LIFE CARE HOME SERVICES OF NORTHWESTERN PENNSYLVANIA LLP


Address: 195 E Main St, Bradford, PA 16701-1619
Phone: 8143628141

LIFE CARE HOME SERVICES OF NORTHWESTERN PENNSYLVANIA LLP (NPI# 1972641496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972641496
Entity Type Organization
Organization Name LIFE CARE HOME SERVICES OF NORTHWESTERN PENNSYLVANIA LLP
Other Organization Name GREAT LAKES HOME HEALTHCARE SERVICES
Practice Address 195 E Main St
Bradford
PA 16701-1619
Mailing Address 1647 Sassafras St
Erie
PA 16502-1858
Practice Telephone 8143628141
Practice Fax Number 8143629113
Mailing Telephone 8148776121
Mailing Fax Number 8144591858
Enumeration Date 2007-02-05
Last Update Date 2012-07-27
Authorized Official Name MRS. KATHY L DUBOWSKI (PRESIDENT)
Authorized Official Telephone 8148776121
Authorized Official Credential RN, MSN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 335E00000X Prosthetic/Orthotic Supplier Suppliers
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 332BX2000X Durable Medical Equipment & Medical Supplies
Specialization: Oxygen Equipment & Supplies
8000002064 PA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NY 03011410 05
PA 1007788280016 05

Other Provider/Organization Names

Other Name Type Code
Great Lakes Home Healthcare Services Doing Business As Name - Organization

Other Provider IDs and Locations

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
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

Office Location

Street Address 195 E MAIN ST
City BRADFORD
State PA
Zip Code 16701-1619

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477806297 Medcare Equipment Company LLC Durable Medical Equipment & Medical Supplies 195 E Main St, Bradford, PA 16701-1619 2012-10-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417557232 Allison Keller Pharmacist 50 Foster Brook Bvld, Bradford, PA 16701 2020-10-30
1043767734 Asim Makhdom Orthopaedic Surgery 195 Pleasant Street, Suite 5, Bradford, PA 16701 2016-09-09
1821435322 Family Wellness Chiropractic Inc. Chiropractor 536 East Main Street, Bradford, PA 16701 2013-05-24
1285983973 Ashley Lynn Disney Physician Assistant 181 Interstate Parkway, Bradford, PA 16701 2012-09-10
1760799563 Paulinus Joseph Sorg Physical Therapist 24 West Washington Street, Bradford, PA 16701 2010-09-01
1215194535 Jill Lorryn Campbell Speech-Language Pathologist 412 Langmaid Ln, Bradford, PA 16701 2008-05-22
1689890048 Brian Alan Volpe Dentist 84 Boylston St, Bradford, PA 16701 2007-04-17
1366564098 Lori Ann Peterson Speech-Language Pathologist 110 Campus Drive, Bradford, PA 16701 2007-04-04
1760507776 Bruce Lee Sitler Physical Therapist Bradford Ecumenical Home, 100 St. Francis Drive, Bradford, PA 16701 2007-03-20
1932294451 Nancy Marie Fuhrman Chiropractor 28 Davis Street, Union Square, Bradford, PA 16701 2006-10-03
Find all providers in zip 16701

Taxonomy Information

Taxonomy Code 332BX2000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies
Specialization Oxygen Equipment & Supplies

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477806297 Medcare Equipment Company LLC Durable Medical Equipment & Medical Supplies 195 E Main St, Bradford, PA 16701-1619 2012-10-17

Providers in the same taxonomy and state

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

Competitor

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City BRADFORD
Zip Code 16701

Improve Information

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Dataset Information

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.

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