SENIOR LIFE YORK, INC. (NPI# 1356573406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356573406 |
| Entity Type | Organization |
| Organization Name | SENIOR LIFE YORK, INC. |
| Other Organization Name | SENIOR LIFE YORK |
| Practice Address |
1460 Memory Lane Ext York PA 17402-9602 |
| Mailing Address |
209 Sigma Dr Pittsburgh PA 15238-2826 |
| Practice Telephone | 7177575433 |
| Practice Fax Number | 7177510392 |
| Mailing Telephone | 4129639150 |
| Mailing Fax Number | 4129636676 |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2016-09-26 |
| Authorized Official Name | MR. HERBERT H HENNELL (DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Telephone | 4129639150 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
254600 | PA | Ambulatory Health Care Facilities |
| N | 253Z00000X | In Home Supportive Care | 19933601 | PA | Agencies |
| Y | 251T00000X | PACE Provider Organization | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICARE AGREEMENT NUMBER | H0819 | 01 |
| PA | 102381419-0001 | 05 |
| Other Name | Type Code |
|---|---|
| Senior Life York | Doing Business As Name - Organization |
| Street Address |
1460 MEMORY LANE EXT |
| City | YORK |
| State | PA |
| Zip Code | 17402-9602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265053987 | Hope Renewed Counseling Services LLC | Social Worker | 879 Clare Lane, York, PA 17402 | 2020-05-04 |
| 1912462292 | Andventure, Inc. | Home Health | Andventure, Inc., 3415c Concord Rd., York, PA 17402 | 2019-01-31 |
| 1407327992 | Tariro Manamike | Pharmacist | Weis Markets Pharmacy, 2400 E Market Street, York, PA 17402 | 2018-12-10 |
| 1689120925 | Benjamin Stahle | Emergency Medicine | 70 Locust Grove Road, York, PA 17402 | 2016-08-28 |
| 1275905614 | Ultra Dental I, LLC | Dentist | 233 Pauline Drive, York, PA 17402 | 2015-10-26 |
| 1215323878 | Sonya Maria Korda | Dentist | 332 Shasta Dr., York, PA 17402 | 2015-04-10 |
| 1588909691 | Kimberly Sue Marsico | Counselor | 3110 East Market St, York, PA 17402 | 2012-11-29 |
| 1184995797 | Ivan Lewis Butler | General Practice | 204 St. Charles Way, Unit 364e, York, PA 17402 | 2012-01-13 |
| 1801117783 | Active Life Chiropractic | Chiropractor | 1915 E. Market Street, York, PA 17402 | 2010-06-15 |
| 1578881652 | Oss Orthopaedic Hospital, LLC | General Acute Care Hospital | 1861 Powder Mill Rd., York, PA 17402 | 2010-05-13 |
| Find all providers in zip 17402 | ||||
| Taxonomy Code | 251T00000X |
| Grouping | Agencies |
| Classification | PACE Provider Organization |
| 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. |
| Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588279657 | Innovage Pennsylvania Life, LLC | PACE Provider Organization | 4401 Megargee St, Philadelphia, PA 19136-2160 | 2020-09-15 |
| 1871102731 | Bitner Counseling, LLC | PACE Provider Organization | 1 Northgate Sq Ste 215, Greensburg, PA 15601-1373 | 2020-07-27 |
| 1265919377 | Cozy Caregivers Homecare Agency | PACE Provider Organization | 5031 Baltimore Ave Apt 1, Philadelphia, PA 19143-1670 | 2018-07-20 |
| 1033618996 | Acts of Faith Corp | PACE Provider Organization | 2453 S 61st St, Philadelphia, PA 19142-3215 | 2018-02-06 |
| 1477949139 | Care At Home of Delaware Valley | PACE Provider Organization | 102 Center Mill Rd, Chadds Ford, PA 19317-9212 | 2015-04-09 |
| 1659776193 | Viecare Armstrong, LLC | PACE Provider Organization | 115 Nolte Drive Ext, Kittanning, PA 16201 | 2014-10-27 |
| 1851647796 | Albright Care Services | PACE Provider Organization | 113 S 9th St, Lebanon, PA 17042-5108 | 2012-07-30 |
| 1073802013 | Support for Independent Living, LLC | PACE Provider Organization | 2320 Haverford Rd, Suite 220, Ardmore, PA 19003-2913 | 2011-03-30 |
| 1023289147 | Phi Life | PACE Provider Organization | 1217 Slate Hill Rd, Camp Hill, PA 17011-8012 | 2008-03-17 |
| 1740467570 | Spiritrust Lutheran Life | PACE Provider Organization | 1920 Good Hope Road, Enola, PA 17025 | 2008-01-23 |
| Find all providers with the same taxonomy | ||||
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| 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.