SENIORLIFE LEHIGH VALLEY INC. NPI 1356789358

NPI Information

NPI: 1356789358
Provider Name: SENIORLIFE LEHIGH VALLEY, INC.
Classification: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization - 251T00000X
Entity Type: Organization
Doing Business As: SENIORLIFE LEHIGH VALLEY
CLIA Number: 39D2076397
Address: 3365 HIGH POINT BLVD
BETHLEHEM, PA
ZIP 18017
Phone: (610) 954-5433

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NPI Details

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 - adult day care facility 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251T00000X	Program of All-Inclusive Care for the Elderly (PACE) Provider Organization			PENNSYLVANIA	Yes
2	261QA0600X	Clinic/Center	Adult Day Care	335230	PENNSYLVANIA	No
3	261QA0600X	Clinic/Center	Adult Day Care	325574	PENNSYLVANIA	No

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
1	5978	OTHER		MEDICARE PROVIDER AGREEMENT
2	102862789-0001	MEDICAID	PENNSYLVANIA
3	102862789-0003	MEDICAID	PENNSYLVANIA

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: 11/21/2025

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