NPIMap

Organization Active NPI

Spiritrust Lutheran Life

  • PACE Provider Organization
  • Enola, PA
National Provider Identifier
1740467570
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
License
23713601 Issued in PA
Legal business name
SPIRITRUST LUTHERAN LIFE
Practice address
1920 Good Hope Road
Enola, PA 17025
Phone
(717) 728-5433
Fax
(717) 901-0186
NPI assigned
Jan 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Authorized official

Name
Mrs. Nina Delgrande
Title
VP Community Health Services
Phone
(717) 264-8178

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X 1740467570 PA
PACE Provider Organization 251T00000X 23713601 PA Primary

Addresses

Primary practice location

1920 Good Hope Road
Enola, PA 17025

Mailing address

840 Fifth Avenue
Chambersburg, PA 17201
Phone (717) 264-5433

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5Gnoym9jLjd2Os4NZp-YnJHFwjsCsY-K/

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1740467570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 FIFTH AVENUE",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "17201",
            "telephone_number": "717-264-5433",
            "fax_number": "717-264-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 GOOD HOPE ROAD",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "17025",
            "telephone_number": "717-728-5433",
            "fax_number": "717-901-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRITRUST LUTHERAN LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "DELGRANDE",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "VP COMMUNITY HEALTH SERVICES",
        "authorized_official_telephone_number": "717-264-8178",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "PA",
            "license": "1740467570",
            "primary": false
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "PA",
            "license": "23713601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enola, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.