Organization Active NPI

Conrad House Inc

  • In Home Supportive Care Agency
  • Erie, PA
National Provider Identifier
1851630354
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
18883601 Issued in PA
Legal business name
CONRAD HOUSE INC
Practice address
5436 E Lake Rd
Erie, PA 16511-1459
Phone
(814) 899-8600
NPI assigned
Feb 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Authorized official

Name
Mr. George Hunter
Title
President
Phone
(814) 899-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 18883601 PA Primary

Addresses

Primary practice location

5436 E Lake Rd
Erie, PA 16511-1459

Mailing address

5436 E Lake Rd
Erie, PA 16511-1459

Other identifiers 1

IdentifierTypeStateIssuer
18883601OtherPAHOME CARE AGENCY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1851630354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5436 E LAKE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165111459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5436 E LAKE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165111459",
            "telephone_number": "814-899-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONRAD HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-899-8600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "18883601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME CARE AGENCY",
            "identifier": "18883601",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 5, 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.