Organization Active NPI

Saint Mary's Home of Erie

Doing business as Dba Saint Mary's at Asbury Ridge

  • Skilled Nursing Facility
  • Erie, PA
National Provider Identifier
1649276742
Registry record updated Nov 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
15440201 Issued in PA
Legal business name
SAINT MARY'S HOME OF ERIE
Doing business as
Dba 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 23, 2005
Last updated
Nov 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2007

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

Authorized official

Name
Audrey Urban, NHA
Title
Administrator
Phone
(814) 836-5305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 15440201 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

IdentifierTypeStateIssuer
1007457470003MedicaidPA

Other names 1

  • DBA SAINT MARY'S AT ASBURY RIDGE Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195257600000",
    "number": "1649276742",
    "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": "SAINT MARY'S HOME OF ERIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2007-11-17",
        "status": "A",
        "authorized_official_last_name": "URBAN",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "814-836-5305",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "15440201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007457470003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA SAINT MARY'S AT ASBURY RIDGE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 17, 2007; 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.