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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 15440201
- 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, 2007
- 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, NHA
- Title
- Administrator
- Phone
- (814) 836-5305
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007457470003 | Medicaid | PA |
Other names 1
- DBA SAINT MARY'S AT ASBURY RIDGE
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Medicine Physician
- Erie, PA
- NPI 1992769483
-
- Family Medicine Physician
- Erie, PA
- NPI 1982040168
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
- Safer Home Care Inc.
- Sheshadrie Saha, MD
- Katherine Ann Sahlmann, R.PH.
- Guneet Sahota
- Saint Mary's Home of Erie (Dba Saint Mary's East)
- Saint Vincent Affiliated Physicians
- Saint Vincent Consultants in Cardiovascular Diseases
- Saint Vincent Diabetes Resource Outpatient Nutrition Center
- Saint Vincent Endoscopy Center LLC
- Saint Vincent Health Center (Saint Vincent Behavioral Services)
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.