Millcreek Manor

LBN: Millcreek Manor
Millcreek Manor is an health care organization with primary practice located at 5515 Peach St , Erie PA 16509-2603. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Millcreek Manor can be contacted via phone (814) 868-7395, or through Olinger, Richard via phone (814) 868-8167.

Contact Information

Primary practice address
5515 Peach St Erie PA 16509-2603
Phone: (814) 868-7395
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Olinger, Richard
Phone: (814) 868-8167

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 131102 Pennsylvania

Profile Details

NPI number 1780688259
LBN Legal business name Millcreek Manor
DBA Doing business as
Authorized official Olinger, Richard
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2005
Last updated Aug 22nd, 2020 - about 6 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 1780688259 NPPES
Pennsylvania MEDICAID 0012079290002

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