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COUDERSPORT HOME TRAINING
NPI 1194470872
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Coudersport, PA

Active since February 21, 2022
1001 E 2ND ST, COUDERSPORT, PA 16915(814) 655-3779(814) 655-3791 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coudersport Home Training NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUDERSPORT HOME TRAINING (NPI 1194470872) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Coudersport, Pennsylvania and active in the NPI registry since February 2022. The organization lists Samuel Wey, Vp L&c Dept, as its authorized official.

NPPES Registry Identity

NPI1194470872
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameLASALLE DIALYSIS LLC
Location Address1001 E 2ND STCoudersport, PA 16915-8161
Mailing Address5200 Virginia WayBrentwood, TN 37027-7569 · (615) 320-4286
Phone(814) 655-3779
Fax(814) 655-3791
Organization SubpartYesParent: Davita Inc
Authorized OfficialSamuel WeyVp L&c Dept · (615) 341-6641
Enumeration DateFebruary 21, 2022
Last NPPES UpdateMarch 21, 2024
NPPES CertifiedMarch 21, 2024
✔ NPI 1194470872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
1001 E 2ND ST, Coudersport, PA 16915
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Other Names 1

Doing Business AsCoudersport Home Training

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

M.E. NURBHAI, M.D,, P.C.
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1001 E 2ND ST
COUDERSPORT, PA 16915
Potter County (814) 274-7761
BETH PANTUSO PHDH
Dental Hygienist
1001 E 2ND ST
COUDERSPORT, PA 16915
Potter County (814) 274-9198
CHARLES COLE MEMORIAL HOSPITAL PATHOLOGY
Pathology (Clinical Pathology/Laboratory Medicine)
1001 E 2ND ST
COUDERSPORT, PA 16915
Potter County (814) 274-9300
TAREK QUTOB MD
Internal Medicine (Gastroenterology)
1001 E 2ND ST
COUDERSPORT, PA 16915
Potter County (814) 274-9024
MANDY COLLINS SILLICK PA-C
Physician Assistant (Medical)
1001 E 2ND ST
COUDERSPORT, PA 16915
Potter County (814) 260-5471
MRS. MANDY MARIE SPENCER PAC
Physician Assistant (Medical)
1001 E 2ND ST
COUDERSPORT, PA 16915
Potter County (814) 274-9300
JENNIFER DAVIS RD, LDN
Dietitian, Registered
1001 E 2ND ST
COUDERSPORT, PA 16915
Potter County (814) 274-9300
MRS. ASHLEY LYNN BOOTERBAUGH MA CF-SLP
Speech-Language Pathologist
1001 E 2ND ST
COUDERSPORT, PA 16915
Potter County (814) 274-5300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lasalle Dialysis LLC's NPI number?

The NPI number for Lasalle Dialysis LLC is 1194470872. It was assigned to this organization in the NPPES registry on February 21, 2022. The provider is doing business as Coudersport Home Training.

Where is Lasalle Dialysis LLC located?

Lasalle Dialysis LLC is located at 1001 E 2nd St, Coudersport, PA 16915. The listed phone number is (814) 655-3779.

What is Lasalle Dialysis LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

What insurance does Lasalle Dialysis LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Lasalle Dialysis LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lasalle Dialysis LLC was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.