Organization Active NPI

Seniors Choice Home Care, LLC

  • Home Health Agency
  • Erie, PA
National Provider Identifier
1619305745
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
95460496 Issued in PA
Legal business name
SENIORS CHOICE HOME CARE, LLC
Practice address
4112 Main St
Erie, PA 16511-1968
Phone
(814) 315-0319
NPI assigned
Oct 29, 2013
Last updated
Aug 6, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
SENIORS CHOICE HOME CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Authorized official

Name
Jason Blake
Title
CSM
Phone
(814) 315-0301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 95460496 PA Primary

Addresses

Primary practice location

4112 Main St
Erie, PA 16511-1968

Mailing address

4112 Main St
Erie, PA 16511-1968
Phone (814) 315-0319

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eblake@seniors-choice.org

National Provider Directory

National Provider Directory
Part of
Seniors Choice Home Care LLC

Locations

4112 Main St
Erie, PA 16511
Phone (814) 315-0319

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1619305745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 MAIN ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165111968",
            "telephone_number": "814-315-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112 MAIN ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165111968",
            "telephone_number": "814-315-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORS CHOICE HOME CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENIORS CHOICE HOME CARE, LLC",
        "enumeration_date": "2013-10-29",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CSM",
        "authorized_official_telephone_number": "814-315-0301"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "95460496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eblake@seniors-choice.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "4112 Main St",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165111968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 6, 2021; 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.