Organization · Type 2 NPI
Life-Northwestern Pennsylvania
PACE Provider Organization · Erie, PA
Practice location
149 W 22nd St
Erie, PA 16502-2804
Fax (814) 456-9232
Mailing address
100 State St Ste 200
Erie, PA 16507-1454
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| PACE Provider Organization Primary | 251T00000X | None listed |
PACE Provider Organization: A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE ser…
7 other providers at this address
- Lecom at Village Square, LLCSkilled Nursing Facility Erie, PA NPI 1689231029
- Lutheran Home for the AgedSkilled Nursing Facility Erie, PA NPI 1891792354
- The Lutheran Home for the Aged D/b/a the Village at Luther SquareSkilled Nursing Facility Erie, PA NPI 1174901375
- Diane BoydFamily Nurse Practitioner Erie, PA NPI 1427699495
- Glenn Robert Wolfe, COTA/LOccupational Therapy Assistant Erie, PA NPI 1730352071
- Kevin P. Shaffer, MDFamily Medicine Physician Erie, PA NPI 1508856824
- Mary WhippleFamily Nurse Practitioner Erie, PA NPI 1407234859
About NPI 1891980355
Life-Northwestern Pennsylvania's National Provider Identifier is 1891980355, issued on Sep 7, 2007. The primary taxonomy on file is PACE Provider Organization (251T00000X), and the practice location is in Erie, PA. The record was last updated on Nov 16, 2020.