Senior Life Johnstown
LBN: Pennsylvania Pace, Inc.
Senior Life Johnstown is an health care organization with primary practice located at 401 Broad St , Johnstown PA 15906-2716. The organization recently has 3 registered licenses in different health care specialties including Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization, Agencies / In Home Supportive Care, Ambulatory Health Care Facilities / Adult Day Care. Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization is the primary health care specialty.
Pennsylvania Pace, Inc. can be contacted via phone (814) 535-6000, or through Hennell, Herbert H via phone (412) 963-9150.
Contact Information
Primary practice address
401 Broad St
Johnstown PA 15906-2716
Phone: (814) 535-6000
Fax: (814) 248-7902
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | 251T00000X | Pennsylvania | |
| Agencies / In Home Supportive Care | 253Z00000X | 9963601 | Pennsylvania |
| Ambulatory Health Care Facilities / Adult Day Care | 261QA0600X | 104070 | Pennsylvania |
Profile Details
| NPI number | 1265584833 |
|---|---|
| LBN Legal business name | Pennsylvania Pace, Inc. |
| DBA Doing business as | Senior Life Johnstown |
| Authorized official | Hennell, Herbert H |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Sep 26th, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265584833 | NPPES |
| Pennsylvania | MEDICAID | 101362553-0001 | |
| Pennsylvania | Other | H3925 |
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