SENIOR LIFE GREENSBURG
NPI 1003166802
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Greensburg, PA

Active since September 19, 2012CLIA 39D2050854 · Waiver
123 TRIANGLE DRIVE, GREENSBURG, PA 15601(724) 838-8300 Get Directions Write a Review

NPPES record last updated: September 26, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • 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
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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)
1261QA0600XAmbulatory Health Care Facilities

Clinic/Center
Adult Day Care

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. HERBERT H HENNELL

Authorized Official Title
DIR. OF REIMBURSEMENT
Authorized Official Phone
(412) 963-9150

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
102768642-0001MEDICAID (05)PA 
H2937OTHER (01)PAMEDICARE 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.

Reviews for SENIOR LIFE GREENSBURG

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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.