-3703
Country : US
Telephone Number : 945-265-5193
Fax Number :
Provider Business Practice Location Address
First Line : 6508 MILITARY PKWY
Second Line :
City : DALLAS
State : TX
Zip : 75227-3703
Country : US
Telephone Number : 945-265-5193
Fax Number :
Authorized Official
Title or Position : CO-PARTNER
Name : MORIAH MCNACK
Credential :
Telephone Number : 469-515-6288
Provider Enumeration Date : 01/12/2024
Last Update Date : 01/26/2024

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