NPIMap

Organization Active NPI

Viecare Beaver, LLC

Doing business as LIFE Beaver County

  • PACE Provider Organization
  • Aliquippa, PA
National Provider Identifier
1184899494
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
License
001976540 Issued in PA
Legal business name
VIECARE BEAVER, LLC
Doing business as
LIFE Beaver County
Practice address
131 Pleasant Dr
Aliquippa, PA 15001-1384
Phone
(724) 378-5400
Fax
(724) 302-2093
NPI assigned
Apr 28, 2008
Last updated
Apr 28, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
VIECARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Mr. David A. Hamm
Title
V. P. Financial Management
Phone
(724) 742-2226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X 001976540 PA Primary

Addresses

Primary practice location

131 Pleasant Dr
Aliquippa, PA 15001-1384

Mailing address

1323 Freedom Rd
Cranberry Township, PA 16066-5001
Phone (724) 776-1100

Other identifiers 1

IdentifierTypeStateIssuer
1020790020001MedicaidPA

Other names 1

  • LIFE Beaver County Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2263185Viecare Beaver, LLC131 Pleasant Drive, Aliquippa, PA 15001Certificate of waiverJun 23, 2028

National Provider Directory

National Provider Directory
Tax ID family
Life Beaver2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

131 Pleasant Dr
Aliquippa, PA 15001
Phone (304) 598-1100

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1184899494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 FREEDOM RD",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160665001",
            "telephone_number": "724-776-1100",
            "fax_number": "724-776-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 PLEASANT DR",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150011384",
            "telephone_number": "724-378-5400",
            "fax_number": "724-302-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIECARE BEAVER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIECARE, INC",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "HAMM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "V. P. FINANCIAL MANAGEMENT",
        "authorized_official_telephone_number": "724-742-2226",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "PA",
            "license": "001976540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020790020001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFE Beaver County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aliquippa, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.