Provider Demographics
NPI:1386616068
Name:THE SARAH A. REED RETIREMENT CENTER
Entity type:Organization
Organization Name:THE SARAH A. REED RETIREMENT CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:GERBER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:814-878-2616
Mailing Address - Street 1:227 W 22ND ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16502-2614
Mailing Address - Country:US
Mailing Address - Phone:814-878-2616
Mailing Address - Fax:814-878-2607
Practice Address - Street 1:227 W 22ND ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16502-2614
Practice Address - Country:US
Practice Address - Phone:814-878-2616
Practice Address - Fax:814-878-2607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-06
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA710402314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01106793Medicaid
PA01106793Medicaid