NPIMap

Organization Active NPI

Lecom Home Care

  • In Home Supportive Care Agency
  • Erie, PA
National Provider Identifier
1922512193
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LECOM HOME CARE
Practice address
2253 W Grandview Blvd
Erie, PA 16506-4507
Phone
(814) 454-2831
Fax
(814) 453-5357
NPI assigned
Nov 27, 2017
Last updated
Nov 2, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
MILLCREEK MANORAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Authorized official

Name
Melanie Titzel
Title
Controller
Phone
(814) 868-3812

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X

Addresses

Primary practice location

2253 W Grandview Blvd
Erie, PA 16506-4507

Mailing address

5535 Peach St
Erie, PA 16509-2603

Other practice location 1

2253 W Grandview Blvd
Erie, PA 16506-4507
Phone (814) 454-2831

National Provider Directory

National Provider Directory
Tax ID family
Millcreek Manor Pharmacy12 organizations share this tax ID, including this one
Part of
Millcreek Manor Pharmacy

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1922512193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5535 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2253 W GRANDVIEW BLVD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064507",
            "telephone_number": "814-454-2831",
            "fax_number": "814-453-5357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2253 W Grandview Blvd",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165064507",
            "country_code": "US",
            "telephone_number": "814-454-2831",
            "fax_number": "814-453-5357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LECOM HOME CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MILLCREEK MANOR",
        "enumeration_date": "2017-11-27",
        "last_updated": "2018-11-02",
        "status": "A",
        "authorized_official_last_name": "TITZEL",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "814-868-3812"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Nov 2, 2018; 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.