SENIORLIFE LEHIGH VALLEY, INC. (NPI# 1356789358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356789358 |
| Entity Type | Organization |
| Organization Name | SENIORLIFE LEHIGH VALLEY, INC. |
| Other Organization Name | SENIORLIFE LEHIGH VALLEY |
| Practice Address |
3365 High Point Blvd Bethlehem PA 18017-7806 |
| Mailing Address |
209 Sigma Dr Pittsburgh PA 15238-2826 |
| Practice Telephone | 6109545433 |
| Practice Fax Number | 6106911075 |
| Mailing Telephone | 4129639150 |
| Mailing Fax Number | 4129636676 |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2017-01-27 |
| Authorized Official Name | MR. HERBERT H HENNELL (DIR. OF REIMBURSEMENT) |
| Authorized Official Telephone | 4129639150 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
335230 | PA | Ambulatory Health Care Facilities |
| N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
325574 | PA | Ambulatory Health Care Facilities |
| Y | 251T00000X | PACE Provider Organization | PA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 102862789-0001 | 05 | |
| MEDICARE PROVIDER AGREEMENT | 5978 | 01 | |
| PA | 102862789-0003 | 05 |
| Other Name | Type Code |
|---|---|
| SeniorLIFE Lehigh Valley | Doing Business As Name - Organization |
| Street Address |
3365 HIGH POINT BLVD |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18017-7806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083109540 | Carolyn Booth | Registered Nurse | 3365 High Point Blvd, Bethlehem, PA 18017-7806 | 2018-06-27 |
| 1609360924 | Suzanne Benner | Registered Nurse | 3365 High Point Blvd, Bethlehem, PA 18017-7806 | 2018-06-20 |
| 1366934085 | Erinn Nikole Pape | Registered Nurse | 3365 High Point Blvd, Bethlehem, PA 18017-7806 | 2018-05-30 |
| 1326530031 | Samantha Elizabeth Martin | Registered Nurse | 3365 High Point Blvd, Bethlehem, PA 18017 | 2018-05-30 |
| 1740786102 | Debra Reese | Registered Nurse | 3365 High Point Blvd, Bethlehem, PA 18017-7806 | 2018-04-04 |
| 1649775156 | Karen June Shipps | Registered Nurse | 3365 High Point Blvd, Bethlehem, PA 18017-7806 | 2018-03-27 |
| 1164922571 | Amy Marie Snyder | Registered Nurse | 3365 High Point Blvd, Bethlehem, PA 18017-7806 | 2018-02-13 |
| 1962901132 | Kimberly Sue Hilbert | Registered Nurse | 3365 High Point Blvd, Bethlehem, PA 18017-7806 | 2018-02-02 |
| 1578076246 | Quitia Harrison | Registered Nurse | 3365 High Point Blvd, Bethlehem, PA 18017-7806 | 2017-11-15 |
| 1750809919 | Bernice Loretta Moore | Registered Nurse | 3365 High Point Blvd, Bethlehem, PA 18017 | 2017-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174147797 | Achieve Signature Rehabilitation, LLC | Clinic/Center | One Kirkland Village Cir, Bethlehem, PA 18017 | 2020-05-29 |
| 1043843493 | Nicole S. Baker | Counselor | 406 Deleware Ave Suite 4, Bethlehem, PA 18017 | 2020-02-13 |
| 1346892882 | Laura Troxel | Social Worker | 3894 Courtney St Ste 100, Bethlehem, PA 18017 | 2019-07-15 |
| 1124684394 | Coleen Anne Joswick | Occupational Therapy Assistant | 1389 Kirkland Village Circle, Bethlehem, PA 18017 | 2019-05-14 |
| 1073005278 | Mhd Ghayath Alhalabi | Dentist | 3739 Bath Pike, Bethlehem, PA 18017 | 2018-06-04 |
| 1225481724 | Universal Clinical Laboratories LLC | Clinical Medical Laboratory | 87 S Commerce Way, Ste 700, Bethlehem, PA 18017 | 2016-07-20 |
| 1306221080 | Sara Joyce Robertson | Physical Therapist | 3500 Fairview St., Bethlehem, PA 18017 | 2015-07-23 |
| 1356740682 | Laura Nicole Danner | Counselor | 2045 Westgate Drive Suite 304, Gateway Professional Building, Bethlehem, PA 18017 | 2014-08-22 |
| 1588084594 | Piotr Filip Zembrzuski | Family Medicine | 2830 Easton Avenue, Bethlehem, PA 18017 | 2014-04-17 |
| 1689098816 | The Arc of Lehigh and Northampton Counties, Inc. | Day Training, Developmentally Disabled Services | 2289 Avenue A, Bethlehem, PA 18017 | 2014-02-07 |
| Find all providers in zip 18017 | ||||
| Taxonomy Code | 251T00000X |
| Grouping | Agencies |
| Classification | PACE Provider Organization |
| 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. |
| Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588279657 | Innovage Pennsylvania Life, LLC | PACE Provider Organization | 4401 Megargee St, Philadelphia, PA 19136-2160 | 2020-09-15 |
| 1871102731 | Bitner Counseling, LLC | PACE Provider Organization | 1 Northgate Sq Ste 215, Greensburg, PA 15601-1373 | 2020-07-27 |
| 1265919377 | Cozy Caregivers Homecare Agency | PACE Provider Organization | 5031 Baltimore Ave Apt 1, Philadelphia, PA 19143-1670 | 2018-07-20 |
| 1033618996 | Acts of Faith Corp | PACE Provider Organization | 2453 S 61st St, Philadelphia, PA 19142-3215 | 2018-02-06 |
| 1477949139 | Care At Home of Delaware Valley | PACE Provider Organization | 102 Center Mill Rd, Chadds Ford, PA 19317-9212 | 2015-04-09 |
| 1659776193 | Viecare Armstrong, LLC | PACE Provider Organization | 115 Nolte Drive Ext, Kittanning, PA 16201 | 2014-10-27 |
| 1851647796 | Albright Care Services | PACE Provider Organization | 113 S 9th St, Lebanon, PA 17042-5108 | 2012-07-30 |
| 1073802013 | Support for Independent Living, LLC | PACE Provider Organization | 2320 Haverford Rd, Suite 220, Ardmore, PA 19003-2913 | 2011-03-30 |
| 1023289147 | Phi Life | PACE Provider Organization | 1217 Slate Hill Rd, Camp Hill, PA 17011-8012 | 2008-03-17 |
| 1740467570 | Spiritrust Lutheran Life | PACE Provider Organization | 1920 Good Hope Road, Enola, PA 17025 | 2008-01-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.