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Supporting line for group header
PROVIDER DEMOGRAPHIC INFORMATION Supporting line for group header
 
Name: SUPPORTIVE LIVING SERVICES INC
Address: 3901 PACIFIC AVE
ERIE, PA 16506-4555
Phone: (814) 454-1252
Fax: (814) 456-3133
Web Site: N/A

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PROVIDER CERTIFICATION INFORMATION Supporting line for group header
Click here to view Provider Certification Information

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PROVIDER'S PARENT/ REGIONAL OFFICE Supporting line for group header
 
Type: Regional/Field Office Counties Served:
Name: SUPPORTIVE LIVING SERVICES
Address: 3901 PACIFIC AVE
ERIE, PA 16506-4555
Phone: (814) 454-1252

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PROVIDER SERVICES AND RATES Supporting line for group header
 
County : Cameron/Elk
|Service Name / Level |Rate
CPS Community 1:1 $13.83 / 15 min.
 
County : Erie
|Service Name / Level |Rate
Behavioral Supports-Level 1-Initial/Ongoing $23.85 / 15 min.
Behavioral Supports-Level 1-Initial/Ongoing-ECS Not Set
CPS Community 1:1 $13.83 / 15 min.
CPS Community 2:1 $26.59 / 15 min.
Companion Services (Level 2) $8.33 / 15 min.
In-Home & Commnty Supprts (Lvl 2) $11.10 / 15 min.
Life Sharing-1 per-Elig-Unlic < 30 Hrs $156.49 / 1 Day
Life Sharing-2 per-Elig-Unlic < 30 Hrs $111.44 / 1 Day
Remote Support - Technology/Equipment $1.00 / Outcome Based
Res Hab-1 Person-NG 1-Elig $554.38 / 1 Day
Res Hab-1 Person-NG 1-Elig-ECS Not Set
Res Hab-1 Person-NG 1-Elig-w/Day Supports $433.05 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports-ECS Not Set
Res Hab-1 Person-NG 2-Elig $643.34 / 1 Day
Res Hab-1 Person-NG 2-Elig-ECS Not Set
Res Hab-1 Person-NG 2-Elig-w/Day Supports $545.91 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports-ECS Not Set
Res Hab-1 Person-NG 3-Elig $980.38 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS Not Set
Res Hab-1 Person-NG 3-Elig-w/Day Supports $790.99 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS Not Set
Res Hab-1 Person-NG 4-Elig $1,185.86 / 1 Day
Res Hab-1 Person-NG 4-Elig-ECS Not Set
Res Hab-1 Person-NG 4-Elig-w/Day Supports $871.56 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports-ECS Not Set
Res Hab-1 Person-NG5-Elig $1,754.51 / 1 Day
Res Hab-1 Person-NG5-Elig-ECS Not Set
Res Hab-1 Person-NG5-Elig-w/Day Supports $1,341.85 / 1 Day
Res Hab-1 Person-NG5-Elig-w/Day Supports-ECS Not Set
Res Hab-2 Person-NG 1-Elig $554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-ECS Not Set
Res Hab-2 Person-NG 1-Elig-w/Day Supports $433.05 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports-ECS Not Set
Res Hab-2 Person-NG 2-Elig $643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-ECS Not Set
Res Hab-2 Person-NG 2-Elig-w/Day Supports $545.91 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports-ECS Not Set
Res Hab-2 Person-NG 3-Elig $726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS Not Set
Res Hab-2 Person-NG 3-Elig-w/Day Supports $668.54 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS Not Set
Res Hab-2 Person-NG 4-Elig $869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS Not Set
Res Hab-2 Person-NG 4-Elig-w/Day Supports $730.86 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS Not Set
Res Hab-2 Person-NG5-Elig $1,312.57 / 1 Day
Res Hab-2 Person-NG5-Elig-ECS Not Set
Res Hab-2 Person-NG5-Elig-w/Day Supports $1,215.16 / 1 Day
Res Hab-2 Person-NG5-Elig-w/Day Supports-ECS Not Set
Res Hab-3 Person-NG 1-Elig $411.03 / 1 Day
Res Hab-3 Person-NG 1-Elig-ECS Not Set
Res Hab-3 Person-NG 1-Elig-w/Day Supports $312.16 / 1 Day
Res Hab-3 Person-NG 1-Elig-w/Day Supports-ECS Not Set
Res Hab-3 Person-NG 2-Elig $468.38 / 1 Day
Res Hab-3 Person-NG 2-Elig-ECS Not Set
Res Hab-3 Person-NG 2-Elig-w/Day Supports $361.68 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports-ECS Not Set
Res Hab-3 Person-NG 3-Elig $545.05 / 1 Day
Res Hab-3 Person-NG 3-Elig-ECS Not Set
Res Hab-3 Person-NG 3-Elig-w/Day Supports $467.35 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports-ECS Not Set
Res Hab-3 Person-NG 4-Elig $662.22 / 1 Day
Res Hab-3 Person-NG 4-Elig-ECS Not Set
Res Hab-3 Person-NG 4-Elig-w/Day Supports $513.07 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports-ECS Not Set
Res Hab-3 Person-NG5-Elig $1,004.32 / 1 Day
Res Hab-3 Person-NG5-Elig-ECS Not Set
Res Hab-3 Person-NG5-Elig-w/Day Supports $835.46 / 1 Day
Res Hab-3 Person-NG5-Elig-w/Day Supports-ECS Not Set
Res Hab-4 Person-NG 1-Elig-w/Day Supports $245.99 / 1 Day
Res Hab-4 Person-NG 1-Elig-w/Day Supports-ECS Not Set
Res Hab-4 Person-NG 2-Elig-w/Day Supports $284.31 / 1 Day
Res Hab-4 Person-NG 2-Elig-w/Day Supports-ECS Not Set
Res Hab-4 Person-NG 3-Elig-w/Day Supports $362.42 / 1 Day
Res Hab-4 Person-NG 3-Elig-w/Day Supports-ECS Not Set
Res Hab-4 Person-NG 4-Elig-w/Day Supports $398.69 / 1 Day
Res Hab-4 Person-NG 4-Elig-w/Day Supports-ECS Not Set
Res Hab-4 Person-NG5-Elig-w/Day Supports $642.84 / 1 Day
Res Hab-4 Person-NG5-Elig-w/Day Supports-ECS Not Set
Res Hab-5-8 Person-NG 1-Elig $283.18 / 1 Day
Res Hab-5-8 Person-NG 1-Elig-w/Day Supports $224.75 / 1 Day
Res Hab-5-8 Person-NG 2-Elig $330.71 / 1 Day
Res Hab-5-8 Person-NG 2-Elig-w/Day Supports $265.75 / 1 Day
Res Hab-5-8 Person-NG 3-Elig $381.85 / 1 Day
Res Hab-5-8 Person-NG 3-Elig-w/Day Supports $333.29 / 1 Day
Res Hab-5-8 Person-NG 4-Elig $454.78 / 1 Day
Res Hab-5-8 Person-NG 4-Elig-w/Day Supports $358.89 / 1 Day
Res Hab-Lic-1 Person-Inelig $93.64 / 1 Day
Res Hab-Lic-2 Person-Inelig $50.22 / 1 Day
Res Hab-Lic-3 Person-Inelig $35.47 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 1 $322.49 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 1-ECS Not Set
Res Hab-Lic-4 Person-Elig-NG 2 $367.82 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 2-ECS Not Set
Res Hab-Lic-4 Person-Elig-NG 3 $425.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 3-ECS Not Set
Res Hab-Lic-4 Person-Elig-NG 4 $510.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 4-ECS Not Set
Res Hab-Lic-4 Person-Elig-NG5 $766.28 / 1 Day
Res Hab-Lic-4 Person-Elig-NG5-ECS Not Set
Res Hab-Lic-4 Person-Inelig $27.15 / 1 Day
Res Hab-Lic-5-8 Person-Inelig $18.93 / 1 Day
Respite-Base Out-of-Home 24 Hours (Basic)-Day Not Set
Respite-Base Out-of-Home 24 Hours (Level 1)-Day Not Set
Respite-Base Out-of-Home 24 Hours (Level 2)-Day Not Set
Respite-Base Out-of-Home 24 Hours (Level 3) Not Set
Respite-Unlic-15-min(Level 3, 1:1)In-Home $8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home $8.59 / 15 min.
Respite-Unlic-Day (Level 3, 1:1) In-Home $343.22 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) Out-of-Home $343.22 / 1 Day
Supplemental Habilitation 1:1 - 15 min $6.12 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS Not Set
Supplemental Habilitation 2:1 - 15 min $12.22 / 15 min.
Supported Emplymnt-Job Finding/Job Development $19.34 / 15 min.
Supported Emplymnt-Job Support - 1:1 $19.34 / 15 min.
 
