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MILLCREEK MANOR
NPI 1629125166
Nursing Facility/Intermediate Care Facility in Erie, PA

Active since January 05, 2007

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Millcreek Manor NPPES

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

MILLCREEK MANOR (NPI 1629125166) is a healthcare organization registered as a nursing facility/intermediate care facility in Erie, Pennsylvania and active in the NPI registry since January 2007. The organization lists Jeanne L Miller, Pt Acct Mgr, as its authorized official.

NPPES Registry Identity

NPI1629125166
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameMILLCREEK MANOR
Location Address5515 PEACH STErie, PA 16509-2603
Mailing Address5515 Peach StErie, PA 16509-2603 · (814) 868-8252
Phone(814) 868-8252
Organization SubpartNo
Authorized OfficialJeanne L MillerPt Acct Mgr · (814) 868-8252
Enumeration DateJanuary 5, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1629125166 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 · 123456
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.
5515 PEACH ST, Erie, PA 16509
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Other Identifiers 1

Other2144PA · Highmark

Other Providers at the Same Location NPPES 20

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

EDEN KIMIAGAROV DO
Student in an Organized Health Care Education/Training Program
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 868-8217
NATALIE A KUJAN LDN
Dietitian, Registered
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
DR. GARRETT P JAGEMAN PHARMD
Pharmacist
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
ERIN CARLSON PHARMD
Pharmacist
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 868-8267
NICHOLAS PAUL PANICO DO
Student in an Organized Health Care Education/Training Program
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
DALTON WADE SUMMERHILL
Student in an Organized Health Care Education/Training Program
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
ALYSE CHRISTINE HAGGERTY RN
Registered Nurse (Psychiatric/Mental Health, Adult)
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
JOSEPH AARON HOLMES D.O.
Psychiatry & Neurology (Psychiatry)
5515 PEACH ST
ERIE, PA 16509
Erie County (181) 486-8820

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 Millcreek Manor's NPI number?

The NPI number for Millcreek Manor is 1629125166. It was assigned to this organization in the NPPES registry on January 5, 2007.

Where is Millcreek Manor located?

Millcreek Manor is located at 5515 Peach St, Erie, PA 16509. The listed phone number is (814) 868-8252.

What is Millcreek Manor'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 Millcreek Manor 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.