NPIMap

Organization Active NPI

Lifeline Centers PC

  • Specialist
  • New Castle, PA
National Provider Identifier
1114508181
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
LIFELINE CENTERS PC
Practice address
2602 Wilmington Rd Ste 204
New Castle, PA 16105-1538
Phone
(412) 351-6545
Fax
(412) 351-6547
NPI assigned
Apr 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dayna Lynn Shipley
Title
Billing and Insurance Specialist
Phone
(412) 351-6545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2602 Wilmington Rd Ste 204
New Castle, PA 16105-1538

Mailing address

1525 Park Manor Blvd Ste 308
Pittsburgh, PA 15205-4805
Phone (412) 351-6545

Other practice location 1

2602 Wilmington Rd Ste 204
New Castle, PA 16105-1538
Phone (412) 351-6545 ext. 120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070731000404 PA Part B Supplier - Clinic/Group Practice 8921109992 Receives reassigned benefits from 4 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Monroeville, PA; Washington, PA; New Castle, PA; Warrendale, PA

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Lifeline Centers PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

129 Towne Square Way
Brentwood, PA 15227

600 N Penn St
Connellsville, PA 15425
Phone (724) 626-0700

1 Monroeville Ctr
Ste 475
Monroeville, PA 15146
Phone (412) 856-7310

84 Wellness Way
#3
Washington, PA 15301
Phone (724) 250-6203

3157 Mount Morris Rd
Ste 103
Waynesburg, PA 15370
Phone (724) 627-2737

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1114508181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 PARK MANOR BLVD STE 308",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152054805",
            "telephone_number": "412-351-6545",
            "fax_number": "412-351-6547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 WILMINGTON RD STE 204",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051538",
            "telephone_number": "412-351-6545",
            "fax_number": "412-351-6547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2602 Wilmington Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "PA",
            "postal_code": "161051538",
            "country_code": "US",
            "telephone_number": "412-351-6545 x120",
            "fax_number": "412-351-6547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFELINE CENTERS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-05-27",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "SHIPLEY",
        "authorized_official_first_name": "DAYNA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "BILLING AND INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "412-351-6545"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.