PRESBYTERIAN HOMES IN THE PRESBYTERY OF LAKE ERIE (NPI# 1770595415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770595415 |
| Entity Type | Organization |
| Organization Name | PRESBYTERIAN HOMES IN THE PRESBYTERY OF LAKE ERIE |
| Other Organization Name | MANCHESTER COMMONS |
| Practice Address |
6351 W Lake Rd Erie PA 16505-2676 |
| Mailing Address |
1225 School Rd Erie PA 16505-2691 |
| Practice Telephone | 8148389191 |
| Practice Fax Number | 8148382901 |
| Mailing Telephone | 8143141718 |
| Mailing Fax Number | 8143141749 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2013-05-17 |
| Authorized Official Name | MR. GARY C SEIB (VICE PRESIDENT / CFO) |
| Authorized Official Telephone | 8143141718 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 075602 | PA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK/KHPW | 1108 | 01 |
| PA | 1007538560005 | 05 |
| Other Name | Type Code |
|---|---|
| Manchester Commons | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003923566 | Presbyterian Homes In The Presbytery of Lake Erie | Skilled Nursing Facility | 1225 School Rd, Erie, PA 16505-2691 | 2006-08-23 |
| 1841202504 | Presbyterian Homes In The Presbytery of Lake Erie | Skilled Nursing Facility | 10 Vo Tech Dr, Oil City, PA 16301-3502 | 2006-08-12 |
| 1508865627 | Presbyterian Homes In The Presbytery of Lake Erie | Skilled Nursing Facility | 2628 Elmwood Ave, Erie, PA 16508-1421 | 2005-07-20 |
| Street Address |
6351 W LAKE RD |
| City | ERIE |
| State | PA |
| Zip Code | 16505-2676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891190542 | Danielle Marie Hauck | Physical Therapist | 6351 W Lake Rd, Erie, PA 16505-2676 | 2014-10-23 |
| 1730516261 | Teana L Thomas | Occupational Therapist | 6351 W Lake Rd, Erie, PA 16505-2676 | 2013-09-30 |
| 1922433069 | Kyle William Trimble | Physical Therapist | 6351 W Lake Rd, Erie, PA 16505-2676 | 2013-09-09 |
| 1063708691 | Kristy Renee Fetty | Occupational Therapy Assistant | 6351 W Lake Rd, Erie, PA 16505-2676 | 2011-06-22 |
| 1962798769 | Margaret Suzanne Palmer | Physical Therapist | 6351 W Lake Rd, Erie, PA 16505-2676 | 2011-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790275634 | Megan Elizabeth Rahill | Registered Nurse | 610 Seminole Dr, Erie, PA 16505 | 2018-05-16 |
| 1740784222 | Tracy Zong Cheng | Student in an Organized Health Care Education/Training Program | 1645 W 8th Street, Suite 200, Erie, PA 16505 | 2018-03-20 |
| 1073067724 | Epeople Health Care Inc | Home Health | 2133 W 8th St, Erie, PA 16505 | 2016-08-11 |
| 1629424411 | Kimberly Roderick | Registered Nurse | 1324 S. Shore Drive Apt. G07, Erie, PA 16505 | 2016-05-11 |
| 1437516432 | April Vogeley | Counselor | 1004 Farrell Road, Erie, PA 16505 | 2016-01-21 |
| 1538563499 | Laurence William Veihdeffer | Dentist | 2021 W 8 St., Erie, PA 16505 | 2014-10-21 |
| 1255617908 | Shannon Renee Luke | Licensed Practical Nurse | 1416 Custer Dr., Erie, PA 16505 | 2011-10-26 |
| 1699904227 | William Jackson Koehler | Social Worker | 2230 W 8th St Ste 2, Erie, PA 16505 | 2009-07-02 |
| 1972747657 | Kristen Marie Huber | Counselor | 823 Filmore Ave, Erie, PA 16505 | 2009-04-27 |
| 1851556351 | Stephanie Lynn Miller | Technician, Other | 2564 West 12th St., Erie, PA 16505 | 2008-07-23 |
| Find all providers in zip 16505 | ||||
| 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 |
| 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 |
| 1508865627 | Presbyterian Homes In The Presbytery of Lake Erie | Skilled Nursing Facility | 2628 Elmwood Ave, Erie, PA 16508-1421 | 2005-07-20 |
| 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.