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SENIOR LIFE JOHNSTOWN
NPI 1063445369
Clinic/Center - Rehabilitation in Johnstown, PA

Active since July 09, 2006CLIA Certified · 2 labs
401 BROAD ST, JOHNSTOWN, PA 15906(814) 535-6000(814) 248-7902 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Senior Life Johnstown NPPES

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

SENIOR LIFE JOHNSTOWN (NPI 1063445369) is a healthcare organization registered as a rehabilitation in Johnstown, Pennsylvania and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Herbert H Hennell, Director Of Reimbursement, as its authorized official.

NPPES Registry Identity

NPI1063445369
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameSENIOR LIFE JOHNSTOWN, INC.
Location Address401 BROAD STJohnstown, PA 15906-2716
Mailing Address401 Broad StJohnstown, PA 15906-2716 · (814) 535-6000 · Fax (814) 248-7902
Phone(814) 535-6000
Fax(814) 248-7902
Organization SubpartNo
Authorized OfficialHerbert H HennellDirector Of Reimbursement · (412) 963-9150
Enumeration DateJuly 9, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063445369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
401 BROAD ST, Johnstown, PA 15906
Open in Google Maps ↗

Other Names 1

Doing Business AsSenior Life Johnstown

CLIA Laboratory Certificates CMS CLIA 2

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 39D1048650

Senior Life Johnstown · Johnstown, PA
Active · expires Dec 6, 2027
CLIA Number39D1048650
Laboratory TypeOther
Certificate Effective DateDecember 7, 2025
Certificate Expiration DateDecember 6, 2027
Laboratory DirectorDr. Samuel Wint MD
Laboratory Phone(814) 535-6000
Laboratory LocationSenior Life Johnstown401 Broad Street, Johnstown, PA 15906
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D1105665

Senior Life Uniontown · Uniontown, PA
Active · expires Sep 27, 2027
CLIA Number39D1105665
Laboratory TypeOther
Certificate Effective DateSeptember 28, 2025
Certificate Expiration DateSeptember 27, 2027
Laboratory DirectorDr. Sheila M. Anderson
Laboratory Phone(814) 535-6000
Laboratory LocationSenior Life Uniontown89 West Fayette Street, Uniontown, PA 15401
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARI GLETO RN
Registered Nurse
401 BROAD ST
JOHNSTOWN, PA 15906
Cambria County (814) 535-6000
JOHN KLINE PTA
Physical Therapy Assistant
401 BROAD ST
JOHNSTOWN, PA 15906
Cambria County (814) 535-6000
KELLY J LEECH
Physical Therapy Assistant
401 BROAD ST
JOHNSTOWN, PA 15906
Cambria County (814) 248-7901
IAN BEIBER COTA/L
Occupational Therapy Assistant
401 BROAD ST
JOHNSTOWN, PA 15906
Cambria County (814) 535-6000
ALEXIS ANN BALDWIN
Registered Nurse
401 BROAD ST
JOHNSTOWN, PA 15906
Cambria County (814) 535-6000
ALLISON N. MILLER RN
Registered Nurse
401 BROAD ST
JOHNSTOWN, PA 15906
Cambria County (814) 535-6000
MARCI WALKER
Registered Nurse
401 BROAD ST
JOHNSTOWN, PA 15906
Cambria County (814) 248-7902
MISS COURTNEY FRANCES HILL MSW
Social Worker
401 BROAD ST
JOHNSTOWN, PA 15906
Cambria County (814) 535-6000

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 Senior Life Johnstown, Inc.'s NPI number?

The NPI number for Senior Life Johnstown, Inc. is 1063445369. It was assigned to this organization in the NPPES registry on July 9, 2006. The provider is doing business as Senior Life Johnstown.

Where is Senior Life Johnstown, Inc. located?

Senior Life Johnstown, Inc. is located at 401 Broad St, Johnstown, PA 15906. The listed phone number is (814) 535-6000.

What is Senior Life Johnstown, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

Does Senior Life Johnstown, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Senior Life Johnstown, Inc. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.