# SENIOR CHOICE,INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SENIOR CHOICE
- **Other names:** The Patriot A Choice Community
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1801893664
- **Legal business name:** SENIOR CHOICE
- **Authorized official:** MRS. MARIA FISHER NHA (NURSING HOME ADMINISTRATOR)
- **Authorized official phone:** (814) 445-4549

## Contact information

- **Practice address:** 495 W PATRIOT ST, SOMERSET, PA 15501-1503
- **Practice address phone:** (814) 445-4549
- **Practice address fax:** (814) 443-2631
- **Mailing address:** 495 W PATRIOT ST, SOMERSET, PA 15501-1503
- **Mailing address phone:** (814) 445-4549
- **Mailing address fax:** (814) 443-2631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 167902 | PA | Yes |

## Other

- **Enumeration date:** 07/07/2005
- **Last updated:** 04/29/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0663 | BLUE CROSS PROVIDER ID | PA |
| 05 | — | 1001324140008 | — | PA |
| 01 | — | 1474635 | UMWA PROVIDER ID | PA |
| 01 | — | 1801893664 | NPI | PA |
| 01 | — | 732237 | BLACK LUNG PROVIDER ID | PA |