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SENIORLIFE LEHIGH VALLEY INC. NPI 1356789358


NPI Information

NPI: 1356789358
Provider Name: SENIORLIFE LEHIGH VALLEY, INC.

Doing Business As: SENIORLIFE LEHIGH VALLEY

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

CLIA Number: 39D2076397

Address:
3365 HIGH POINT BLVD
BETHLEHEM, PA
ZIP 18017
Phone: (610) 954-5433
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SENIORLIFE LEHIGH VALLEY, INC. is a program of all inclusive care for the elderly pace provider organization in Bethlehem, 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. SENIORLIFE LEHIGH VALLEY, INC. NPI is 1356789358. The provider is registered as an organization entity type.
The provider Is Doing Business As Seniorlife Lehigh Valley.

The provider's business location address is:

3365 HIGH POINT BLVD
BETHLEHEM, PA
ZIP 18017-806
Phone: (610) 954-5433
Fax: (610) 691-1075

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

The CLIA number assigned to this NPI record is 39D2076397 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/12/2013 and was last updated on 1/27/2017.


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
1251T00000XProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationPENNSYLVANIAYes
2261QA0600XClinic/CenterAdult Day Care335230PENNSYLVANIANo
3261QA0600XClinic/CenterAdult Day Care325574PENNSYLVANIANo

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
15978OTHERMEDICARE PROVIDER AGREEMENT
2102862789-0001MEDICAIDPENNSYLVANIA
3102862789-0003MEDICAIDPENNSYLVANIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.