LECOM AT ASBURY RIDGE LLC
NPI 1811713746
Skilled Nursing Facility in Erie, PA

Active since November 25, 2024CLIA 39D0991259 · Waiver
4855 W RIDGE RD, ERIE, PA 16506(814) 790-1790 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lecom At Asbury Ridge Llc NPPES

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

LECOM AT ASBURY RIDGE LLC (NPI 1811713746), doing business as Saint Mary's At Asbury Ridge, is a healthcare organization registered as a skilled nursing facility in Erie, Pennsylvania and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through September 16, 2027 and lists James Lin, President, as its authorized official.

NPPES Registry Identity

NPI1811713746
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLECOM AT ASBURY RIDGE LLC
Location Address4855 W RIDGE RDErie, PA 16506-1213
Mailing Address5535 Peach StErie, PA 16509-2603
Organization SubpartYesParent: Millcreek Manor
Authorized OfficialJames LinPresident · (814) 844-2858
Enumeration DateNovember 25, 2024
Last NPPES UpdateFebruary 3, 2025
NPPES CertifiedFebruary 3, 2025
NPI 1811713746 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.

4855 W RIDGE RD, Erie, PA 16506

Other Names 1

Doing Business AsSaint Mary's At Asbury Ridge

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 39D0991259

Lecom At Asbury Ridge · Erie, PA
Active · expires Sep 16, 2027
CLIA Number39D0991259
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 17, 2025
Certificate Expiration DateSeptember 16, 2027
Laboratory DirectorJames Y. Lin
Laboratory Phone(814) 836-5305
Laboratory LocationLecom At Asbury Ridge4855 West Ridge Road, Erie, PA 16505
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

Occupational Therapist
4855 W RIDGE RD
ERIE, PA 16506
Physical Therapist
4855 W RIDGE RD
ERIE, PA 16506
Occupational Therapy Assistant
4855 W RIDGE RD
ERIE, PA 16506
Assisted Living Facility
4855 W RIDGE RD
ERIE, PA 16506
Skilled Nursing Facility
4855 W RIDGE RD
ERIE, PA 16506
Physical Therapy Assistant
4855 W RIDGE RD
ERIE, PA 16506
Speech-Language Pathologist
4855 W RIDGE RD
ERIE, PA 16506
Physical Therapy Assistant
4855 W RIDGE RD
ERIE, PA 16506

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 Asbury Ridge LLC's NPI number?

The NPI number for Lecom At Asbury Ridge LLC is 1811713746. It was assigned to this organization in the NPPES registry on November 25, 2024. The provider is doing business as Saint Mary's at Asbury Ridge.

Where is Lecom At Asbury Ridge LLC located?

Lecom At Asbury Ridge LLC is located at 4855 W Ridge Rd, Erie, PA 16506. The listed phone number is (814) 790-1790.

What is Lecom At Asbury Ridge LLC's specialty?

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

Does Lecom At Asbury Ridge LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0991259) is associated with this NPI, valid through September 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lecom At Asbury Ridge LLC was last updated on February 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.