Life Care Home Services of Northwestern Pennsylvania LLP

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

3000008116 Issued in PA

Legal business name

LIFE CARE HOME SERVICES OF NORTHWESTERN PENNSYLVANIA LLP

Doing business as

Great Lakes Home Healthcare Services

Practice address

303 Chestnut St
Meadville, PA 16335-3207

Phone

(814) 337-6900

Fax

(814) 337-6902

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Kathy L Dubowski, RN, MSN

Title

President

Phone

(814) 877-6121

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Great Lakes Home Healthcare Services Doing business as

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• Bayside Pharmacy Limited Partnership

  • Community/Retail Pharmacy
  • Erie, PA
  • NPI 1548268022

  Member Of

  NPD member
• Upmc Hamot

  • General Acute Care Hospital
  • Erie, PA
  • NPI 1487647590

  Member Of

  NPD member
• Allied Orthopedic Appliances Inc.

  • Durable Medical Equipment & Medical Supplies
  • Fredonia, NY
  • NPI 1316018021

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1699813113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1647 SASSAFRAS ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165021858",
            "telephone_number": "814-877-6121",
            "fax_number": "814-459-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 CHESTNUT ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353207",
            "telephone_number": "814-337-6900",
            "fax_number": "814-337-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE HOME SERVICES OF NORTHWESTERN PENNSYLVANIA LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "DUBOWSKI",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-877-6121",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "3000008116",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "PA",
            "license": "3000008116",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007788280017",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Lakes Home Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Paul Leri, D.C.
• Leah Leslie, MA
• Raymond KW Leung, MD
• Mark E. Lewis, D.O.
• Liberty Street Internal Medicine PC
• Nicholas David Limano, PA-C, MPAS
• Catherine Ann Lingler, M.S., CCC-SLP
• Andrew Glenn Linn
• Lisa Moffitt Inc
• Olivia Loeblein, DMD

• Oxygen Equipment & Supplies (DME) in Meadville, PA
• Providers in Meadville, PA by specialty
• Oxygen Equipment & Supplies (DME) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.