Erie Independence House, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ERIE INDEPENDENCE HOUSE, INC.

Practice address

1611 Peach St
Suite 145
Erie, PA 16501-2109

Phone

(814) 461-9188

Fax

(814) 461-0232

NPI assigned

Jun 2, 2009

Last updated

Jun 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul F Behnken

Title

Controller

Phone

(814) 461-9188

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Erie Independence House Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Erie Independence House, Inc.

  • Nursing Facility/Intermediate Care Facility
  • Erie, PA
  • NPI 1629108741
  NPD tax ID

Locations

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243900800000",
    "number": "1336375542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 PEACH ST",
            "address_2": "SUITE 145",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165012109",
            "telephone_number": "814-461-9188",
            "fax_number": "814-461-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 PEACH ST",
            "address_2": "SUITE 145",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165012109",
            "telephone_number": "814-461-9188",
            "fax_number": "814-461-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIE INDEPENDENCE HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-02",
        "status": "A",
        "authorized_official_last_name": "BEHNKEN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "814-461-9188"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007694800003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erie Healthcare Services Inc
• Erie Heart and Lung
• Erie Homes for Children and Adults, Inc.
• Erie Horizon Healing Services
• Erie Imaging, LLC (Village Imaging Center)
• Erie Independence House, Inc.
• Erie Medical & Rehab Center Inc
• Erie Medical Specialty Clinic, PC
• Erie Medical Specialty Clinic, PC
• Erie Operating LLC (Golden LivingCenter - Walnut Creek)

• Home Health Agency in Erie, PA
• Providers in Erie, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; 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.