Community Resources For Independence Inc

LBN: Community Resources For Independence Inc
Community Resources For Independence Inc is an health care organization with primary practice located at 3410 W 12Th St , Erie PA 16505-3649. The organization recently has 2 registered licenses in different health care specialties including Agencies / Hospice Care, Community Based, Agencies / In Home Supportive Care. Agencies / In Home Supportive Care is the primary health care specialty. Community Resources For Independence Inc can be contacted via phone (814) 838-7222, or through Pushchak, Martin M via phone (814) 838-7222.

Contact Information

Primary practice address
3410 W 12Th St Erie PA 16505-3649
Phone: (814) 838-7222
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pushchak, Martin M
Phone: (814) 838-7222

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1043440258
LBN Legal business name Community Resources For Independence Inc
DBA Doing business as
Authorized official Pushchak, Martin M
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2009
Last updated Jul 22nd, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043440258 NPPES
Pennsylvania MEDICAID 100002483

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