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LIFE ST. MARY
NPI 1003052820
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Trevose, PA

Active since December 29, 2008CLIA 39D2002622 · Waiver
2500 INTERPLEX DRIVE, TREVOSE, PA 19053(215) 710-6114 Get Directions Write a Review

NPPES record last updated: April 21, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Life St. Mary NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE ST. MARY (NPI 1003052820) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Trevose, Pennsylvania and active in the NPI registry since December 2008. The organization holds a CLIA Waiver certificate valid through January 21, 2028 and lists Emily Amerman, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1003052820
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameLIFE ST. MARY
Location Address2500 INTERPLEX DRIVETrevose, PA 19053-6943
Mailing Address1201 Langhorne-newtown Rd.Langhorne, PA 19047-1201 · (215) 710-6114 · Fax (215) 710-2298
Phone(215) 710-6114
Organization SubpartNo
Authorized OfficialEmily AmermanExecutive Director · (215) 710-6114
Enumeration DateDecember 29, 2008
Last NPPES UpdateApril 21, 2009
✔ NPI 1003052820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationAgencies
Taxonomy Code251T00000X
Definition
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.
Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X
2500 INTERPLEX DRIVE, Trevose, PA 19053
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Other Identifiers 1

OtherH6551Cms

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2002622

Life St Mary · Trevose, PA
Active · expires Jan 21, 2028
CLIA Number39D2002622
Laboratory TypePhysician Office
Certificate Effective DateJanuary 22, 2026
Certificate Expiration DateJanuary 21, 2028
Laboratory DirectorDr. Antonia Sojan
Laboratory Phone(267) 991-7620
Laboratory LocationLife St Mary2500 Northgate Road, Trevose, PA 19053
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life St. Mary's NPI number?

The NPI number for Life St. Mary is 1003052820. It was assigned to this organization in the NPPES registry on December 29, 2008.

Where is Life St. Mary located?

Life St. Mary is located at 2500 Interplex Drive, Trevose, PA 19053. The listed phone number is (215) 710-6114.

What is Life St. Mary's specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

Does Life St. Mary hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2002622) is associated with this NPI, valid through January 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Life St. Mary was last updated on April 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.