Great Lakes Home Healthcare Services

LBN: Life Care Home Services Of Northwestern Pennsylvania Llp
Great Lakes Home Healthcare Services is an health care organization with primary practice located at 1647 Sassafras St , Erie PA 16502-1858. The organization recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Licensed Practical Nurse, Agencies / Home Health. Nursing Service Providers / Registered Nurse is the primary health care specialty. Life Care Home Services Of Northwestern Pennsylvania Llp can be contacted via phone (814) 877-6121, or through Dubowski, Kathy L via phone (814) 877-6121.

Contact Information

Primary practice address
1647 Sassafras St Erie PA 16502-1858
Phone: (814) 877-6121
Fax: (814) 877-6297
Website:
Map and Directions
Authorized official contact:
Name: Dubowski, Kathy L RN, MSN
Phone: (814) 877-6121

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 006305 Pennsylvania
Nursing Service Providers / Licensed Practical Nurse 164W00000X 006305 Pennsylvania
Agencies / Home Health 251E00000X 006305 Pennsylvania

Profile Details

NPI number 1104099191
LBN Legal business name Life Care Home Services Of Northwestern Pennsylvania Llp
DBA Doing business as Great Lakes Home Healthcare Services
Authorized official Dubowski, Kathy L RN, MSN
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2008
Last updated Mar 17th, 2011 - about 15 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 1104099191 NPPES
Pennsylvania MEDICAID 1007788280007
Pennsylvania Other 1379

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