Life at Lourdes Inc
NPI 1063662187ActiveOrganization· PACE Provider Organization· Pennsauken, NJ
PACE Provider Organization in Pennsauken, New Jersey, registered in NPPES in September 2008, part of Our Lady of Lourdes Health Care Services, Inc. The authorized official on file is Jacqueline Lawson, RHIT, MLS, Electronic Medical Records Liason.
Overview
| NPI | 1063662187 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Our Lady of Lourdes Health Care Services, Inc. |
| NPI issued | Sep 25, 2008 |
| Last updated in NPPES | Sep 23, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| PACE Provider Organization Primary | 251T00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|