Erwines Private Duty Health Care, Inc.

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

ERWINES PRIVATE DUTY HEALTH CARE, INC.

Practice address

270 Pierce St
Suite 208
Kingston, PA 18704-5141

Phone

(570) 288-3833

Fax

(570) 283-3722

NPI assigned

Jul 15, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary J Erwine

Title

President

Phone

(570) 288-1013

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023017787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PIERCE ST",
            "address_2": "SUITE 209",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045149",
            "telephone_number": "570-288-3833",
            "fax_number": "570-283-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 PIERCE ST",
            "address_2": "SUITE 208",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045141",
            "telephone_number": "570-288-3833",
            "fax_number": "570-283-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERWINES PRIVATE DUTY HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ERWINE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-288-1013"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LUZERNE COUNTY AAA",
            "identifier": "3707-32",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101136409001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Respite Care in Kingston, PA
• Providers in Kingston, PA by specialty
• Respite Care in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.