Lecom at Presque Isle Inc

Primary specialty

Renal Dialysis TechnicianTaxonomy code 2472R0900X

Legal business name

LECOM AT PRESQUE ISLE INC

Practice address

4114 Schaper Ave
Erie, PA 16508-3350

Phone

(814) 868-0831

Fax

(814) 868-3566

NPI assigned

Aug 23, 2021

Organization subpart

No

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

Authorized official

Name

Olivia J Topel

Title

Cfo

Phone

(814) 881-5234

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Lecom at Presque Isle Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Lecom at Presque Isle Inc

  • Skilled Nursing Facility
  • Erie, PA
  • NPI 1215392824
  NPD tax ID

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1972270569",
    "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",
            "telephone_number": "814-868-2496",
            "fax_number": "814-868-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4114 SCHAPER AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165083350",
            "telephone_number": "814-868-0831",
            "fax_number": "814-868-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LECOM AT PRESQUE ISLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "TOPEL",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "814-881-5234"
    },
    "taxonomies": [
        {
            "code": "2472R0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Other, Renal Dialysis",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030723650001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Leclerc
• Lecom Ambulatory Surgery Center
• Lecom at Asbury Ridge LLC
• Lecom at Elmwood Gardens LLC
• Lecom at Presque Isle Inc
• Lecom at Village Square, LLC
• Lecom Home Care
• Lecom MTM Services
• Lecom Senior Living Center
• William Douglas Lee II, DO

• Renal Dialysis Technician in Erie, PA
• Providers in Erie, PA by specialty
• Renal Dialysis Technician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.