ERIE INDEPENDENCE HOUSE, INC.
NPI 1629108741
Nursing Facility/Intermediate Care Facility in Erie, PA

Active since March 07, 2007
3108 ZUCK RD, ERIE, PA 16506(814) 833-9955(814) 835-1772 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Erie Independence House, Inc. NPPES

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

ERIE INDEPENDENCE HOUSE, INC. (NPI 1629108741) is a healthcare organization registered as a nursing facility/intermediate care facility in Erie, Pennsylvania and active in the NPI registry since March 2007. The organization lists David G Schlaudecker, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1629108741
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameERIE INDEPENDENCE HOUSE, INC.
Location Address3108 ZUCK RDErie, PA 16506-3161
Mailing Address1611 Peach St, Suite 145Erie, PA 16501-2109 · (814) 461-9188 · Fax (814) 461-0232
Fax(814) 835-1772
Organization SubpartNo
Authorized OfficialDavid G SchlaudeckerExecutive Director · (814) 461-9188
Enumeration DateMarch 7, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1629108741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License Licensed in PA · 805640
Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

3108 ZUCK RD, Erie, PA 16506

Other Identifiers 1

Medicaid1007694800001PA

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 Erie Independence House, Inc.'s NPI number?

The NPI number for Erie Independence House, Inc. is 1629108741. It was assigned to this organization in the NPPES registry on March 7, 2007.

Where is Erie Independence House, Inc. located?

Erie Independence House, Inc. is located at 3108 Zuck Rd, Erie, PA 16506. The listed phone number is (814) 833-9955.

What is Erie Independence House, Inc.'s specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Erie Independence House, Inc. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.