LIFE CARE HOME SERVICES OF NORTHWESTERN PENNSYLVANIA LLP (NPI# 1699813113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699813113 |
| Entity Type | Organization |
| Organization Name | LIFE CARE HOME SERVICES OF NORTHWESTERN PENNSYLVANIA LLP |
| Other Organization Name | GREAT LAKES HOME HEALTHCARE SERVICES |
| Practice Address |
303 Chestnut St Meadville PA 16335-3207 |
| Mailing Address |
1647 Sassafras St Erie PA 16502-1858 |
| Practice Telephone | 8143376900 |
| Practice Fax Number | 8143376902 |
| Mailing Telephone | 8148776121 |
| Mailing Fax Number | 8144591858 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2012-05-10 |
| Authorized Official Name | MRS. KATHY L 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 | 3000008116 | PA | Suppliers |
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
3000008116 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007788280017 | 05 |
| Other Name | Type Code |
|---|---|
| Great Lakes Home Healthcare Services | 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 |
| 1851396022 | Life Care Home Services of Northwestern Pennsylvania LLP | Durable Medical Equipment & Medical Supplies | 1700 Peach St, Ste 104, Erie, PA 16501-2134 | 2005-06-15 |
| 1447553763 | Life Care Home Services of Northwestern Pennsylvania LLP | Clinic/Center | 1700 Peach St, Ste 104, Erie, PA 16501-2134 | 2010-12-08 |
| 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 |
303 CHESTNUT ST |
| City | MEADVILLE |
| State | PA |
| Zip Code | 16335-3207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710230537 | Medcare Equipment Company LLC | Durable Medical Equipment & Medical Supplies | 303 Chestnut St, Meadville, PA 16335-3207 | 2012-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811533508 | Stacey Lynette Lantz | Physical Therapy Assistant | 11277 Vernon Place Road, Meadville, PA 16335 | 2019-11-18 |
| 1952874794 | Amy Lynn Weaver | Social Worker | Parkside Psychological Associates, 435 Chestnut Street, Meadville, PA 16335 | 2019-01-04 |
| 1013437789 | Raymond Walter Keller Jr. | Family Medicine | 735 Liberty St, Meadville, PA 16335 | 2017-06-23 |
| 1750735742 | Nicole Fies | Counselor | 201 Chestnut Street, Floor 2, Meadville, PA 16335 | 2016-04-16 |
| 1760894422 | Amie S Coffman | Psychiatry & Neurology | 765 Liberty St Ste 303, Meadville, PA 16335 | 2014-05-28 |
| 1649609710 | Gina Marie Michalak | Pharmacist | 379 North Street, Meadville, PA 16335 | 2013-11-08 |
| 1518396704 | Cassandra Lynn Ketler | Physician Assistant | 847 North Main Street, Meadville, PA 16335 | 2013-11-07 |
| 1194159913 | Judy Mcelwain | Speech-Language Pathologist | 31 N Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1649604463 | Jonelle Elizabeth Taylor | Occupational Therapist | 31 North Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1699046961 | James Richard Mclamb | Orthopaedic Surgery | 6060 Ehrgott Rd, Meadville, PA 16335 | 2012-01-19 |
| Find all providers in zip 16335 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051754 | Vantage Dme Partnership | Durable Medical Equipment & Medical Supplies | 19049 Park Avenue Plz, Meadville, PA 16335-4011 | 2005-05-31 |
| 1710230537 | Medcare Equipment Company LLC | Durable Medical Equipment & Medical Supplies | 303 Chestnut St, Meadville, PA 16335-3207 | 2012-10-17 |
| 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.