Presbyterian Homes in the Presbytery of Lake Erie

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

424402 Issued in PA

Legal business name

PRESBYTERIAN HOMES IN THE PRESBYTERY OF LAKE ERIE

Practice address

10 Vo Tech Dr
Oil City, PA 16301-3502

Phone

(814) 676-8686

Fax

(814) 677-9349

NPI assigned

Aug 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Gary C. Seib

Title

Vice President / Cfo

Phone

(814) 314-1718

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Oakwood Heights Other name

Locations

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1841202504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 SCHOOL RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052691",
            "telephone_number": "814-314-1718",
            "fax_number": "814-314-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 VO TECH DR",
            "city": "OIL CITY",
            "state": "PA",
            "postal_code": "163013502",
            "telephone_number": "814-676-8686",
            "fax_number": "814-677-9349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESBYTERIAN HOMES IN THE PRESBYTERY OF LAKE ERIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "SEIB",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "VICE PRESIDENT / CFO",
        "authorized_official_telephone_number": "814-314-1718",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "424402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK/KHPW",
            "identifier": "0694",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakwood Heights",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jan Peters
• Jessica Lee Phipps, MS (MASTER OF SCIENC
• Leigh Pikna, MS CCC-SLP
• Shawna Plyler, LPN
• Christopher Pollitt, BA
• Primary Health Network
• Mary Radaker, LPC
• Kathryn Joan Ragon, PTA
• Emily Nicole Ramirez
• Caitlin Reagle, BA

• All providers in Oil City, PA
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.