ERIE INDEPENDENCE HOUSE, INC. (NPI# 1629108741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629108741 |
| Entity Type | Organization |
| Organization Name | ERIE INDEPENDENCE HOUSE, INC. |
| Practice Address |
3108 Zuck Rd Erie PA 16506-3161 |
| Mailing Address |
1611 Peach St Suite 145 Erie PA 16501-2109 |
| Practice Telephone | 8148339955 |
| Practice Fax Number | 8148351772 |
| Mailing Telephone | 8144619188 |
| Mailing Fax Number | 8144610232 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID G SCHLAUDECKER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8144619188 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 805640 | PA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007694800001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336375542 | Erie Independence House, Inc. | Nursing Care | 1611 Peach St, Suite 145, Erie, PA 16501-2109 | 2009-06-02 |
| Street Address |
3108 ZUCK RD |
| City | ERIE |
| State | PA |
| Zip Code | 16506-3161 |
| 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 | 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 |
| 1841476538 | Millcreek Community Hospital | Nursing Facility/Intermediate Care Facility | 5515 Peach St, Erie, PA 16509-2603 | 2008-01-14 |
| 1629125166 | Millcreek Manor | Nursing Facility/Intermediate Care Facility | 5515 Peach St, Erie, PA 16509-2603 | 2007-01-05 |
| 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 | ||||
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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.