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LIFE CARE HOME SERVICES OF NORTHWESTERN PENNSYLVANIA LLP NPI 1851396022


NPI Information

NPI: 1851396022
Provider Name: LIFE CARE HOME SERVICES OF NORTHWESTERN PENNSYLVANIA LLP

Doing Business As: GREAT LAKES HOME HEALTHCARE SERVICES PHARMACY

Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
1700 PEACH ST
STE 104
ERIE, PA
ZIP 16501
Phone: (814) 877-6121
Get Directions

LIFE CARE HOME SERVICES OF NORTHWESTERN PENNSYLVANIA LLP is an oxygen equipment and supplies durable medical equipment medical supplies in Erie, PA. LIFE CARE HOME SERVICES OF NORTHWESTERN PENNSYLVANIA LLP NPI is 1851396022. The provider is registered as an organization entity type.
The provider Is Doing Business As Great Lakes Home Healthcare Services Pharmacy.

The provider's business location address is:

1700 PEACH ST
STE 104
ERIE, PA
ZIP 16501-134
Phone: (814) 877-6121
Fax: (814) 453-2440

The provider's authorized official is Kathy 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 6/15/2005 and was last updated on 2/1/2012.


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
1332B00000XDurable Medical Equipment & Medical Supplies3000008117PENNSYLVANIANo
2335E00000XProsthetic/Orthotic SupplierNo
3332B00000XDurable Medical Equipment & Medical Supplies22656OHIONo
4332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies3000008117PENNSYLVANIAYes

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
10208290001MEDICARE NSC
2540010053MEDICARE PIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.