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SENIORLIFE LEHIGH VALLEY
NPI 1356789358
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Bethlehem, PA

Active since June 12, 2013CLIA 39D2076397 · Waiver
3365 HIGH POINT BLVD, BETHLEHEM, PA 18017(610) 954-5433(610) 691-1075 Get Directions Write a Review

NPPES record last updated: January 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 27, 2017, Sep 26, 2016 (2 updates tracked since 2016).

About Seniorlife Lehigh Valley NPPES

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

SENIORLIFE LEHIGH VALLEY (NPI 1356789358) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Bethlehem, Pennsylvania and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through April 16, 2028 and lists Herbert H Hennell, Dir. Of Reimbursement, as its authorized official.

NPPES Registry Identity

NPI1356789358
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameSENIORLIFE LEHIGH VALLEY, INC.
Location Address3365 HIGH POINT BLVDBethlehem, PA 18017-7806
Mailing Address209 Sigma DrPittsburgh, PA 15238-2826 · (412) 963-9150 · Fax (412) 963-6676
Phone(610) 954-5433
Fax(610) 691-1075
Organization SubpartNo
Authorized OfficialHerbert H HennellDir. Of Reimbursement · (412) 963-9150
Enumeration DateJune 12, 2013
Last NPPES UpdateJanuary 27, 20172 updates tracked since enumeration
✔ NPI 1356789358 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 · License 335230 (PA), 325574 (PA)
3365 HIGH POINT BLVD, Bethlehem, PA 18017
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Other Names 1

Doing Business AsSeniorlife Lehigh Valley

Other Identifiers 3

Other5978Medicare Provider Agreement
Medicaid102862789-0001PA
Medicaid102862789-0003PA

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 39D2076397

Senior Life Lehigh Valley · Bethlehem, PA
Active · expires Apr 16, 2028
CLIA Number39D2076397
Laboratory TypeAdult Day Care Facility
Certificate Effective DateApril 17, 2026
Certificate Expiration DateApril 16, 2028
Laboratory DirectorDr. Brent M. Nickischer
Laboratory Phone(610) 954-5433
Laboratory LocationSenior Life Lehigh Valley3365 High Point Blvd, Bethlehem, PA 18017
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

LISA MARIE MARTINEZ CRNP
Nurse Practitioner (Family)
3365 HIGH POINT BLVD
BETHLEHEM, PA 18017
Northampton County (610) 954-5433
CAROLYN BOOTH
Registered Nurse
3365 HIGH POINT BLVD
BETHLEHEM, PA 18017
Northampton County (610) 954-5433
AMY MARIE SNYDER
Registered Nurse
3365 HIGH POINT BLVD
BETHLEHEM, PA 18017
Northampton County (610) 954-5433
MRS. TAMMY JANE BOETTGER RN
Registered Nurse
3365 HIGH POINT BLVD
BETHLEHEM, PA 18017
Northampton County (610) 954-5433
SAMANTHA ELIZABETH MARTIN
Registered Nurse
3365 HIGH POINT BLVD
BETHLEHEM, PA 18017
Northampton County (610) 954-5433
ERINN NIKOLE PAPE
Registered Nurse
3365 HIGH POINT BLVD
BETHLEHEM, PA 18017
Northampton County (610) 954-5433
KIMBERLEE KIMBLE
Registered Nurse
3365 HIGH POINT BLVD
BETHLEHEM, PA 18017
Northampton County (610) 954-5433
QUITIA HARRISON
Registered Nurse (Case Management)
3365 HIGH POINT BLVD
BETHLEHEM, PA 18017
Northampton County (610) 954-5433

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 Seniorlife Lehigh Valley, Inc.'s NPI number?

The NPI number for Seniorlife Lehigh Valley, Inc. is 1356789358. It was assigned to this organization in the NPPES registry on June 12, 2013. The provider is doing business as Seniorlife Lehigh Valley.

Where is Seniorlife Lehigh Valley, Inc. located?

Seniorlife Lehigh Valley, Inc. is located at 3365 High Point Blvd, Bethlehem, PA 18017. The listed phone number is (610) 954-5433.

What is Seniorlife Lehigh Valley, Inc.'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 Seniorlife Lehigh Valley, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2076397) is associated with this NPI, valid through April 16, 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 Seniorlife Lehigh Valley, Inc. was last updated on January 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.