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.

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Contact Information

SENIORLIFE WASHINGTON, INC.

2114 NORTH FRANKLIN DRIVE
WASHINGTON, PA 15301

Phone: 724-222-5433
Fax: 814-248-7902
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization	251T00000X
Adult Day Care	261QA0600X
In Home Supportive Care	253Z00000X

Indicates primary specialty

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NPI Profile & details for SENIORLIFE WASHINGTON, INC.

NPI # 1497998876

LBN Legal business name SENIORLIFE WASHINGTON, INC.

Authorized official HERBERT HENNELL - (DIRECTOR OF REIMBURSEMENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/14/2009

Last updated 09/26/2016 - About 10 years ago

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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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