Active NPI
500 East Philadelphia Avenue Operations LLC
Doing business as Mifflin Center
- Skilled Nursing Facility
- Shillington, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 081002
- Legal business name
- 500 EAST PHILADELPHIA AVENUE OPERATIONS LLC
- Doing business as
- Mifflin Center
- Practice address
- 500 Philadelphia Ave
Shillington, PA 19607-2764 - Phone
- (610) 777-7841
- Fax
- (610) 775-7198
- NPI assigned
- Nov 28, 2007
- Last updated
- Oct 6, 2025
- 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
- Michael T Berg
- Title
- Secretary
- Phone
- (610) 444-6350
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 081002 | PA | Primary |
Addresses
Primary practice location
500 Philadelphia Ave
Shillington, PA 19607-2764
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Phone (610) 925-4436
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1025712900001 | Medicaid | PA |
Other names 1
- Mifflin Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080305000020 | PA | Part A Provider - Skilled Nursing Facility | 3971688755 | Practice locations: Shillington, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1063694370. Details of each certification follow.
Skilled nursing facility certification: CCN 395138
- Legal name
- 500 EAST PHILADELPHIA AVENUE OPERATIONS LLC
- Doing business as
- MIFFLIN CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1967
- Last certification
- Nov 15, 2024
- Beds
- 136
- Ownership / control type
- Corporation
- Multi-facility organization
- Genesis HealthCare
- Organization structure
- LLC
- Incorporated
- Aug 21, 2007 in PA
- Enrollment address
- 500 East Philadelphia Ave
Mifflin Center
Shillington, PA 19607-2764 - Nursing home name
- MIFFLIN CENTER
- Affiliated entity
- GENESIS HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Mifflin Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 136
- Chain
- Genesis Healthcare
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 18
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 |
|---|---|---|---|
| Mark Elliot Wagner | Operational/Managerial Control | Jan 1, 2000 | |
| Adp of the SNF | Feb 4, 2025 | ||
| Laura Bridgeford | Corporate Officer | May 1, 2024 | 100% |
| Genesis PA Holdings LLC | 5% Or Greater Direct Ownership Interest | Aug 20, 2007 | 100% |
| HCCF Management Group XI LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 14.69% |
| Gen Operations I LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Maria Wagner | Operational/Managerial Control | Feb 3, 1997 | |
| Adp of the SNF | Feb 4, 2025 | ||
| Gen Operations II LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| FC-Gen Operations Investment LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Genesis Operations LLC | 5% Or Greater Indirect Ownership Interest | Aug 20, 2007 | 100% |
| Genesis Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Sun Healthcare Group Inc | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 65.3% |
| Arnold M Whitman | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 17.38% |
| Genesis Healthcare Inc. (Publicly Traded) | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Zac Properties XI LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 7.6% |
| Steven E Fishman | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 11.02% |
| Avi Pinchas Mendelson | Corporate Officer | Jun 1, 2024 | 100% |
| Michael T Berg | Corporate Officer | Mar 2, 2015 | 100% |
| Genesis Holdings LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Reading, PA
- NPI 1033202502
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 169
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Abbeyville Skilled Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Lancaster, PA
- NPI 1467162172
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Zac Properties XI LLC
-
dba Dallastown Skilled Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Dallastown, PA
- NPI 1336859040
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Zac Properties XI LLC
-
dba Jersey Shore Skilled Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Jersey Shore, PA
- NPI 1063122778
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Zac Properties XI LLC
-
dba Quakertown Center
- Skilled Nursing Facility
- Quakertown, PA
- NPI 1588846893
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare LLC, Genesis Holdings LLC, Genesis Operations LLC, Genesis PA Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Zac Properties X
-
dba Chambersburg Skilled Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Chambersburg, PA
- NPI 1780394494
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Zac Properties XI LLC
-
dba Chapel Manor
- Skilled Nursing Facility
- Philadelphia, PA
- NPI 1346422748
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Zac Properties XI LLC
-
dba Wallingford Borough Skilled Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Wallingford, PA
- NPI 1417667130
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Zac Properties XI LLC
-
dba Hillcrest Center
- Skilled Nursing Facility
- Wyncote, PA
- NPI 1639351943
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare LLC, Genesis Holdings LLC, Genesis Operations LLC, Genesis PA Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Zac Properties X
-
dba Laurel Center
- Skilled Nursing Facility
- Hamburg, PA
- NPI 1356523666
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare LLC, Genesis Holdings LLC, Genesis Operations LLC, Genesis PA Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Zac Properties X
-
dba Camp Hill Skilled Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Camp Hill, PA
- NPI 1417667163
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Zac Properties XI LLC
-
dba Norriton Square Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Norristown, PA
- NPI 1851573174
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare LLC, Genesis Holdings LLC, Genesis Operations LLC, Genesis PA Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Zac Properties X
-
dba York North Skilled Nursing and Rehabilitation Center
- Skilled Nursing Facility
- York, PA
- NPI 1073223798
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Zac Properties XI LLC
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Reading, PA
- NPI 1033202502
Affiliated clinicians 6
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": "1196208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759708800000",
"number": "1063694370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E STATE ST",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193483109",
"telephone_number": "610-925-4436",
"fax_number": "610-925-4351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 PHILADELPHIA AVE",
"city": "SHILLINGTON",
"state": "PA",
"postal_code": "196072764",
"telephone_number": "610-777-7841",
"fax_number": "610-775-7198"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "500 EAST PHILADELPHIA AVENUE OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-28",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A",
"authorized_official_last_name": "BERG",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "610-444-6350"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "081002",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1025712900001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mifflin Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Shillington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.