National Provider Identifier Database

SENIORLIFE WASHINGTON 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

SENIORLIFE WASHINGTON, INC.
2114 NORTH FRANKLIN DRIVE
WASHINGTON, PA15301
Phone: 724-222-5433
Fax: 814-248-7902
Website:
Specialty Taxonomy Code
* Program of All-Inclusive Care for the Elderly (PACE) Provider Organization 251T00000X
Adult Day Care 261QA0600X
In Home Supportive Care 253Z00000X

* Indicates primary specialty

NPI Profile & details for SENIORLIFE WASHINGTON, INC.

NPI Number 1497998876
Legal business name
LBN
SENIORLIFE WASHINGTON, INC.
Authorized official HERBERT HENNELL - (DIRECTOR OF REIMBURSEMENT)
Entity Organization
Organization subpart No
Enumeration date 04/14/2009
Last updated 09/26/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: 084480
  • PA License #: 084490
  • PA License #: 19943601
  • PA License #: 19953601
  • PA Medicaid: 102324931-0001
  • PA Medicaid: 102324931-0002
  • PA Other: H2992 MEDICARE PACE PROGRAM AGREEMENT

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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