MERCY LIFE - WEST PHILADELPHIA
NPI 1710347661
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Philadelphia, PA
NPI Status: Active since March 03, 2016
Contact Information
4508 CHESTNUT ST
PHILADELPHIA, PA
ZIP 19139
Phone: (215) 573-7200
- Organization
- Program of All-Inclusive Care for the El...
- CLIA Number: 23D2283999
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-14-2025
About MERCY LIFE - WEST PHILADELPHIA
This page provides the complete NPI Profile along with additional information for Mercy Life - West Philadelphia, a provider established in Philadelphia, Pennsylvania operating as a Program Of All-inclusive Care For The Elderly (pace) Provider Organization. The healthcare provider is registered in the NPI registry with number 1710347661 assigned on March 2016. The practitioner's primary taxonomy code is 251T00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Mercy Life - West Philadelphia. The authorized official of this NPI record is Mrs. Anne M Lewis (Vice President Strategy And Growth)
- NPI
- 1710347661
- Provider Legal Name
- TRINITY HEALTH LIFE PENNSYLVANIA, INC.
- Other Organization Name
- MERCY LIFE - WEST PHILADELPHIA
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4508 CHESTNUT ST PHILADELPHIA, PA 19139
- Location Phone
- (215) 573-7200
- Mailing Address
- 20255 VICTOR PKWY LIVONIA, MI 48152
- Mailing Phone
- (734) 343-0717
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 03-03-2016
- Last Update Date
- 03-03-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
- Taxonomy Code
- 251T00000X
- Type
- Agencies
- Taxonomy Description
- A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D2283999
- Facility Type
- Physician Office
- Certificate Effective Date
- June 15, 2023
- Certificate Expiration Date
- June 14, 2025
- Laboratory Director
- ALVIN VARGAS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mercy Life - West Philadelphia to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 1 | 0 | 3 | 4 | 7 | 6 | 6 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 6 | 4 | 14 | 6 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 6 + 4 + 1 + 4 + 6 + 1 + 2 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1710347661 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1114186723 | MS. ELIZABETH MARY DALTON CRNP Individual | Nurse Practitioner (Gerontology) | 4508 CHESTNUT ST PHILADELPHIA, PA 19139 (215) 573-7200 |
| 1053576835 | UPENN LIFE Organization | Health Maintenance Organization | 4508 CHESTNUT ST PHILADELPHIA, PA 19139 (215) 573-7200 |
| 1649429267 | JUDITH DRAPER GNP, BC Individual | Nurse Practitioner (Gerontology) | 4508 CHESTNUT ST PHILADELPHIA, PA 19139 (215) 746-2127 |
| 1598088494 | LIVING INDEPENDENTLY FOR ELDERS Organization | Exclusive Provider Organization | 4508 CHESTNUT ST PHILA, PA 19139 (215) 573-7200 |
| 1730403445 | LIVING INDEPENDANTLY FOR ELDERS Organization | Preferred Provider Organization | 4508 CHESTNUT ST PHILA, PA 19139 (215) 746-6893 |
| 1023398724 | MS. GWEN MARIE LECH GNP-BC Individual | Nurse Practitioner (Gerontology) | 4508 CHESTNUT ST PHILA, PA 19139 (215) 746-2127 |
| 1407297179 | PROF. PAMELA Z CACCHIONE PHD, CRNP, BC Individual | Nurse Practitioner (Gerontology) | 4508 CHESTNUT ST PHILADELPHIA, PA 19139 (215) 572-7300 |
| 1902333560 | JACLYN SIMS CRNP Individual | Nurse Practitioner (Primary Care) | 4508 CHESTNUT ST PHILADELPHIA, PA 19139 (267) 787-8300 |
| 1245752310 | ALEXANDRA ELIZABETH ZAMORE CRNP Individual | Nurse Practitioner | 4508 CHESTNUT ST PHILADELPHIA, PA 19139 (267) 787-8282 |
| 1639566144 | LOUISA MICELI NP Individual | Nurse Practitioner (Primary Care) | 4508 CHESTNUT ST PHILADELPHIA, PA 19139 (610) 787-9417 |
| 1083812044 | MS. JUNE MARY ROMAN MSN, RN, PMHCNS-BC Individual | Registered Nurse (Psychiatric/Mental Health, Adult) | 4508 CHESTNUT ST PHILADELPHIA, PA 19139 (267) 787-8245 |
| 1326209495 | MS. NANCY L BOCCHINO CRNP Individual | Nurse Practitioner (Gerontology) | 4508 CHESTNUT ST PHILADELPHIA, PA 19139 (215) 746-6894 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710347661, enumerated in the NPI registry as an "organization" on March 03, 2016
The provider is located at 4508 Chestnut St Philadelphia, Pa 19139 and the phone number is (215) 573-7200
This medical organization specializes in Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X
The provider's CLIA number is 23D2283999 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on March 03, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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