SPIRITRUST LUTHERAN LIFE (NPI# 1740467570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740467570 |
| Entity Type | Organization |
| Organization Name | SPIRITRUST LUTHERAN LIFE |
| Practice Address |
1920 Good Hope Road Enola PA 17025 |
| Mailing Address |
840 Fifth Avenue Chambersburg PA 17201 |
| Practice Telephone | 7177285433 |
| Practice Fax Number | 7179010186 |
| Mailing Telephone | 7172645433 |
| Mailing Fax Number | 7172643279 |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2018-07-10 |
| Authorized Official Name | MRS. NINA DELGRANDE (VP COMMUNITY HEALTH SERVICES) |
| Authorized Official Telephone | 7172648178 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251T00000X | PACE Provider Organization | 1740467570 | PA | Agencies |
| Y | 251T00000X | PACE Provider Organization | 23713601 | PA | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SPIRITRUST LUTHERAN LIFE | 840 Fifth Ave, Chambersburg, PA 17201-4219 |
| Street Address |
1920 GOOD HOPE ROAD |
| City | ENOLA |
| State | PA |
| Zip Code | 17025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029658 | Penn State Health Hampden Medical Center | General Acute Care Hospital | 2200 Good Hope Road, Enola, PA 17025 | 2020-10-07 |
| 1326652009 | Keystone Hearing Center | Audiologist-Hearing Aid Fitter | 6891 Werzville Rd, Enola, PA 17025 | 2020-09-01 |
| 1316459480 | Joseph Franklin Thomas | Family Medicine | 1830 Good Hope Road, Enola, PA 17025 | 2017-10-30 |
| 1326312554 | Michele Barton | Occupational Therapy Assistant | 827 South Humer Street, Enola, PA 17025 | 2012-03-06 |
| 1477725232 | Christopher Peter Collins | Nurse Practitioner | 4510 Marketplace Way, Enola, PA 17025 | 2008-04-01 |
| 1407814726 | Timothy A Clark | Internal Medicine | 2250 Millennium Way, Ste 400, Enola, PA 17025 | 2006-05-03 |
| 1093770695 | Michael Gerard Bennese | Chiropractor | 30 East Shady Lane, Enola, PA 17025 | 2006-04-18 |
| 1851760011 | Mounika Sankaramaddi | Internal Medicine | 310 E Penn Dr, Enola, PA 17025 | 2015-09-17 |
| 1184016719 | Ashad Shahid Syed | Internal Medicine | 1830 Good Hope Rd, Enola, PA 17025 | 2015-02-18 |
| 1679594857 | Sleep Disorder Centers of Central Pennsylvania, Inc. | Internal Medicine | 2250 Millenium Way, Ste 400, Enola, PA 17025 | 2006-07-22 |
| Find all providers in zip 17025 | ||||
| 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 |
| 1710182647 | Viecare Butler, LLC | PACE Provider Organization | 229 W Diamond St, Butler, PA 16001-5784 | 2007-06-20 |
| 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.