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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 03011410 | 05 | |
PA | 1007788280016 | 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 |
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 |
Street Address |
195 E MAIN ST |
City | BRADFORD |
State | PA |
Zip Code | 16701-1619 |
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 |
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 Code | 332BX2000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
Specialization | Oxygen Equipment & Supplies |
Definition to come... |
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 |
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 |
Please comment or provide details below to improve the information on LIFE CARE HOME SERVICES OF NORTHWESTERN PENNSYLVANIA LLP.
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.