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SENIOR LIFE EBENSBURG
NPI 1487951281
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Ebensburg, PA

Active since February 15, 2011CLIA 39D2021214 · Waiver
429 MANOR DR, EBENSBURG, PA 15931(814) 472-6060(814) 472-1293 Get Directions Write a Review

NPPES record last updated: September 26, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Senior Life Ebensburg NPPES

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

SENIOR LIFE EBENSBURG (NPI 1487951281) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Ebensburg, Pennsylvania and active in the NPI registry since February 2011. The organization holds a CLIA Waiver certificate valid through March 8, 2027 and lists Herbert H Hennell, Dir. Of Reimbursement, as its authorized official.

NPPES Registry Identity

NPI1487951281
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameSENIOR LIFE ALTOONA, INC.
Location Address429 MANOR DREbensburg, PA 15931-4917
Mailing Address209 Sigma DrPittsburgh, PA 15238-2826 · (412) 963-9150 · Fax (412) 963-6676
Phone(814) 472-6060
Fax(814) 472-1293
Organization SubpartNo
Authorized OfficialHerbert H HennellDir. Of Reimbursement · (412) 963-9150
Enumeration DateFebruary 15, 2011
Last NPPES UpdateSeptember 26, 2016
✔ NPI 1487951281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedIn Home Supportive CareTaxonomy 253Z00000X · License 22223601 (PA)
Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X · License 075064 (PA)
429 MANOR DR, Ebensburg, PA 15931
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Other Names 1

Doing Business AsSenior Life Ebensburg

Other Identifiers 2

Medicaid102565990-0001PA
OtherH5902PA · Medicare Pace Program Agreement

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 39D2021214

Senior Life Ebensburg · Ebensburg, PA
Active · expires Mar 8, 2027
CLIA Number39D2021214
Laboratory TypePace
Certificate Effective DateMarch 9, 2025
Certificate Expiration DateMarch 8, 2027
Laboratory DirectorDr. Donald F. Ratchford
Laboratory Phone(814) 472-6060
Laboratory LocationSenior Life Ebensburg429 Manor Drive, Suite 10, Ebensburg, PA 15931
CLIA data matches this NPI record on: Address Name 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.

BRYELLE ALYSE GOLDEN
Social Worker
429 MANOR DR
EBENSBURG, PA 15931
Cambria County (814) 472-6060
AMANDA PODLUCKY PTA
Physical Therapy Assistant
429 MANOR DR, SUITE 10
EBENSBURG, PA 15931
Cambria County (814) 472-6060
BRANDYE VERESHACK
Registered Nurse
429 MANOR DR, SUITE 10
EBENSBURG, PA 15931
Cambria County (814) 472-6060
MS. LINDA L EDMISTON OTA
Occupational Therapy Assistant
429 MANOR DR
EBENSBURG, PA 15931
Cambria County (814) 471-2109
MR. JAMES GREGORY CESARZ OTA
Occupational Therapy Assistant
429 MANOR DR
EBENSBURG, PA 15931
Cambria County (814) 471-2109
MAPLE HEIGHTS HEALTH & REHAB CENTER, LLC
Skilled Nursing Facility
429 MANOR DR
EBENSBURG, PA 15931
Cambria County (814) 472-8100
ANGELA M. PINGATORE-STIFFLER PHARMD
Pharmacist
429 MANOR DR, SIXTH FLOOR ANNEX SUITE 620
EBENSBURG, PA 15931
Cambria County (814) 472-8630
LAURIE MILES
Registered Nurse
429 MANOR DR, SUITE 10
EBENSBURG, PA 15931
Cambria County (814) 472-6060

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 Altoona, Inc.'s NPI number?

The NPI number for Senior Life Altoona, Inc. is 1487951281. It was assigned to this organization in the NPPES registry on February 15, 2011. The provider is doing business as Senior Life Ebensburg.

Where is Senior Life Altoona, Inc. located?

Senior Life Altoona, Inc. is located at 429 Manor Dr, Ebensburg, PA 15931. The listed phone number is (814) 472-6060.

What is Senior Life Altoona, 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 Senior Life Altoona, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2021214) is associated with this NPI, valid through March 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Senior Life Altoona, Inc. was last updated on September 26, 2016. 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.