National Provider Identifier Database

CENTERLIGHT HEALTHCARE INC
Program of All-Inclusive Care for the Elderly (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.


Contact Information

CENTERLIGHT HEALTHCARE, INC.
13665 37TH AVE
FLUSHING, NY11354-4110
Phone: 833-252-2737
Fax:
Website:
Specialty Taxonomy Code
* Program of All-Inclusive Care for the Elderly (PACE) Provider Organization 251T00000X
Health Maintenance Organization 302R00000X

* Indicates primary specialty

NPI Profile & details for CENTERLIGHT HEALTHCARE, INC.

NPI Number 1194055939
Legal business name
LBN
CENTERLIGHT HEALTHCARE, INC.
Authorized official ERIN LIBERTI - (VP. PROVIDER RELATIONS)
Entity Organization
Organization subpart No
Enumeration date 12/29/2009
Last updated 09/06/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • NY Medicaid: 03171946

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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