Provider Demographics
NPI:1578341517
Name:FEBA, LLC
Entity type:Organization
Organization Name:FEBA, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALEKSANDR
Authorized Official - Middle Name:
Authorized Official - Last Name:NARODITSKIY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-375-9822
Mailing Address - Street 1:303 BIRCH VALLEY CT
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:PA
Mailing Address - Zip Code:18974-6101
Mailing Address - Country:US
Mailing Address - Phone:267-337-3334
Mailing Address - Fax:
Practice Address - Street 1:5948 EASTON RD STE D
Practice Address - Street 2:
Practice Address - City:PIPERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18947-1824
Practice Address - Country:US
Practice Address - Phone:267-375-9822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-20
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies