Senior Living Services, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SENIOR LIVING SERVICES, LLC

Practice address

709 Rouse Ave
Youngsville, PA 16371-1605

Phone

(814) 563-6412

Fax

(814) 563-9049

NPI assigned

Jul 24, 2009

Last updated

May 12, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jasen J Diley

Title

President

Phone

(814) 563-6403

Specialties & licenses 2

Addresses

Other names 1

• Rehab Works at Rouse Other name

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Board of Directors of the Rouse Estate

  • Physical Therapy Clinic/Center
  • Youngsville, PA
  • NPI 1912344615

  Member Of

  NPD member
• Warren General Hospital

  • Rural Health Clinic/Center
  • Warren, PA
  • NPI 1750104774

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1932339934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 ROUSE AVE",
            "city": "YOUNGSVILLE",
            "state": "PA",
            "postal_code": "163711605",
            "telephone_number": "814-563-6750",
            "fax_number": "814-563-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 ROUSE AVE",
            "city": "YOUNGSVILLE",
            "state": "PA",
            "postal_code": "163711605",
            "telephone_number": "814-563-6412",
            "fax_number": "814-563-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR LIVING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-24",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "DILEY",
        "authorized_official_first_name": "JASEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-563-6403",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehab Works at Rouse",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bernice C Markley, MA
• Elizabeth Kathryn McChesney, CCC-SLP
• Joseph J Pikna
• Christopher Robert Sanders, DPT
• Ken Schonbachler, MPT, MBA
• Olivia Stamm, M.S., M.A. SLP-CFY
• Debra Lee Swanson, MSCCCSLP
• Rich Vanhouten, D.C.
• Lauren Rene Warmath, DPT
• Sydnie M Wilkinson, RN

• Physical Therapy Clinic/Center in Youngsville, PA
• Providers in Youngsville, PA by specialty
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.