NPIMap

Organization Active NPI

Life Beaver County

  • PACE Provider Organization
  • Aliquippa, PA
National Provider Identifier
1336289446
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
License
043820 Issued in PA
Legal business name
LIFE BEAVER COUNTY
Practice address
131 Pleasant Dr
Centerplace Suite 1
Aliquippa, PA 15001-1384
Phone
(724) 378-5400
Fax
(724) 302-2093
NPI assigned
Feb 7, 2007
Last updated
Oct 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Ms. Susan Q Digirolamo
Title
C. F. O.
Phone
(724) 776-1100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 043820 PA
PACE Provider Organization 251T00000X 043820 PA Primary

Addresses

Primary practice location

131 Pleasant Dr
Centerplace Suite 1
Aliquippa, PA 15001-1384

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0019765400001MedicaidPA

Other names 1

  • LIFE Beaver Other name

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
Ste 1
Aliquippa, PA 15001
Phone (724) 302-2040

Practitioners & affiliated clinicians

Practitioners 7

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": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1336289446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 FREEDOM RD",
            "city": "CRANBERRY TWP",
            "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",
            "address_2": "CENTERPLACE SUITE 1",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150011384",
            "telephone_number": "724-378-5400",
            "fax_number": "724-302-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE BEAVER COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "DIGIROLAMO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "C. F. O.",
        "authorized_official_telephone_number": "724-776-1100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "PA",
            "license": "043820",
            "primary": false
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "PA",
            "license": "043820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019765400001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFE Beaver",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.