Organization Active NPI

Saint Mary'S Home of Erie

  • Skilled Nursing Facility
  • Erie, PA
National Provider Identifier
1063418150
Registry record updated Nov 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
191302 Issued in PA
Legal business name
SAINT MARY'S HOME OF ERIE
Practice address
607 E 26TH St
Erie, PA 16504-2813
Phone
(814) 459-0621
Fax
(814) 459-1394
NPI assigned
Jun 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2007

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

Authorized official

Name
Sister Mary Fromknecht, NHA
Title
Administrator
Phone
(814) 451-1309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 191302 PA Primary

Addresses

Primary practice location

607 E 26TH St
Erie, PA 16504-2813

Mailing address

607 E 26TH St
Erie, PA 16504-2813
Phone (814) 459-0621

Other identifiers 1

IdentifierTypeStateIssuer
1007457470001MedicaidPA

Other names 1

  • DBA SAINT MARY'S EAST Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195257600000",
    "number": "1063418150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 E 26TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165042813",
            "telephone_number": "814-459-0621",
            "fax_number": "814-459-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 E 26TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165042813",
            "telephone_number": "814-459-0621",
            "fax_number": "814-459-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT MARY'S HOME OF ERIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2007-11-17",
        "status": "A",
        "authorized_official_last_name": "FROMKNECHT",
        "authorized_official_first_name": "SISTER MARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "814-451-1309",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "191302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007457470001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA SAINT MARY'S EAST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2007; 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.