NPIMap

Organization Active NPI

Maria Joseph Manor

Doing business as Emmanuel Center for Nursing & Rehabilitation @ Maria Joseph Manor

  • Skilled Nursing Facility
  • Danville, PA
National Provider Identifier
1033101803
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
391302 Issued in PA
Legal business name
MARIA JOSEPH MANOR
Doing business as
Emmanuel Center for Nursing & Rehabilitation @ Maria Joseph Manor
Practice address
600 Schoolhouse Rd
Danville, PA 17821-7200
Phone
(570) 275-6100
Fax
(570) 275-9057
NPI assigned
Aug 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sister Marguerite Hruby, RN, NHA
Title
Administrator
Phone
(570) 275-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 391302 PA Primary

Addresses

Primary practice location

600 Schoolhouse Rd
Danville, PA 17821-7200

Mailing address

875 Montour Blvd
Danville, PA 17821-9148
Phone (570) 275-4221

Other identifiers 1

IdentifierTypeStateIssuer
100730379003MedicaidPA

Other names 1

  • Emmanuel Center for Nursing & Rehabilitation @ Maria Joseph Manor Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090303000357 PA Part A Provider - Skilled Nursing Facility 8325104110 Practice locations: Danville, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033101803. Details of each certification follow.

Skilled nursing facility certification: CCN 395824

Legal name
MARIA JOSEPH MANOR
Doing business as
EMMANUEL CENTER FOR NURSING & REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1990
Last certification
Dec 23, 2024
Beds
90
Ownership / control type
Church Related
Organization structure
CorporationProprietary
Incorporated
Sep 26, 1986 in PA
Enrollment address
11 School House Rd
Danville, PA 17821-8163
Nursing home name
EMMANUEL CENTER FOR NURSING
Affiliated entity
HEALTH DIMENSIONS GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Emmanuel Center for NursingCCN 395824 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
May 1, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9075.2 residents per day on average
Chain
Health Dimensions Group10 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0684706Maria Joseph Manor D/B/a Emmanuel11 School House Road, Danville, PA 17821Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 25

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sergei Nicholas Shvetzoff Individual Operational/Managerial Control May 19, 2014
Health Dimensions Consulting Inc Organization, Hopkins, MN Corporation, Management services company, Consulting firm, For-profit Operational/Managerial Control May 19, 2014
Adp of the SNF Mar 24, 2025
Patricia Lynn Briscoe Individual Operational/Managerial Control May 19, 2014
O. Fred Miller Individual Corporate Director Jan 1, 2017
Managing Control - Governing Body Jan 1, 2017
Susan Fetterman Individual Corporate Director Jan 1, 2017
Managing Control - Governing Body Jan 1, 2017
M Dzurnak Individual Corporate OfficerSecretary Jul 2, 2012
Corporate DirectorSecretary Jul 2, 2012
Managing Control - Governing BodySecretary Jul 2, 2012
Theodore Spotts Individual Operational/Managerial Control Jun 29, 2020
Adp of the SNF Jun 29, 2020
First Columbia Bank and Trust Company Organization, Bloomsburg, PA Corporation, Financial institution, For-profit, Owned by another organization or individual 5% Or Greater Mortgage Interest Jul 9, 2018
Karen Oncay Individual Corporate Director Mar 1, 2017
Managing Control - Governing Body Mar 1, 2017
Maria Sara Swayze Individual Corporate OfficerTreasurer Jan 16, 2003
Corporate DirectorTreasurer Jan 16, 2003
Managing Control - Governing BodyTreasurer Jan 16, 2003
Erin Leigh Shvetzoff Hennessey Individual Operational/Managerial Control May 19, 2014
David Lindsay Briscoe Individual Operational/Managerial Control May 19, 2014
Christen Maria Mowad Individual Corporate Director Sep 21, 2015
Managing Control - Governing Body Sep 21, 2015
Dominic Moffa Individual Corporate Director Jan 1, 2019
Richard Urick Individual Operational/Managerial Control Oct 31, 1994
Adp of the SNF Oct 31, 1994
Barbara J Sable Individual Corporate OfficerPresident Mar 1, 2016
Corporate DirectorPresident Mar 1, 2016
Managing Control - Governing BodyPresident Mar 1, 2016
John Novak Individual Corporate Director Jan 1, 2017
Managing Control - Governing Body Jan 1, 2017
Pamela Smith Individual Corporate Director Sep 20, 2021
Managing Control - Governing Body Sep 20, 2021
Michael Ann Orlik Individual Corporate OfficerVice President Jul 2, 2004
Corporate DirectorVice President Jul 2, 2004
Managing Control - Governing BodyVice President Jul 2, 2004
Jeffrey Emanuel Individual Corporate Director Mar 1, 2017
Managing Control - Governing Body Mar 1, 2017
Amber Rogotzke Individual Operational/Managerial Control May 19, 2014
Donna Marie Ivanko Individual Corporate Director Jul 2, 2012
Managing Control - Governing Body Jul 2, 2012
Amanda Marie Gresh Individual Operational/Managerial Control Jan 2, 2025
Adp of the SNF Jan 2, 2025
Tami Lyn Shvetzoff Individual Operational/Managerial Control May 19, 2014
Greg F Burke Individual Adp of the SNF Jul 1, 1993

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 2

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": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033101803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 MONTOUR BLVD",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178219148",
            "telephone_number": "570-275-4221",
            "fax_number": "570-275-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SCHOOLHOUSE RD",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178217200",
            "telephone_number": "570-275-6100",
            "fax_number": "570-275-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA JOSEPH MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HRUBY",
        "authorized_official_first_name": "SISTER MARGUERITE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "570-275-6100",
        "authorized_official_credential": "RN, NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "391302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100730379003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emmanuel Center for Nursing & Rehabilitation @ Maria Joseph Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danville, PA

Sources for this page

Verify at the official NPI Registry.