Evangelical Manor

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

311202 Issued in PA

Legal business name

EVANGELICAL MANOR

Practice address

8401 Roosevelt Blvd
Philadelphia, PA 19152-2034

Phone

(215) 624-5800

Fax

(215) 335-1477

NPI assigned

Oct 4, 2005

Organization subpart

No

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

Addresses

Other identifiers 3

Other names 1

• Wesley Enhanced Living at Pennypack Park Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Skilled nursing facility certification: CCN 395413

Legal name

EVANGELICAL MANOR

Doing business as

WESLEY ENHANCED LIVING PENNYPACK PARK

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 1, 1978

Last certification

Oct 24, 2024

Beds

120

Ownership / control type

Nonprofit Corporation

Multi-facility organization

Wesley Enhanced Living

Organization structure

CorporationNon-profit

Incorporated

May 5, 1933 in PA

Enrollment address

8401 Roosevelt Boulevard
Wesley Enhanced Living Pennypack Park
Philadelphia, PA 19152-2099

Nursing home name

WESLEY ENHANCED LIVING PENNYPACK PARK

Listed as

Wesley Enhanced Living Pennypack ParkCCN 395413

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Sep 1, 1978

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

120115.0 residents per day on average

Penalties (3 years)

1Fines totaling $14,015

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

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.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rodney M. Elkin, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1376580506
  NPD (past)
• Sabahat Farooq, M.D.

  • Internal Medicine Physician
  • Bensalem, PA
  • NPI 1104866441
  NPD (past)
• Cameron Moore, MD

  • Family Medicine Physician
  • Norristown, PA
  • NPI 1962932897
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Rodney M. Elkin, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1376580506

  Nursing home

  Care Compare affiliation
• Sabahat Farooq, M.D.

  • Internal Medicine Physician
  • Bensalem, PA
  • NPI 1104866441

  Nursing home

  Care Compare affiliation
• Cameron Moore, MD

  • Family Medicine Physician
  • Norristown, PA
  • NPI 1962932897

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1043207152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522034",
            "telephone_number": "215-624-5800",
            "fax_number": "215-624-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522034",
            "telephone_number": "215-624-5800",
            "fax_number": "215-335-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANGELICAL MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "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": "311202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007449700001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "2123484",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC PROVIDER ID",
            "identifier": "0005920000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wesley Enhanced Living at Pennypack Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evangelical Alumni Foundation Corporation
• Evangelical Alumni Foundation Corporation
• Evangelical Alumni Foundation Corporation
• Evangelical Alumni Foundation Corporation
• Evangelical Alumni Inc.
• Ann B Evangelista, CRNP
• Lucia Evangelista, MS, OTR/L
• Marco Evangelista, PHARMD
• Mindy Evangelisti, PA-C
• Kataryna Marie Evanowicz, LCSW

• Skilled Nursing Facility in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• 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.

Verify at the official NPI Registry.