County : Forest/Warren
|Service Name / Level |Rate
Res Hab-4 Person-NG 1-Elig-w/Day Supports $245.99 / 1 Day
Res Hab-4 Person-NG 2-Elig-w/Day Supports $284.31 / 1 Day
Res Hab-4 Person-NG 3-Elig-w/Day Supports $362.42 / 1 Day
Res Hab-4 Person-NG 4-Elig-w/Day Supports $398.69 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 1 $322.49 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 2 $367.82 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 3 $425.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 4 $510.56 / 1 Day
Res Hab-Lic-4 Person-Inelig $27.15 / 1 Day
 
County : McKean
|Service Name / Level |Rate
Res Hab-4 Person-NG 1-Elig-w/Day Supports $245.99 / 1 Day
Res Hab-4 Person-NG 2-Elig-w/Day Supports $284.31 / 1 Day
Res Hab-4 Person-NG 3-Elig-w/Day Supports $362.42 / 1 Day
Res Hab-4 Person-NG 4-Elig-w/Day Supports $398.69 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 1 $322.49 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 2 $367.82 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 3 $425.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 4 $510.56 / 1 Day
Res Hab-Lic-4 Person-Inelig $27.15 / 1 Day
Supplemental Habilitation 1:1 - 15 min $6.12 / 15 min.

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