Active NPI
Upmc Hamot
- Home Health Agency
- Erie, PA
National Provider Identifier
1245220326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- UPMC HAMOT
- Doing business as
- Great Lakes Home Healthcare
- Practice address
- 1700 Peach St
Suite 244
Erie, PA 16501-2134 - Phone
- (814) 877-6120
- Fax
- (814) 877-6032
- NPI assigned
- Oct 28, 2005
- Organization subpart
- Yes
- Parent organization
- UPMC HAMOT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dennis C Steele
- Title
- Finance Manager
- Phone
- (814) 877-6340
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1700 Peach St
Suite 244
Erie, PA 16501-2134
Mailing address
1700 Peach St
Suite 244
Erie, PA 16501-2134
Phone (814) 877-6120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007286570044 | Medicaid | PA |
Other names 1
- Great Lakes Home Healthcare
National Provider Directory
National Provider Directory- Part of
- Emg Hamot Medical Cente
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
1700 Peach St
Ste 244
Erie, PA 16501
Phone (814) 877-6120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297728000000",
"number": "1245220326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 PEACH ST",
"address_2": "SUITE 244",
"city": "ERIE",
"state": "PA",
"postal_code": "165012134",
"telephone_number": "814-877-6120",
"fax_number": "814-877-6032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 PEACH ST",
"address_2": "SUITE 244",
"city": "ERIE",
"state": "PA",
"postal_code": "165012134",
"telephone_number": "814-877-6120",
"fax_number": "814-877-6032"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPMC HAMOT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "UPMC HAMOT",
"enumeration_date": "2005-10-28",
"last_updated": "2011-02-15",
"status": "A",
"authorized_official_last_name": "STEELE",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "FINANCE MANAGER",
"authorized_official_telephone_number": "814-877-6340"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007286570044",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Great Lakes Home Healthcare",
"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 Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.