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SENIOR LIFE YORK INC. NPI 1356573406


NPI Information

NPI: 1356573406
Provider Name: SENIOR LIFE YORK, INC.

Doing Business As: SENIOR LIFE YORK

Classification: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization - 251T00000X
Entity Type: Organization

CLIA Number: 39D2123553

Address:
1460 MEMORY LANE EXT
YORK, PA
ZIP 17402
Phone: (717) 757-5433
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SENIOR LIFE YORK, INC. is a program of all inclusive care for the elderly pace provider organization in York, 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. SENIOR LIFE YORK, INC. NPI is 1356573406. The provider is registered as an organization entity type.
The provider Is Doing Business As Senior Life York.

The provider's business location address is:

1460 MEMORY LANE EXT
YORK, PA
ZIP 17402-602
Phone: (717) 757-5433
Fax: (717) 751-0392

The provider's authorized official is Herbert H Hennell .
The authorized official title is Director Of Reimbursement and has the following contact phone number (412) 963-9150.

The CLIA number assigned to this NPI record is 39D2123553 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/21/2009 and was last updated on 9/26/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA0600XClinic/CenterAdult Day Care254600PENNSYLVANIANo
2253Z00000XIn Home Supportive Care19933601PENNSYLVANIANo
3251T00000XProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H0819OTHERPENNSYLVANIAMEDICARE AGREEMENT NUMBER
2102381419-0001MEDICAIDPENNSYLVANIA

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: 11/14/2023

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