LIFE CARE HOME SERVICES OF NORTHWESTERN PENNSYLVANIA LLP (NPI# 1851396022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851396022 |
| Entity Type | Organization |
| Organization Name | LIFE CARE HOME SERVICES OF NORTHWESTERN PENNSYLVANIA LLP |
| Other Organization Name | GREAT LAKES HOME HEALTHCARE SERVICES PHARMACY |
| Practice Address |
1700 Peach St Ste 104 Erie PA 16501-2134 |
| Mailing Address |
Po Box 641396 Pittsburgh PA 15264-1396 |
| Practice Telephone | 8148776121 |
| Practice Fax Number | 8144532440 |
| Mailing Telephone | 8148776121 |
| Mailing Fax Number | 8144591858 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2012-02-01 |
| Authorized Official Name | KATHY DUBOWSKI (PRESIDENT) |
| Authorized Official Telephone | 8148776121 |
| Authorized Official Credential | RN, MSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 3000008117 | PA | Suppliers |
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 22656 | OH | Suppliers |
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
3000008117 | PA | Suppliers |
| Other Name | Type Code |
|---|---|
| GREAT LAKES HOME HEALTHCARE SERVICES PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104099191 | Life Care Home Services of Northwestern Pennsylvania LLP | Licensed Practical Nurse | 1647 Sassafras St, Erie, PA 16502-1858 | 2008-04-10 |
| 1699813113 | Life Care Home Services of Northwestern Pennsylvania LLP | Durable Medical Equipment & Medical Supplies | 303 Chestnut St, Meadville, PA 16335-3207 | 2007-02-05 |
| 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 |
| Street Address |
1700 PEACH ST STE 104 |
| City | ERIE |
| State | PA |
| Zip Code | 16501-2134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265983563 | Jennifer A Malloy | Physician Assistant | 1700 Peach St, Suite 200, Erie, PA 16501-2134 | 2016-10-21 |
| 1790199511 | Upmc Home Healthcare of Western Pennsylvania | Hospice Care, Community Based | 1700 Peach St, Erie, PA 16501-2134 | 2014-06-19 |
| 1881004026 | Upmc Home Healthcare of Western Pennsylvania | Home Health | 1700 Peach St, Erie, PA 16501-2134 | 2014-04-28 |
| 1720401029 | Deonna R Shrout | Physician Assistant | 1700 Peach St, Suite 200, Erie, PA 16501-2134 | 2014-01-23 |
| 1104179803 | Medcare Equipment Company LLC | Durable Medical Equipment & Medical Supplies | 1700 Peach St, Suite 104, Erie, PA 16501-2134 | 2012-10-18 |
| 1386912384 | Chartwell Pennsylvania, Lp | Clinic/Center | 1700 Peach St, Suite 113, Erie, PA 16501 | 2011-12-05 |
| 1447528641 | Chartwell Pennsylvania, Lp | Durable Medical Equipment & Medical Supplies | 1700 Peach St, Suite 113, Erie, PA 16501 | 2011-12-02 |
| 1174807234 | Darci Joy Kowalczyk | Registered Nurse | 1700 Peach St, Erie, PA 16501-2134 | 2011-10-06 |
| 1477848679 | Leslie Marie Lawton | Dietitian, Registered | 1700 Peach St, Erie, PA 16501-2134 | 2011-06-15 |
| 1447553763 | Life Care Home Services of Northwestern Pennsylvania LLP | Clinic/Center | 1700 Peach St, Ste 104, Erie, PA 16501-2134 | 2010-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306496872 | Maureen Grady | Physician Assistant | 240 West 11th Street, Suite 2, Erie, PA 16501 | 2019-09-17 |
| 1093291023 | Passavant Development Corporation | Pharmacy | 1611 Peach St Ste 400, Erie, PA 16501 | 2018-07-12 |
| 1073043675 | Stephanie Owens | Specialist/Technologist | 211 West 8th Street, Erie, PA 16501 | 2017-06-15 |
| 1114335130 | Julia Campbell | Occupational Therapist | 207 W. 11th. St., Suite 402, Erie, PA 16501 | 2014-07-23 |
| 1669766481 | Seth David Fox | Ophthalmology | 128 West 12 St, Ste 200, Erie, PA 16501 | 2011-06-09 |
| 1336438910 | Maryna Petrasheuskaya | Dentist | 1611 State Street, 465, Erie, PA 16501 | 2011-04-04 |
| 1891092565 | Amber Leann Allshouse | Counselor | 1602 State St Ste 390, Erie, PA 16501 | 2011-02-16 |
| 1225331986 | Jennifer Marie Kuzmin | Counselor | 1001 State St Ste 1409, Erie, PA 16501 | 2010-12-17 |
| 1093026510 | Community Health Net | Pharmacy | Daniel S. Snow M.d. Health Center, 1202 State Street, Erie, PA 16501 | 2010-06-30 |
| 1467634113 | Chester Francis Battersby Sr. | Chiropractor | 265 West 10th St, Erie, PA 16501 | 2007-12-04 |
| Find all providers in zip 16501 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174692917 | Health Care Solutions At Home Inc. | Durable Medical Equipment & Medical Supplies | 2343 W 50th St, Erie, PA 16506-4929 | 2006-11-07 |
| 1356343677 | Vantage Dme Partnership | Durable Medical Equipment & Medical Supplies | 5702 Peach St, Erie, PA 16509-2608 | 2005-06-01 |
| 1104179803 | Medcare Equipment Company LLC | Durable Medical Equipment & Medical Supplies | 1700 Peach St, Suite 104, Erie, PA 16501-2134 | 2012-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319495 | Medcare Equipment Company LLC | Durable Medical Equipment & Medical Supplies | 524 Parkway View Dr, Pittsburgh, PA 15205-1410 | 2020-09-02 |
| 1649881608 | Tricounty Medical Equipment and Supply, LLC | Durable Medical Equipment & Medical Supplies | 322 Warren St Ste 140, Johnstown, PA 15905-3443 | 2020-08-13 |
| 1326659384 | Tricounty Medical Equipment and Supply, LLC | Durable Medical Equipment & Medical Supplies | 1295 Grand Blvd Ste 105, Monessen, PA 15062-1955 | 2020-08-13 |
| 1326682469 | Medcare Equipment Company LLC | Durable Medical Equipment & Medical Supplies | 303 Georgian Pl, Somerset, PA 15501-1611 | 2019-11-01 |
| 1427565308 | Xozo Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 1016 Evans St, Bethlehem, PA 18015-1959 | 2018-01-02 |
| 1477956480 | Accumed Medical Supplies | Durable Medical Equipment & Medical Supplies | 5205 Woodland Ave, Phila, PA 19143-5027 | 2014-10-04 |
| 1851710537 | Baird Respiratory Therapy Inc | Durable Medical Equipment & Medical Supplies | 2959 Route 611, Unit 104, Tannersville, PA 18372-7926 | 2014-04-10 |
| 1811311053 | Nationwide Medical, Inc | Durable Medical Equipment & Medical Supplies | 2550 Brownsville Rd, Suite 8, South Park, PA 15129-7500 | 2014-02-07 |
| 1508280017 | Medtix LLC | Durable Medical Equipment & Medical Supplies | 8101 Germantown Ave, Philadelphia, PA 19118-3422 | 2014-02-05 |
| 1538581533 | Care Plus Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | 114 Columbia Dr Ste 10, East Stroudsburg, PA 18301 | 2014-01-09 |
| Find all providers with the same taxonomy | ||||
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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.