LECOM AT ELMWOOD GARDENS LLC
NPI 1073396636
Skilled Nursing Facility in Erie, PA

Active since August 17, 2023CLIA 39D2225614 · Waiver
5/5
Overall Rating
2628 ELMWOOD AVE, ERIE, PA 16508(814) 864-4802(814) 864-7044 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lecom At Elmwood Gardens Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LECOM AT ELMWOOD GARDENS LLC (NPI 1073396636) is a healthcare organization registered as a skilled nursing facility in Erie, Pennsylvania and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through May 21, 2027 and lists Olivia Ware, Cfo, as its authorized official.

NPPES Registry Identity

NPI1073396636
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLECOM AT ELMWOOD GARDENS LLC
Location Address2628 ELMWOOD AVEErie, PA 16508-1421
Mailing Address5535 Peach StErie, PA 16509-2603 · (814) 881-5234 · Fax (814) 871-4545
Fax(814) 864-7044
Organization SubpartYesParent: Millcreek Manor
Authorized OfficialOlivia WareCfo · (814) 881-5234
Enumeration DateAugust 17, 2023
NPPES CertifiedAugust 17, 2023
NPI 1073396636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

2628 ELMWOOD AVE, Erie, PA 16508

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2225614

Lecom At Elmwood Gardens · Erie, PA
Active · expires May 21, 2027
CLIA Number39D2225614
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMay 22, 2025
Certificate Expiration DateMay 21, 2027
Laboratory DirectorDr. James Y. Lin
Laboratory Phone(814) 920-1220
Laboratory LocationLecom At Elmwood Gardens2628 Elmwood Ave, Erie, PA 16508
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Lecom At Elmwood Gardens, LLC (CMS certification number 395474), from CMS Care Compare.

Lecom At Elmwood Gardens, LLC

Nursing home · Erie, PA
5/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number395474
Certified Beds51 beds45 residents per day on average
Medicare & Medicaid Participant SinceJuly 17, 1980
Resident & Family CouncilResident council
Automatic sprinkler system Ownership changed in last 12 months

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
7.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.44 · LPN 1.15 · RN 1.03
4.62 hrs per resident per day
Weekend Nurse Staffing
3.91 hrs per resident per day
Physical Therapist Staffing
0.09 hrs per resident per day
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
1
Fines
1 totaling $7,432.75
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapy Assistant
2628 ELMWOOD AVE
ERIE, PA 16508
Physical Therapist
2628 ELMWOOD AVE
ERIE, PA 16508
Skilled Nursing Facility
2628 ELMWOOD AVE
ERIE, PA 16508
Speech-Language Pathologist
2628 ELMWOOD AVE
ERIE, PA 16508
Physical Therapist
2628 ELMWOOD AVE
ERIE, PA 16508
Occupational Therapy Assistant
2628 ELMWOOD AVE
ERIE, PA 16508
Physical Therapy Assistant
2628 ELMWOOD AVE
ERIE, PA 16508
Licensed Practical Nurse
2628 ELMWOOD AVE
ERIE, PA 16508

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lecom At Elmwood Gardens LLC's NPI number?

The NPI number for Lecom At Elmwood Gardens LLC is 1073396636. It was assigned to this organization in the NPPES registry on August 17, 2023.

Where is Lecom At Elmwood Gardens LLC located?

Lecom At Elmwood Gardens LLC is located at 2628 Elmwood Ave, Erie, PA 16508. The listed phone number is (814) 864-4802.

What is Lecom At Elmwood Gardens LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Lecom At Elmwood Gardens LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2225614) is associated with this NPI, valid through May 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Lecom At Elmwood Gardens LLC a Medicare-certified nursing home?

Yes. Lecom At Elmwood Gardens, LLC is a Medicare-certified nursing home with 51 certified beds.

What quality rating does Lecom At Elmwood Gardens LLC have?

CMS rates Lecom At Elmwood Gardens, LLC 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Lecom At Elmwood Gardens LLC was last updated on August 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.