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LIFE CARE HOME SERVICES OF NORTHWESTERN PENNSYLVANIA LLP NPI 1104099191


NPI Information

NPI: 1104099191
Provider Name: LIFE CARE HOME SERVICES OF NORTHWESTERN PENNSYLVANIA LLP

Doing Business As: GREAT LAKES HOME HEALTHCARE SERVICES

Classification: Registered Nurse - 163W00000X
Entity Type: Organization
Address:
1647 SASSAFRAS ST
ERIE, PA
ZIP 16502
Phone: (814) 877-6121
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LIFE CARE HOME SERVICES OF NORTHWESTERN PENNSYLVANIA LLP is a registered nurse in Erie, PA. The provider is (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. LIFE CARE HOME SERVICES OF NORTHWESTERN PENNSYLVANIA LLP NPI is 1104099191. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Great Lakes Home Healthcare Services.

The provider's business location address is:

1647 SASSAFRAS ST
ERIE, PA
ZIP 16502-858
Phone: (814) 877-6121
Fax: (814) 877-6297

The provider's authorized official is Kathy L Dubowski .
The authorized official title is President and has the following contact phone number (814) 877-6121.

The enumeration date for this NPI number is 4/10/2008 and was last updated on 3/17/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1164W00000XLicensed Practical Nurse006305PENNSYLVANIANo
2251E00000XHome Health006305PENNSYLVANIANo
3163W00000XRegistered Nurse006305PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11007788280007MEDICAIDPENNSYLVANIA
21379OTHERHIGHMARK BC BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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