NPIMap

Organization Active NPI

Perseus House Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Erie, PA
National Provider Identifier
1184698326
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
PERSEUS HOUSE INC
Practice address
1510 State St
Erie, PA 16501-2220
Phone
(814) 480-5900
Fax
(814) 454-8670
NPI assigned
Feb 15, 2006
Last updated
Aug 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Authorized official

Name
Corina Sutton
Title
Accounting Specialist
Phone
(814) 480-5911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

1510 State St
Erie, PA 16501-2220

Mailing address

1511 Peach St
Erie, PA 16501
Phone (814) 480-5900

Other identifiers 1

IdentifierTypeStateIssuer
100771390MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Perseus House Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1184698326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16501",
            "telephone_number": "814-480-5900",
            "fax_number": "814-454-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165012220",
            "telephone_number": "814-480-5900",
            "fax_number": "814-454-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSEUS HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "CORINA",
        "authorized_official_title_or_position": "ACCOUNTING SPECIALIST",
        "authorized_official_telephone_number": "814-480-5911"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100771390",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 28, 2023; 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.