Organization Active NPI

Erickson Living Health Services, LLC

Doing business as Erickson Living Health Services

  • Home Health Agency
  • Glen Mills, PA
National Provider Identifier
1497196745
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ERICKSON LIVING HEALTH SERVICES, LLC
Doing business as
Erickson Living Health Services
Practice address
100 Maris Grove Way
Attn: Executive Director
Glen Mills, PA 19342-1282
Phone
(610) 387-4470
Fax
(410) 204-7237
NPI assigned
Jul 16, 2013
Last updated
Jul 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Authorized official

Name
Mr. Jonathan Garber
Title
Vice President
Phone
(410) 402-2323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

100 Maris Grove Way
Attn: Executive Director
Glen Mills, PA 19342-1282

Mailing address

100 Maris Grove Way
Attn: Executive Director
Glen Mills, PA 19342-1282
Phone (610) 387-4470

Other names 1

  • ERICKSON LIVING HEALTH SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Erickson Living Health Services LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1497196745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MARIS GROVE WAY",
            "address_2": "ATTN: EXECUTIVE DIRECTOR",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421282",
            "telephone_number": "610-387-4470",
            "fax_number": "410-204-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MARIS GROVE WAY",
            "address_2": "ATTN: EXECUTIVE DIRECTOR",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421282",
            "telephone_number": "610-387-4470",
            "fax_number": "410-204-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICKSON LIVING HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "GARBER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "410-402-2323",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ERICKSON LIVING HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Mills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.