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Life-northwestern Pennsylvania
PACE Provider Organization in Erie, Pennsylvania
NPI 1891980355

Life-northwestern Pennsylvania is a PACE Provider Organization based in Erie, PA. Life-northwestern Pennsylvania practices in Erie, PA. The NPI Number for Life-northwestern Pennsylvania is 1891980355 and holds a License No. (Pennsylvania).

The current practice location address for Life-northwestern Pennsylvania is 149 W 22Nd St, Erie, PA and can be reached out via phone at 814-452-3271 and via fax at 814-456-9232. You can also correspond with Life-northwestern Pennsylvania through the mailing address at 100 STATE ST STE 200, ERIE, PA - 16507-1454 (mailing address contact number: 814-456-5433).

Location: 149 W 22Nd St, Erie, PA, 16507-1454
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891980355
Provider Name
Life-northwestern Pennsylvania
Credential
Provider Entity Type
Organization
Address
149 W 22Nd St, Erie, PA, 16507-1454
Phone Number
814-452-3271
Fax Number
814-456-9232
Provider Enumeration Date
09/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1007767250005 05 PA
institution
Provider Business Practice Location Address Details
Address
149 W 22Nd St
City
Erie
State
Pennsylvania
Zip
16502-2804
Phone Number
814-452-3271
Fax Number
814-456-9232
person
Provider Business Mailing Address Details
Address
100 State St Ste 200
City
Erie
State
Pennsylvania
Zip
16507-1454
Phone Number
814-456-5433
Fax Number
814-454-2500
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Speciality
-
Taxonomy
251T00000X
License No.
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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.
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