PROVIDENCE CARE CENTER
NPI 1962400317
Skilled Nursing Facility in Beaver Falls, PA

NPI Status: Active since July 11, 2005

Contact Information

900 3RD AVE
BEAVER FALLS, PA
ZIP 15010
Phone: (724) 846-8504
Fax: (724) 847-7927

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  • Organization
  • Skilled Nursing Facility
  • CLIA Number: 39D0894216
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 11-08-2026

About PROVIDENCE CARE CENTER

This page provides the complete NPI Profile along with additional information for Providence Care Center, a provider established in Beaver Falls, Pennsylvania operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1962400317 assigned on July 2005. The practitioner's primary taxonomy code is 314000000X with license number 425002 (PA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Providence Care Center. The authorized official of this NPI record is Mr. Herbert H Hennell (Vice President Of Reimbursement)

NPI
1962400317
Provider Legal Name
PROVIDENCE CARE CENTER, LLC
Other Organization Name
PROVIDENCE CARE CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
900 3RD AVE BEAVER FALLS, PA 15010
Location Phone
(724) 846-8504
Location Fax
(724) 847-7927
Mailing Address
209 SIGMA DR PITTSBURGH, PA 15238
Mailing Phone
(412) 963-9150
Mailing Fax
(724) 847-7927
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-11-2005
Last Update Date
09-26-2016
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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

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
425002
License State
PA
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. HERBERT H HENNELL

Authorized Official Title
VICE PRESIDENT OF REIMBURSEMENT
Authorized Official Phone
(412) 963-9150

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
251144OTHER (01)PAHEALTH ASSURANCE
506655OTHER (01)PAAETNA PROVIDER NUMBER
251144OTHER (01)PAHEALTH AMERICA
395682MEDICARE UPIN (02)PA 
0018363330001MEDICAID (05)PA 
2058628OTHER (01)PAUS HEALTHCARE PROVIDER NO
1383OTHER (01)PABLUE CROSS PROVIDER NO.
1383OTHER (01)PASECURITY BLUE
217007OTHER (01)PAUPMC FOR YOU PROVIDER NO.
000000095232OTHER (01)PAUNISON (MED PLUS)
1035476OTHER (01)PAGATEWAY PROVIDER NUMBER

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
39D0894216
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
November 09, 2024
Certificate Expiration Date
November 08, 2026
Laboratory Director
CURTIS FELDMEIER MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Providence Care Center 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.

Reviews for PROVIDENCE CARE CENTER

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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.
1962400317
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2912280032
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 8 + 0 + 0 + 3 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1962400317 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1952865578MISS MELISSA NICOLE MOUSER OTR/L
Individual
Occupational Therapist900 3RD AVE
BEAVER FALLS, PA 15010
(724) 846-8504
1750911038MRS. MICHELE OTT-OCHELTREE NDTR
Individual
Dietetic Technician, Registered900 3RD AVE
BEAVER FALLS, PA 15010
(724) 846-8504
1053084871CHARIOT BEAVER FALLS SNF OPCO LLC
Organization
Skilled Nursing Facility900 3RD AVE
BEAVER FALLS, PA 15010
(724) 846-8504
1003569534BEAVER FALLS CENTER FOR NURSING AND REHAB, LLC
Organization
Skilled Nursing Facility900 3RD AVE
BEAVER FALLS, PA 15010
(724) 746-8504
1912619966PROVIDENCE HEALTH & REHAB CENTER, LLC
Organization
Skilled Nursing Facility900 3RD AVE
BEAVER FALLS, PA 15010
(724) 846-8504
1982385860 KEVIN WILLIAMS
Individual
Physical Therapy Assistant900 3RD AVE
BEAVER FALLS, PA 15010
(724) 846-8504
1467236794 JENNIFER WORY OTR/L
Individual
Occupational Therapist900 3RD AVE
BEAVER FALLS, PA 15010
(724) 846-8504
1578246476 DANA HENDRICKS
Individual
Physical Therapy Assistant900 3RD AVE
BEAVER FALLS, PA 15010
(724) 846-8504
1043083793 BRIAN JASON BETHA COTA/L
Individual
Occupational Therapy Assistant900 3RD AVE
BEAVER FALLS, PA 15010
(724) 846-8504

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962400317, enumerated in the NPI registry as an "organization" on July 11, 2005

The provider is located at 900 3rd Ave Beaver Falls, Pa 15010 and the phone number is (724) 846-8504

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

The provider might be accepting Accepts: Medicare, Medicaid, Aetna and Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 39D0894216 for a "skilled nursing facility/nursing facility" 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 July 11, 2005. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.