GUARDIAN ELDER CARE AT ERIE II LLC (NPI# 1275086050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275086050 |
| Entity Type | Organization |
| Organization Name | GUARDIAN ELDER CARE AT ERIE II LLC |
| Other Organization Name | WALNUT CREEK HEALTHCARE AND REHABILITATION CENTER |
| Practice Address |
4850 Zuck Rd Erie PA 16506-4936 |
| Mailing Address |
8796 Route 219 Brockway PA 15824-6010 |
| Practice Telephone | 8148363300 |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2020-08-27 |
| Authorized Official Name | MICHAEL EPERESI (CFO) |
| Authorized Official Telephone | 8142651164 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | 20602 | PA | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 103153525-0001 | 05 |
| Other Name | Type Code |
|---|---|
| Walnut Creek Healthcare and Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
4850 ZUCK RD |
| City | ERIE |
| State | PA |
| Zip Code | 16506-4936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699904433 | Erie Operating LLC | Skilled Nursing Facility | 4850 Zuck Rd, Erie, PA 16506 | 2009-07-14 |
| 1851860266 | Colleen Marie Holl | Speech-Language Pathologist | 4850 Zuck Rd, Erie, PA 16506-4936 | 2018-11-14 |
| 1437682929 | Brittany Green | Speech-Language Pathologist | 4850 Zuck Rd, Erie, PA 16506-4936 | 2017-04-11 |
| 1346640968 | Stacy Wood | Physical Therapist | 4850 Zuck Rd, Erie, PA 16506-4936 | 2014-09-02 |
| 1699183517 | Patricia Nutt | Physical Therapy Assistant | 4850 Zuck Rd, Erie, PA 16506-4936 | 2014-07-23 |
| 1942631999 | Michele Rundquist-franz | Speech-Language Pathologist | 4850 Zuck Rd, Erie, PA 16506-4936 | 2013-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215582838 | Casey Smith | Behavioral Analyst | 4950 W 23rd Street, Suite 1, Erie, PA 16506 | 2019-08-09 |
| 1962916155 | Joseph Michael Moon | Chiropractor | 2921 W 26th St, Erie, PA 16506 | 2017-11-27 |
| 1053851550 | Lake Erie Music Therapy LLC | Music Therapist | 5672 Culpepper Dr., Erie, PA 16506 | 2017-03-02 |
| 1295152700 | Gabrielle Carr | Counselor | 2420 West 23rd St, Erie, PA 16506 | 2014-03-21 |
| 1407296973 | Carolyn Danner-bliss Pediatric Dietitian Services, LLC | Dietitian, Registered | 5105 Coventry Drive, Erie, PA 16506 | 2013-06-28 |
| 1962847772 | Philip J Dunn | Internal Medicine | 3615 Woodhaven Dr, Erie, PA 16506 | 2013-05-07 |
| 1619236684 | Joseph S. Serafini | Hearing Instrument Specialist | 2930 Mckee Rd, Erie, PA 16506 | 2012-05-11 |
| 1063788313 | Tatiana V Khochay | Registered Nurse | 2801 Burgundy Dr., Erie, PA 16506 | 2012-03-30 |
| 1699051318 | Krystyna Teresa Wozniak | Licensed Practical Nurse | 3912 East Boardwalk Place, Erie, PA 16506 | 2011-10-26 |
| 1033436324 | Alexis Jean Mustin | Social Worker | 3210 West 32nd Street, Erie, PA 16506 | 2010-04-26 |
| Find all providers in zip 16506 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699904433 | Erie Operating LLC | Skilled Nursing Facility | 4850 Zuck Rd, Erie, PA 16506 | 2009-07-14 |
| 1558434118 | Extendicare Homes, Inc. | Skilled Nursing Facility | 1267 S Hill Rd, Erie, PA 16509-4831 | 2006-11-15 |
| 1831201946 | 4114 Schaper Avenue Operating Company, LLC | Skilled Nursing Facility | 4114 Schaper Avenue, Erie, PA 16508 | 2006-08-31 |
| 1003923566 | Presbyterian Homes In The Presbytery of Lake Erie | Skilled Nursing Facility | 1225 School Rd, Erie, PA 16505-2691 | 2006-08-23 |
| 1770595415 | Presbyterian Homes In The Presbytery of Lake Erie | Skilled Nursing Facility | 6351 W Lake Rd, Erie, PA 16505-2676 | 2006-08-12 |
| 1538115654 | Twinbrook Medical Center-erie Pa LLC | Skilled Nursing Facility | 3805 Field St, Erie, PA 16511-2825 | 2006-05-26 |
| 1184675563 | Ggnsc Erie II Lp | Skilled Nursing Facility | 2686 Peach St, Erie, PA 16508-1851 | 2006-05-12 |
| 1891746178 | Ggnsc Erie Western Reserve Lp | Skilled Nursing Facility | 1521 W 54th St, Erie, PA 16509-2620 | 2006-05-12 |
| 1891786604 | The Ball Pavilion | Skilled Nursing Facility | 5416 E Lake Rd, Erie, PA 16511-1427 | 2005-11-01 |
| 1003804634 | Asbury Atlantic, Inc | Skilled Nursing Facility | 2301 Edinboro Rd, Erie, PA 16509-3409 | 2005-10-07 |
| Find all providers in ERIE | ||||
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| 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.