Active NPI
St Mary's Home of Erie
Doing business as Saint Mary's at Asbury Ridge
- Assisted Living Facility
- Erie, PA
National Provider Identifier
1437190907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 413420
- Legal business name
- ST MARY'S HOME OF ERIE
- Doing business as
- Saint Mary's at Asbury Ridge
- Practice address
- 4855 W Ridge Rd
Erie, PA 16506-1213 - Phone
- (814) 836-5300
- Fax
- (814) 451-1394
- NPI assigned
- Jun 8, 2006
- 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
- Audrey Urban
- Title
- Administration
- Phone
- (814) 836-5305
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 413420 | PA | Primary |
Addresses
Primary practice location
4855 W Ridge Rd
Erie, PA 16506-1213
Mailing address
4855 W Ridge Rd
Erie, PA 16506-1213
Phone (814) 836-5300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007457470003 | Medicaid | PA |
Other names 1
- SAINT MARY'S AT ASBURY RIDGE
National Provider Directory
National Provider Directory- Tax ID family
- Saint Mary's East
Other organizations with this tax ID 2
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": "1149724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1437190907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4855 W RIDGE RD",
"city": "ERIE",
"state": "PA",
"postal_code": "165061213",
"telephone_number": "814-836-5300",
"fax_number": "814-451-1394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4855 W RIDGE RD",
"city": "ERIE",
"state": "PA",
"postal_code": "165061213",
"telephone_number": "814-836-5300",
"fax_number": "814-451-1394"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST MARY'S HOME OF ERIE",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "URBAN",
"authorized_official_first_name": "AUDREY",
"authorized_official_title_or_position": "ADMINISTRATION",
"authorized_official_telephone_number": "814-836-5305"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "PA",
"license": "413420",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007457470003",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SAINT MARY'S AT ASBURY RIDGE",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Erie, PA
- Angelica Joyelle Spraggins, CRC, LPC
- Stephanie A Spring, DO
- Laura Anne Sproat, MD
- Danielle Sproveri
- Philip M St Julien, D.O.
- St Mary's Home of Erie (Saint Mary's East)
- St Mary's Home of Erie (Saint Mary's East)
- St Vincent Health System (St Vincent Family Medical Center)
- St Vincent Medical Education and Research Institute Inc (Saint Vincent Vascular & Endovascular Surgery)
- St Vincent Medical Education and Research Institute Inc (Colorectal Physicians & Surgeons of PA)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.