Organization Active NPI

QLS Erie LLC

Doing business as Quality Life Services - Erie

  • Skilled Nursing Facility
  • Erie, PA
National Provider Identifier
1801302914
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
QLS ERIE LLC
Doing business as
Quality Life Services - Erie
Practice address
1267 S Hill Rd
Erie, PA 16509-4831
Phone
(724) 431-0770
NPI assigned
Dec 27, 2017
Last updated
Dec 27, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
TACK HUD LEASE HOLDINGS LPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 27, 2017

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

Authorized official

Name
Dean Rippee
Title
Cfo
Phone
(724) 431-0770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1267 S Hill Rd
Erie, PA 16509-4831

Mailing address

612 N Main St
Butler, PA 16001-4363
Phone (724) 431-0700

Other names 1

  • Quality Life Services - Erie Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1801302914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 N MAIN ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014363",
            "telephone_number": "724-431-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1267 S HILL RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165094831",
            "telephone_number": "724-431-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QLS ERIE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TACK HUD LEASE HOLDINGS LP",
        "enumeration_date": "2017-12-27",
        "last_updated": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "RIPPEE",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "724-431-0770"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality Life Services - Erie",
            "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 Dec 27, 2017; 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.