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LIFE BEAVER COUNTY NPI 1336289446


NPI Information

NPI: 1336289446
Provider Name: LIFE BEAVER COUNTY

Other Name: LIFE BEAVER

Classification: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization - 251T00000X
Entity Type: Organization
Address:
131 PLEASANT DR
CENTERPLACE SUITE 1
ALIQUIPPA, PA
ZIP 15001
Phone: (724) 378-5400
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LIFE BEAVER COUNTY is a program of all inclusive care for the elderly pace provider organization in Aliquippa, PA. The provider is a PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. LIFE BEAVER COUNTY NPI is 1336289446. The provider is registered as an organization entity type.
The provider Other Name Is Life Beaver.

The provider's business location address is:

131 PLEASANT DR
CENTERPLACE SUITE 1
ALIQUIPPA, PA
ZIP 15001-384
Phone: (724) 378-5400
Fax: (724) 302-2093

The provider's authorized official is Susan Q Digirolamo .
The authorized official title is C. F. O. and has the following contact phone number (724) 776-1100.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 10/12/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311ZA0620XCustodial Care FacilityAdult Care Home043820PENNSYLVANIANo
2251T00000XProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization043820PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10019765400001MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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