SENIOR LIFE GREENSBURG
NPI 1003166802
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Greensburg, PA
- Organization
- Program of All-Inclusive Care for the El...
- CLIA Number: 39D2050854
- CLIA Cert. Type: Other - ADULT DAYCARE FACILTY
- CLIA Exp. Date: 12-06-2026
About SENIOR LIFE GREENSBURG
This page provides the complete NPI Profile along with additional information for Senior Life Greensburg, a provider established in Greensburg, Pennsylvania operating as a Program Of All-inclusive Care For The Elderly (pace) Provider Organization. The healthcare provider is registered in the NPI registry with number 1003166802 assigned on September 2012. The practitioner's primary taxonomy code is 251T00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Senior Life Greensburg. The authorized official of this NPI record is Mr. Herbert H Hennell (Dir. Of Reimbursement)
- NPI
- 1003166802 Verify this NPI
- Provider Legal Name
- SENIOR LIFE GREENSBURG, INC
- Other Organization Name
- SENIOR LIFE GREENSBURG
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 123 TRIANGLE DRIVE GREENSBURG, PA 15601
- Location Phone
- (724) 838-8300
- Mailing Address
- 209 SIGMA DR PITTSBURGH, PA 15238
- Mailing Phone
- (412) 963-9150
- Mailing Fax
- (412) 963-6676
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-19-2012
- Last Update Date
- 09-26-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
- Taxonomy Code
- 251T00000X
- Type
- Agencies
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QA0600X | Ambulatory Health Care Facilities | Clinic/Center | 075064 (PA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 102768642-0001 | MEDICAID (05) | PA | |
| H2937 | OTHER (01) | PA | MEDICARE PACE PROVIDER AGREEMENT |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 39D2050854
- Facility Type
- Other - ADULT DAYCARE FACILTY
- Certificate Effective Date
- December 07, 2024
- Certificate Expiration Date
- December 06, 2026
- Laboratory Director
- DR. JOSEPH M. ABALOS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Senior Life Greensburg to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003166802, enumerated as an "organization" on September 19, 2012.
The provider is located at 123 TRIANGLE DRIVE GREENSBURG, PA 15601 and the phone number is (724) 838-8300.
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.