Active NPI
Martins Run
- Skilled Nursing Facility
- Media, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 390102
- Legal business name
- MARTINS RUN
- Practice address
- 100 Halcyon Dr
Media, PA 19063-1041 - Phone
- (610) 353-7760
- Fax
- (610) 353-4928
- NPI assigned
- Sep 14, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronnie Conner
- Title
- Corporate Director of RCM
- Phone
- (267) 885-6232
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 390102 | PA | Primary |
Addresses
Primary practice location
100 Halcyon Dr
Media, PA 19063-1041
Mailing address
100 Halcyon Dr
Media, PA 19063-1041
Phone (610) 353-7760
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007769830001 | Medicaid | PA | |
| 1013902253 | Other | NPI |
Other names 2
- Wesley Enhanced Living at Main Line
- Martins Run
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060821000014 | PA | Part A Provider - Skilled Nursing Facility | 1153324777 | Practice locations: Media, PA |
Skilled nursing facility certification: CCN 395498
- Legal name
- MARTINS RUN
- Doing business as
- WESLEY ENHANCED LIVING MAIN LINE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 12, 1981
- Last certification
- Dec 19, 2024
- Beds
- 60
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Wesley Enhanced Living
- Organization structure
- Corporation
- Incorporated
- Sep 22, 1978 in PA
- Enrollment address
- 100 Halcyon Dr
Media, PA 19063-1041 - Nursing home name
- WESLEY ENHANCED LIVING MAIN LINE REHAB AND SKD NSG
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Wesley Enhanced Living Main Line Rehab and SKD NSG
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jan 12, 1981
- Medicare certification status
- Active
- Certified beds
- 60
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0196988 | Martins Run Life Care Community | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryNetworks
- devoted network organization-34f14c1d-268c-4aac-9900-39ee1c9e5764
Ownership & related parties
All disclosed owners & managing parties 14
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Adp of the SNF | Mar 12, 2025 | ||
| Martins Run | 5% Or Greater Direct Ownership Interest | Mar 1, 2015 | 100% |
| Operational/Managerial Control | Nov 27, 2024 | ||
| Adp of the SNF | Nov 27, 2024 | ||
| Direct Ownership Interest | Mar 1, 2015 | ||
| Ronnie Conner | Corporate Director | Jun 10, 2024 | 100% |
| Adp of the SNF | Jun 10, 2024 | ||
| Adp of the SNF | Mar 13, 2025 | ||
| Adp of the SNF | Mar 13, 2025 | ||
| Adp of the SNF | Apr 1, 2017 | ||
| Adp of the SNF | Mar 13, 2025 | ||
| Daniel Hood | Operational/Managerial Control | Jan 30, 2023 | |
| Managing Control - Governing Body | Jul 1, 2023 | ||
| Adp of the SNF | Jan 30, 2023 | ||
| Adp of the SNF | Mar 13, 2025 | ||
| Adp of the SNF | Mar 12, 2025 | ||
| Adp of the SNF | Mar 13, 2025 | ||
| Adp of the SNF | Mar 12, 2025 | ||
| Adp of the SNF | Mar 13, 2025 | ||
| Adp of the SNF | Mar 13, 2025 |
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Aldan, PA
- NPI 1750671608
-
- Internal Medicine Physician
- Bryn Mawr, PA
- NPI 1578779245
-
- Internal Medicine Physician
- Ambler, PA
- NPI 1437349321
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779926400000",
"number": "1013902253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HALCYON DR",
"city": "MEDIA",
"state": "PA",
"postal_code": "190631041",
"telephone_number": "610-353-7760",
"fax_number": "610-353-4928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HALCYON DR",
"city": "MEDIA",
"state": "PA",
"postal_code": "190631041",
"telephone_number": "610-353-7760",
"fax_number": "610-353-4928"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTINS RUN",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-14",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A",
"authorized_official_last_name": "CONNER",
"authorized_official_first_name": "RONNIE",
"authorized_official_title_or_position": "CORPORATE DIRECTOR OF RCM",
"authorized_official_telephone_number": "267-885-6232"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "390102",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007769830001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1013902253",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wesley Enhanced Living at Main Line",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Martins Run",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.