Erie Independence House, Inc.

LBN: Erie Independence House, Inc.
Erie Independence House, Inc. is an health care organization with primary practice located at 3108 Zuck Rd , Erie PA 16506-3161. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Erie Independence House, Inc. can be contacted via phone (814) 833-9955, or through Schlaudecker, David G via phone (814) 461-9188.

Contact Information

Primary practice address
3108 Zuck Rd Erie PA 16506-3161
Phone: (814) 833-9955
Fax: (814) 835-1772
Website:
Map and Directions
Authorized official contact:
Name: Schlaudecker, David G
Phone: (814) 461-9188

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 805640 Pennsylvania

Profile Details

NPI number 1629108741
LBN Legal business name Erie Independence House, Inc.
DBA Doing business as
Authorized official Schlaudecker, David G
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1629108741 NPPES
Pennsylvania MEDICAID 1007694800001

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