OrganizationActive
Life at Lourdes Inc
NPI 1063662187 · PACE Provider Organization · Pennsauken, NJ
Life at Lourdes Inc is a PACE Provider Organization organization in Pennsauken, NJ (NPI 1063662187).
Provider details
- NPI number
- 1063662187
- Entity type
- Organization
- Primary specialty
- PACE Provider OrganizationAgencies
- Parent organization
- Our Lady of Lourdes Health Care Services, Inc.
- Organization subpart
- Yes
- Authorized official
- Jacqueline Lawson, Electronic Medical Records Liason(856) 675-3660
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2475 Mcclellan Avenue
Pennsauken, NJ 08109
Phone: (856) 675-3660
Fax: (856) 675-3659
Street-level locationGet directions
Mailing address
2475 Mcclellan Ave
Pennsauken, NJ 08109-4683
Registry dates
- Enumerated
- 2008-09-25
- Last updated
- 2014-09-23
Frequently asked questions
- What is Life at Lourdes Inc's NPI number?
- Life at Lourdes Inc's National Provider Identifier (NPI) is 1063662187, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life at Lourdes Inc?
- Life at Lourdes Inc is classified in the NPPES registry as PACE Provider Organization (Agencies).
- Where is Life at Lourdes Inc located?
- Life at Lourdes Inc's practice location on file with NPPES is 2475 Mcclellan Avenue, Pennsauken, NJ 08109.
- What is Life at Lourdes Inc's phone number?
- The practice phone number listed in the NPPES registry for Life at Lourdes Inc is (856) 675-3660.
- Who is the authorized official for Life at Lourdes Inc?
- The authorized official listed on Life at Lourdes Inc's NPPES record is Jacqueline Lawson, Electronic Medical Records Liason. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life at Lourdes Inc's NPI active?
- Yes — Life at Lourdes Inc's NPI (1063662187) is active in the NPPES registry as of the last update on 2014-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.