MILLCREEK MANOR (NPI# 1629125166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629125166 |
| Entity Type | Organization |
| Organization Name | MILLCREEK MANOR |
| Practice Address |
5515 Peach St Erie PA 16509-2603 |
| Practice Telephone | 8148688252 |
| Mailing Telephone | 8148688252 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JEANNE L MILLER (PT ACCT MGR) |
| Authorized Official Telephone | 8148688252 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 123456 | PA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK | 2144 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386274199 | Millcreek Manor | Clinic/Center | 3910 Schaper Ave, Erie, PA 16508-3346 | 2020-01-21 |
| 1346848298 | Millcreek Manor | Clinical Medical Laboratory | 5535 Peach St, Erie, PA 16509-2603 | 2020-10-13 |
| 1588272884 | Millcreek Manor | Pharmacy | 5535 Peach St, Erie, PA 16509-2603 | 2020-07-22 |
| 1699306449 | Millcreek Manor | In Home Supportive Care | 3910 Schaper Ave, Erie, PA 16508-3346 | 2020-01-30 |
| 1780688259 | Millcreek Manor | Skilled Nursing Facility | 5515 Peach St, Erie, PA 16509-2603 | 2005-06-13 |
| Street Address |
5515 PEACH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16509-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548263973 | Millcreek Community Hospital | General Acute Care Hospital | 5515 Peach St, Erie, PA 16509-2603 | 2005-05-31 |
| 1942814546 | Zeinab Altaher | Pharmacist | 5515 Peach St, Erie, PA 16509-2603 | 2020-09-02 |
| 1669086161 | Mikayla Erin Matheny | Pharmacist | 5515 Peach St, Erie, PA 16509-2695 | 2020-09-02 |
| 1467065615 | Ashley Diane Crandall | Pharmacist | 5515 Peach St, Erie, PA 16509-2603 | 2020-08-27 |
| 1538787221 | Lex Herwen Barte I | Podiatrist | 5515 Peach St, Erie, PA 16509-2603 | 2020-07-08 |
| 1831717826 | Usman Ahmed | Internal Medicine | 5515 Peach St, Erie, PA 16509-2603 | 2020-07-07 |
| 1871110700 | Peter Vincent Finelli | Family Medicine | 5515 Peach St, Erie, PA 16509-2695 | 2020-06-26 |
| 1376160366 | Leng Xiong | Podiatrist | 5515 Peach St, Erie, PA 16509-2603 | 2020-06-25 |
| 1811514805 | Michael Driscoll | Orthopaedic Surgery | 5515 Peach St, Erie, PA 16509-2603 | 2020-06-25 |
| 1750908745 | Morgan Michele Gallo | Podiatrist | 5515 Peach St, Erie, PA 16509-2603 | 2020-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598243073 | Austin Dudenhoefer | Physical Therapist | 8270 Peach St Ste 400, Erie, PA 16509 | 2018-08-06 |
| 1770092884 | Latasha Marie Phillips | Social Worker | 5100 Peach Street, Erie, PA 16509 | 2017-09-21 |
| 1932621307 | Mitchell Meagher | Internal Medicine | 5515 Peach St., Attn: Medical Education, Erie, PA 16509 | 2017-07-07 |
| 1760903702 | Tricia Lee Cubitt | Social Worker | 4756 Springview Drive, Apartment 310, Erie, PA 16509 | 2017-06-29 |
| 1790191617 | Ashley Russell | Physical Therapy Assistant | 1267 South Hill Road, Erie, PA 16509 | 2014-07-11 |
| 1295084085 | Michael David Mccafferty | Internal Medicine | 5332 Rome Court Drive, 301, Erie, PA 16509 | 2012-09-07 |
| 1427303619 | Michelle Mary Dillaene Tobin | Social Worker | 828 W. Gore Road, Erie, PA 16509 | 2012-07-13 |
| 1962761411 | Moshood B Martins | Dentist | 7040 Peach Street, Erie, PA 16509 | 2012-05-03 |
| 1770854549 | Peach Street Dental & Dentures, PC. | Dentist | 7040 Peach St, Erie, PA 16509 | 2012-01-25 |
| 1881989515 | Richard R Sambuchino | Dentist | 4944 Peach Street, Erie, PA 16509 | 2011-06-10 |
| Find all providers in zip 16509 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417162348 | Alpine Manor, Inc. | Nursing Facility/Intermediate Care Facility | 4114 Schaper Ave, Erie, PA 16508-3350 | 2007-05-14 |
| 1629108741 | Erie Independence House, Inc. | Nursing Facility/Intermediate Care Facility | 3108 Zuck Rd, Erie, PA 16506-3161 | 2007-03-07 |
| 1841476538 | Millcreek Community Hospital | Nursing Facility/Intermediate Care Facility | 5515 Peach St, Erie, PA 16509-2603 | 2008-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710428834 | Bridget Mccaffrey | Nursing Facility/Intermediate Care Facility | 9320 Tulip St, Philadelphia, PA 19114-4017 | 2017-03-09 |
| 1073915724 | Doula | Nursing Facility/Intermediate Care Facility | 126 Dauntless Dr, Pittsburgh, PA 15235-3031 | 2014-09-24 |
| 1659653285 | Prestige Realty Services,inc. | Nursing Facility/Intermediate Care Facility | 1165 Red Fox Rd, East Stroudsburg, PA 18301-9106 | 2011-09-09 |
| 1922306885 | Genesis Healthcare Corporation | Nursing Facility/Intermediate Care Facility | 1700 Pine Street, Norristown, PA 19401-3040 | 2011-03-02 |
| 1932412582 | Nurse Sharks, Inc. | Nursing Facility/Intermediate Care Facility | 661 Byrnedale Rd, Weedville, PA 15868-1515 | 2010-07-23 |
| 1427200740 | Shelley Ann Redding | Nursing Facility/Intermediate Care Facility | 2029 Wesgate Dr, Bethlehem, PA 18017 | 2008-10-17 |
| 1427200146 | Manor Care Nursing and Rehabilitaion Center | Nursing Facility/Intermediate Care Facility | 130 Dewey St, Etna, PA 15223-1745 | 2008-10-13 |
| 1164670998 | Joyce Ann Malloy | Nursing Facility/Intermediate Care Facility | 23 Craighead St, Pittsburgh, PA 15211-2103 | 2008-09-04 |
| 1588856009 | Friends Home In Kennett/linden Hall | Nursing Facility/Intermediate Care Facility | 147 W State St, Kennett Square, PA 19348-3022 | 2007-08-17 |
| 1689889701 | Integrated Health of Locust Valley Road, Inc. | Nursing Facility/Intermediate Care Facility | 890 Weatherwood Ln, Greensburg, PA 15601-5777 | 2007-05-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MILLCREEK MANOR.
| 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.