Erie Independence House, Inc.

LBN: Erie Independence House, Inc.
Erie Independence House, Inc. is an health care organization with primary practice located at 1611 Peach St Suite 145, Erie PA 16501-2109. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Nursing Care. Agencies / Home Health is the primary health care specialty. Erie Independence House, Inc. can be contacted via phone (814) 461-9188, or through Behnken, Paul F via phone (814) 461-9188.

Contact Information

Primary practice address
1611 Peach St Suite 145 Erie PA 16501-2109
Phone: (814) 461-9188
Fax: (814) 461-0232
Website:
Map and Directions
Authorized official contact:
Name: Behnken, Paul F
Phone: (814) 461-9188

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Agencies / Nursing Care 251J00000X

Profile Details

NPI number 1336375542
LBN Legal business name Erie Independence House, Inc.
DBA Doing business as
Authorized official Behnken, Paul F
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2009
Last updated Jun 2nd, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336375542 NPPES
Pennsylvania MEDICAID 1007694800003

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