Organization Active NPI

Elderly Care PC

  • Psychiatry Physician
  • Greensburg, PA
National Provider Identifier
1366564981
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD 040791-L Issued in PA
Legal business name
ELDERLY CARE PC
Practice address
225 Humphrey Rd
Suite 4
Greensburg, PA 15601-4571
Phone
(724) 537-1678
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joel I Last, M.D.NPI 1750325031
Title
Proprietor
Phone
(724) 537-1678

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MD 040791-L PA Primary

Addresses

Primary practice location

225 Humphrey Rd
Suite 4
Greensburg, PA 15601-4571

Mailing address

PO Box 292
Latrobe, PA 15650-0292
Phone (724) 537-1678

Other identifiers 1

IdentifierTypeStateIssuer
0013014010005MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070705000434 PA Part B Supplier - Clinic/Group Practice 9234239278 Receives reassigned benefits from 2 practitioners
Practice locations: Greensburg, PA

National Provider Directory

National Provider Directory

Locations

2000 Tower Way
#2037
Greensburg, PA 15601
Phone (724) 853-1945

119 Industrial Park Rd
#12
Greensburg, PA 15601
Phone (724) 836-2480

3522 Route 130
Irwin, PA 15642
Phone (724) 744-3200

501 Alexandria St
Latrobe, PA 15650
Phone (724) 537-3334

11299 Route 30
North Huntingdon, PA 15642
Phone (724) 863-2100

Practitioners & affiliated clinicians

Practitioners 3

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": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366564981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 292",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156500292",
            "telephone_number": "724-537-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 HUMPHREY RD",
            "address_2": "SUITE 4",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156014571",
            "telephone_number": "724-537-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERLY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAST",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "724-537-1678",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD 040791-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013014010005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.