SENIOR LIFE JOHNSTOWN, INC.


Address: 401 Broad St, Johnstown, PA 15906-2716
Phone: 8145356000

SENIOR LIFE JOHNSTOWN, INC. (NPI# 1063445369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063445369
Entity Type Organization
Organization Name SENIOR LIFE JOHNSTOWN, INC.
Other Organization Name SENIOR LIFE JOHNSTOWN
Practice Address 401 Broad St
Johnstown
PA 15906-2716
Practice Telephone 8145356000
Practice Fax Number 8142487902
Mailing Telephone 8145356000
Mailing Fax Number 8142487902
Enumeration Date 2006-07-09
Last Update Date 2020-08-22
Authorized Official Name MR. HERBERT H HENNELL (DIRECTOR OF REIMBURSEMENT)
Authorized Official Telephone 4129639150
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0400X Clinic/Center
Specialization: Rehabilitation
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Senior Life Johnstown Doing Business As Name - Organization

Office Location

Street Address 401 BROAD ST
City JOHNSTOWN
State PA
Zip Code 15906-2716

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497354393 Sherry Lynn Custer Registered Nurse 401 Broad St, Johnstown, PA 15906-2745 2020-10-21
1558968339 Jodie Schatz Registered Nurse 401 Broad St, Johnstown, PA 15906-2745 2020-10-05
1659987261 Amanda Sue Meagher Registered Nurse 401 Broad St, Johnstown, PA 15906-2745 2020-09-18
1720605108 Dorothy Marie Bowser Licensed Practical Nurse 401 Broad St, Johnstown, PA 15906-2745 2020-07-01
1063039972 Ashley Ann Hasson Nurse Practitioner 401 Broad St, Johnstown, PA 15906-2745 2020-06-26
1518587062 Aaron Scott Lanzendorfer Occupational Therapy Assistant 401 Broad St, Johnstown, PA 15906-2745 2020-04-24
1225663115 Lisa Jane Wadsworth Social Worker 401 Broad St, Johnstown, PA 15906-2745 2020-03-11
1174156509 Barbara Ann Cowan Registered Nurse 401 Broad St, Johnstown, PA 15906-2745 2020-02-13
1891338877 Rebecca Marie Rakes Registered Nurse 401 Broad St, Johnstown, PA 15906-2716 2019-10-23
1154964005 Amber Dawn Strotman Registered Nurse 401 Broad St, Johnstown, PA 15906-2716 2019-10-23
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861746844 Nancy J Gilbert Registered Nurse 401 Broad Street, Johnstown, PA 15906 2012-10-30
1689727273 Laurel Highlands Neuro-rehabilitation Psychologist 111a Roosevelt Boulevard, Johnstown, PA 15906 2007-01-19
1124107503 Robert Joseph Bimeal Jr. Pharmacist 150 Fairfield Ave, Johnstown, PA 15906 2006-11-04
1487179255 Jill Anne Clark Social Worker 401 Broad Street, Johnstown, PA 15906 2017-08-13
1659720399 Melissa Melikant Registered Nurse 401 Broad Street, Johnstown, PA 15906 2016-06-03
1003013202 Amanda Ann Gorzelsky Pharmacist 1086 Franklin Street, Johnstown, PA 15906 2007-06-29
1972643336 Walter V Kowtoniuk Family Medicine 226 Fairfield Ave, Johnstown, PA 15906 2007-02-07
1538385349 Peniel Ministries Substance Abuse Rehabilitation Facility 760 Cooper Ave, Johnstown, PA 15906-1033 2007-04-18
1427301829 Peniel Ministry Substance Abuse Rehabilitation Facility 760 Cooper Ave, Johnstown, PA 15906-1033 2012-10-23
1558927731 Sarah Joy Smith Social Worker 579 Dorothy Ave, Johnstown, PA 15906-1456 2019-05-14
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Taxonomy Information

Taxonomy Code 261QR0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316116379 Keystone Rehabilitation Systems Inc Clinic/Center 411 Theatre Dr, Johnstown, PA 15904-2838 2008-02-25
1730120460 Keystone Rehabilitation Systems Inc Clinic/Center 969 Eisenhower Blvd, Oakridge East Office Park, Bldg 1, Johnstown, PA 15904-3326 2006-06-10
1770537821 Rehabcare Group East, LLC Clinic/Center 1513 Scalp Avenue, Unit 260, Johnstown, PA 15904 2006-05-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659970689 Novacare Outpatient Rehabilitation East, Inc. Clinic/Center 1575 North 25nd Street, Philadelphia, PA 19131 2020-10-21
1174120448 Novacare Outpatient Rehabilitation East, Inc. Clinic/Center 14953 Kutztown Rd Ste 1, Kutztown, PA 19530-8381 2020-10-08
1558979328 Phs Physical Therapy, LLC Clinic/Center 2201 Brunswick Dr Ste 2400, Hanover, PA 17331-8350 2020-07-17
1043835705 Reeves Physical Therapy LLC Clinic/Center 509 Spring Garden St, Philadelphia, PA 19123-2820 2020-06-09
1235751264 Keystone Rehabilitation Systems, Inc. Clinic/Center 289 Cetronia Rd Unit 102, Allentown, PA 18104-9223 2020-05-13
1770105082 Institute for Cognitive Prosthetics Inc Clinic/Center 346 Llandrillo Rd, Bala Cynwyd, PA 19004-2335 2020-05-08
1245877430 Rehabclinics (spt), Inc. Clinic/Center 255 Main St Ste 120, King of Prussia, PA 19406-1509 2019-12-06
1457994253 Phs Physical Therapy, LLC Clinic/Center 5815 York Rd, New Oxford, PA 17350-9464 2019-10-24
1710537097 Novacare Outpatient Rehabilitation East, Inc. Clinic/Center 19 W Highland Ave, Philadelphia, PA 19118-3309 2019-09-18
1902453343 Rehabclinics (spt), Inc. Clinic/Center 2721 Street Rd Ste 2735, Bensalem, PA 19020-2810 2019-08-21
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Competitor

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City JOHNSTOWN
Zip Code 15906

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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