Organization Active NPI

Renal Care of Erie, LLC

  • Clinic/Center
  • Erie, PA
National Provider Identifier
1528052883
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RENAL CARE OF ERIE, LLC
Practice address
1641 Sassafras St
Erie, PA 16502-1858
Phone
(814) 455-6455
Fax
(814) 456-1188
NPI assigned
Sep 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Ms. Patti A. Rojas
Title
Billing Specialist
Phone
(814) 461-1328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1641 Sassafras St
Erie, PA 16502-1858

Mailing address

1641 Sassafras St
Erie, PA 16502-1858
Phone (814) 461-1328

Other identifiers 1

IdentifierTypeStateIssuer
1812510MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1528052883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 SASSAFRAS ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165021858",
            "telephone_number": "814-461-1328",
            "fax_number": "814-461-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 SASSAFRAS ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165021858",
            "telephone_number": "814-455-6455",
            "fax_number": "814-456-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL CARE OF ERIE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "ROJAS",
        "authorized_official_first_name": "PATTI",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "814-461-1328",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1812510",
            "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 May 21, 2008; 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.