Active NPI
Epeople Health Care Inc
Doing business as eKidzCare
- Home Health Agency
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 04240501
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Care
- Ownership
- Proprietary
- Certified
- Mar 18, 2011
- Medicare certification status
- Active
- Services
- Nursing, Home health aide
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Jennielynn E McClimans | W-2 Managing Employee | Apr 1, 2013 | |
| Dwayne C Spurlock | 5% Or Greater Direct Ownership Interest | Dec 28, 2009 | 100% |
| Corporate Officer | Dec 28, 2009 | 100% | |
| Corporate Director | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.