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LEBANON
NPI 1871428474
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Lebanon, PA

Active since June 15, 2026CLIA Certified · 2 labs
113 S 9TH ST, LEBANON, PA 17042(717) 376-1133 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lebanon NPPES

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

LEBANON (NPI 1871428474) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Lebanon, Pennsylvania and active in the NPI registry since June 2026. The organization holds 2 active CLIA laboratory certificates and lists Ryan Leahy, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1871428474
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameLEBANON
Location Address113 S 9TH STLebanon, PA 17042-5108
Mailing Address225 Crossways Park DrWoodbury, NY 11797-2083
Phone(717) 376-1133
Organization SubpartNo
Authorized OfficialRyan LeahyChief Financial Officer · (845) 235-6531
Enumeration DateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1871428474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
113 S 9TH ST, Lebanon, PA 17042
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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 39D2072635

Lebanon Free Clinic · Lebanon, PA
Active · expires Feb 3, 2028
CLIA Number39D2072635
Laboratory TypeFree Clinic
Certificate Effective DateFebruary 4, 2026
Certificate Expiration DateFebruary 3, 2028
Laboratory DirectorDr. Anne B. Hayes MD
Laboratory Phone(717) 273-2715
Laboratory LocationLebanon Free Clinic135 S Ninth Street, Lebanon, PA 17042
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D2206395

Lebanon County Correctional Facility · Lebanon, PA
Active · expires Dec 18, 2026
CLIA Number39D2206395
Laboratory TypePrison
Certificate Effective DateDecember 19, 2024
Certificate Expiration DateDecember 18, 2026
Laboratory DirectorDr. Kenneth R. Wloczewski
Laboratory Phone(717) 274-5435
Laboratory LocationLebanon County Correctional Facility730 East Walnut Street, Lebanon, PA 17042
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

SUSAN LEININGER PT
Physical Medicine & Rehabilitation
113 S 9TH ST
LEBANON, PA 17042
Lebanon County (717) 376-1133
ALBRIGHT CARE SERVICES
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
113 S 9TH ST
LEBANON, PA 17042
Lebanon County (717) 376-1133

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 Lebanon's NPI number?

The NPI number for Lebanon is 1871428474. It was assigned to this organization in the NPPES registry on June 15, 2026.

Where is Lebanon located?

Lebanon is located at 113 S 9th St, Lebanon, PA 17042. The listed phone number is (717) 376-1133.

What is Lebanon'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 Lebanon 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 Lebanon was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.