SUPPORTIVE LIVING SERVICES, INC.
NPI 1205900305
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Erie, PA

Q: What is Supportive Living Services, Inc.'s NPI number?

The NPI number for Supportive Living Services, Inc. is 1205900305. It was assigned to this organization in the NPPES registry on November 20, 2006.

Q: What is Supportive Living Services, Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since November 20, 2006

210 E 2ND ST, ERIE, PA 16507(814) 454-1252(814) 456-3133 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Supportive Living Services, Inc. NPPES

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

SUPPORTIVE LIVING SERVICES, INC. (NPI 1205900305) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Erie, Pennsylvania and active in the NPI registry since November 2006. The organization lists Mona L Buschak, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1205900305

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameSUPPORTIVE LIVING SERVICES, INC.

Location Address210 E 2ND STErie, PA 16507-1559

Mailing Address210 E 2nd StErie, PA 16507-1559 · (814) 454-1252 · Fax (814) 456-3133

Phone(814) 454-1252

Fax(814) 456-3133

Organization SubpartNo

Authorized OfficialMona L BuschakExecutive Director · (814) 454-1252

Enumeration DateNovember 20, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1205900305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

License✔ Licensed in PA · 437090

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

210 E 2ND ST, Erie, PA 16507

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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 Supportive Living Services, Inc.'s NPI number?

The NPI number for Supportive Living Services, Inc. is 1205900305. It was assigned to this organization in the NPPES registry on November 20, 2006.

Where is Supportive Living Services, Inc. located?

Supportive Living Services, Inc. is located at 210 E 2nd St, Erie, PA 16507. The listed phone number is (814) 454-1252.

What is Supportive Living Services, Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Supportive Living Services, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.