Great Lakes Home Healthcare Services

LBN: Life Care Home Services Of Northwestern Pennsylvania Llp
Great Lakes Home Healthcare Services is an health care organization with primary practice located at 195 E Main St , Bradford PA 16701-1619. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Oxygen Equipment & Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Oxygen Equipment & Supplies is the primary health care specialty. Life Care Home Services Of Northwestern Pennsylvania Llp can be contacted via phone (814) 362-8141, or through Dubowski, Kathy L via phone (814) 877-6121.

Contact Information

Primary practice address
195 E Main St Bradford PA 16701-1619
Phone: (814) 362-8141
Fax: (814) 362-9113
Website:
Map and Directions
Authorized official contact:
Name: Dubowski, Kathy L RN, MSN
Phone: (814) 877-6121

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Oxygen Equipment & Supplies 332BX2000X 8000002064 Pennsylvania
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1972641496
LBN Legal business name Life Care Home Services Of Northwestern Pennsylvania Llp
DBA Doing business as Great Lakes Home Healthcare Services
Authorized official Dubowski, Kathy L RN, MSN
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2007
Last updated Jul 27th, 2012 - about 12 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 1972641496 NPPES
Pennsylvania MEDICAID 1007788280016
Pennsylvania MEDICAID 03011410

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