LIFE CARE HOME SERVICES OF NORTHWESTERN PENNSYLVANIA LLP


Address: 1647 Sassafras St, Erie, PA 16502-1858
Phone: 8148776121

LIFE CARE HOME SERVICES OF NORTHWESTERN PENNSYLVANIA LLP (NPI# 1104099191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104099191
Entity Type Organization
Organization Name LIFE CARE HOME SERVICES OF NORTHWESTERN PENNSYLVANIA LLP
Other Organization Name GREAT LAKES HOME HEALTHCARE SERVICES
Practice Address 1647 Sassafras St
Erie
PA 16502-1858
Practice Telephone 8148776121
Practice Fax Number 8148776297
Mailing Telephone 8148776121
Mailing Fax Number 8144591858
Enumeration Date 2008-04-10
Last Update Date 2011-03-17
Authorized Official Name MRS. KATHY L DUBOWSKI (PRESIDENT)
Authorized Official Telephone 8148776121
Authorized Official Credential RN, MSN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 164W00000X Licensed Practical Nurse 006305 PA Nursing Service Providers
N 251E00000X Home Health 006305 PA Agencies
Y 163W00000X Registered Nurse 006305 PA Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
HIGHMARK BC BS 1379 01
PA 1007788280007 05

Other Provider/Organization Names

Other Name Type Code
Great Lakes Home Healthcare Services Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1699813113 Life Care Home Services of Northwestern Pennsylvania LLP Durable Medical Equipment & Medical Supplies 303 Chestnut St, Meadville, PA 16335-3207 2007-02-05
1851396022 Life Care Home Services of Northwestern Pennsylvania LLP Durable Medical Equipment & Medical Supplies 1700 Peach St, Ste 104, Erie, PA 16501-2134 2005-06-15
1447553763 Life Care Home Services of Northwestern Pennsylvania LLP Clinic/Center 1700 Peach St, Ste 104, Erie, PA 16501-2134 2010-12-08
1649445255 Life Care Home Services of Northwestern Pennsylvania LLP Durable Medical Equipment & Medical Supplies 1700 Peach St, Ste 104, Erie, PA 16501-2134 2008-04-24
1972641496 Life Care Home Services of Northwestern Pennsylvania LLP Prosthetic/Orthotic Supplier 195 E Main St, Bradford, PA 16701-1619 2007-02-05

Office Location

Street Address 1647 SASSAFRAS ST
City ERIE
State PA
Zip Code 16502-1858

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568858660 Trinita Evans Registered Nurse 1647 Sassafras St, Erie, PA 16502-1858 2015-04-15
1457749459 Brandy Egland Licensed Practical Nurse 1647 Sassafras St, Erie, PA 16502-1858 2014-12-30
1437564655 Upmc Visiting Nurses Association Home Health 1647 Sassafras St, Erie, PA 16502-1858 2014-06-26
1740600055 Gloria Caldwell Registered Nurse 1647 Sassafras St, Ste 300, Erie, PA 16502-1858 2014-04-25
1982987814 Kathy Miaczynski Licensed Practical Nurse 1647 Sassafras St, Erie, PA 16502-1858 2011-09-27
1306077128 Wendi Lynn Laney-shadle Licensed Practical Nurse 1647 Sassafras St, Erie, PA 16502-1858 2009-07-28
1881830115 Dianna Lynn Guarriello Registered Nurse 1647 Sassafras St, Erie, PA 16502-1858 2008-12-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679064794 Fernando Torres Specialist/Technologist 549 1/2 W 7th St, Erie, PA 16502 2018-05-24
1548782907 Michael Wayne Hankins Jr. Podiatrist 5515 Peach Street, Erie, PA 16502 2017-07-07
1730609041 Michael Greg Palmer Family Medicine 311 West 24th Street 4th Floor, Erie, PA 16502 2017-06-27
1245658723 Amy Adamus Licensed Practical Nurse 1647 Sassafras Street, Erie, PA 16502 2014-04-02
1295011088 Margaret Gay Wardd Licensed Practical Nurse 1757 West 23 Street, Erie, PA 16502 2011-10-25
1659510782 Kristen Kathleen Curry Social Worker 329 W. 10th St., Erie, PA 16502 2009-02-12
1699928416 Kelly Cathleen Kelly-zazado Social Worker 301 W. 10th St., Lake Erie Counseling, Inc, Erie, PA 16502 2008-10-23
1922149350 Wei-lung Sam Wu Internal Medicine Saint Vincent Professional Building, 311 West 24 Street, Suite 402, Erie, PA 16502 2007-02-09
1003970146 Claire Donch Psychologist 301 West 10th Street, Erie, PA 16502 2006-12-21
1730703117 Vincent Viet Ngo Family Medicine 311 West 24th Street, 4th Floor, Erie, PA 16502 2020-06-02
Find all providers in zip 16502

Taxonomy Information

Taxonomy Code 163W00000X
Grouping Nursing Service Providers
Classification Registered Nurse

Taxonomy Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205442795 Bryan Thomas Newcomb Registered Nurse 258 Lovell Pl, Erie, PA 16503-2624 2020-09-20
1972112654 Crystal Star Garcia Registered Nurse 12855 80th Rd, Erie, KS 66733-5123 2020-07-28
1093339780 Rose Anne Andrus Registered Nurse 153 E 13th St, Erie, PA 16503-1035 2020-05-29
1235657982 Erin R Ryan Registered Nurse Erie County Dept. of Health 606 West Second St, Erie, PA 16507-1111 2017-09-01
1174041073 Anna Geheren Registered Nurse 764 High St, Erie, CO 80516 2017-08-31
1790210615 Edward John Stengel Jr. Registered Nurse 111 W 32nd St, Erie, PA 16508-2805 2017-04-28
1245779073 Karen Kepart Registered Nurse 1988 Mountain View Dr, Erie, CO 80516-7803 2017-02-13
1629427760 Brooke L Crocker Registered Nurse 606 West Second Street, Erie, PA 16507-1111 2016-06-09
1629424411 Kimberly Roderick Registered Nurse 1324 S. Shore Drive Apt. G07, Erie, PA 16505 2016-05-11
1548655996 John Purvis Registered Nurse 101 W 34th St, Erie, PA 16508-2813 2015-04-02
Find all providers in ERIE

Competitor

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City ERIE
Zip Code 16502

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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