Organization Active NPI

Epeople Health Care Inc

Doing business as eKidzCare

  • Home Health Agency
  • Erie, PA
National Provider Identifier
1073067724
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
04240501 Issued in PA
Legal business name
EPEOPLE HEALTH CARE INC
Doing business as
eKidzCare
Practice address
2133 W 8TH St
Erie, PA 16505
Phone
(814) 240-2072
Fax
(814) 240-2072
NPI assigned
Aug 11, 2016
Last updated
Sep 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Authorized official

Name
Dwayne Spurlock
Title
Ceo
Phone
(412) 324-1025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 04240501 PA Primary

Addresses

Primary practice location

2133 W 8TH St
Erie, PA 16505

Mailing address

2115 W 8TH St
Erie, PA 16505-4743
Phone (814) 240-2072

Other names 1

  • eKidzCare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110120000519 PA Part A Provider - Home Health Agency 6800973652 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Meadville, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073067724. Details of each certification follow.

Home health agency certification: CCN 398156

Legal name
EPEOPLE HEALTH CARE, INC
Doing business as
EKIDZCARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 18, 2011
Last certification
Aug 15, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 14, 2003 in DE
Enrollment address
16269 Conneaut Lake Rd
Ste 104
Meadville, PA 16335-3887

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ekidz CareCCN 398156 · All quality measures
Ownership
Proprietary
Certified
Mar 18, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide

National Provider Directory

National Provider Directory

Locations

2115 W 8th St
Erie, PA 16505
Phone (814) 240-2072

2133 W 8th St
Erie, PA 16505
Phone (814) 240-2072

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jennielynn E McClimans Individual W-2 Managing EmployeeAdministrator Apr 1, 2013
Dwayne C Spurlock Individual 5% Or Greater Direct Ownership Interest Dec 28, 2009 100%
Corporate OfficerCeo Dec 28, 2009 100%
Corporate DirectorBoard Member Dec 28, 2009 100%

NPI Registry JSON

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536105600000",
    "number": "1073067724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 W 8TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054743",
            "telephone_number": "814-240-2072",
            "fax_number": "814-240-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 W 8TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16505",
            "telephone_number": "814-240-2072",
            "fax_number": "814-240-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPEOPLE HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-11",
        "last_updated": "2018-09-05",
        "status": "A",
        "authorized_official_last_name": "SPURLOCK",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "412-324-1025"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "04240501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "eKidzCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "eKidzCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.