Active NPI
Barnes-Kasson County Hospital
- Skilled Nursing Facility
- Susquehanna, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 020502
- Legal business name
- BARNES-KASSON COUNTY HOSPITAL
- Practice address
- 2872 Turnpike St
Susquehanna, PA 18847-2771 - Phone
- (570) 853-3135
- Fax
- (570) 853-3008
- NPI assigned
- Jul 17, 2006
- Last updated
- Dec 22, 2014
- 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
- Mrs. Sara Francis Adornato, ESQ.
- Title
- Executive Director
- Phone
- (570) 853-3135
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 020502 | PA | Primary |
Addresses
Primary practice location
2872 Turnpike St
Susquehanna, PA 18847-2771
Mailing address
2872 Turnpike St
Susquehanna, PA 18847-2771
Phone (570) 853-3135
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007276220011 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091203000217 | PA | Part A Provider - Skilled Nursing Facility | 1355318635 | Practice locations: Susquehanna, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1083632202. Details of each certification follow.
Skilled nursing facility certification: CCN 395285
- Legal name
- BARNES-KASSON COUNTY HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 2, 1970
- Last certification
- Jan 16, 2025
- Beds
- 58
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Barnes Kasson Hospital
- Organization structure
- Corporation
- Incorporated
- Feb 4, 1904 in PA
- Enrollment address
- 2872 Turnpike Street
Susquehanna, PA 18847-2771 - Nursing home name
- BARNES-KASSON COUNTY HOSPITAL
Other NPIs with the same Medicare PAC ID 6
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Family Health Clinic of Barnes Kasson Hospital
- Rural Health Clinic/Center
- New Milford, PA
- NPI 1497996037
1355318635
-
dba Family Health Clinic of Barnes Kasson Hospital
- Rural Health Clinic/Center
- Susquehanna, PA
- NPI 1821239385
1355318635
-
- Medicare Defined Swing Bed Hospital Unit
- Susquehanna, PA
- NPI 1871511949
1355318635
-
dba Family Health Clinic of Barnes Kasson Hospital
- Rural Health Clinic/Center
- Susquehanna, PA
- NPI 1962680256
1355318635
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Barnes-Kasson County Hospital
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Oct 2, 1970
- Medicare certification status
- Active
- Certified beds
- 58
National Provider Directory
National Provider Directory- Tax ID family
- Barnes Kasson County Hosp
Other organizations with this tax ID 13
Organizations that report the same tax identification number in the National Provider Directory.
-
- Voluntary or Charitable Agency
- Susquehanna, PA
- NPI 1174687420
-
- Critical Access Hospital
- Susquehanna, PA
- NPI 1174708424
-
- Ambulance
- Susquehanna, PA
- NPI 1194848945
-
- Ambulatory Surgical Clinic/Center
- Susquehanna, PA
- NPI 1245375369
-
dba Family Health Clinic of Barnes Kasson Hospital
- Dental Clinic/Center
- Susquehanna, PA
- NPI 1366683831
-
dba Family Health Clinic of Barnes Kasson Hospital
- Rural Health Clinic/Center
- New Milford, PA
- NPI 1497996037
-
dba Family Health Clinic of Barnes Kasson Hospital
- Clinic/Center
- Susquehanna, PA
- NPI 1558502831
-
- Critical Access Hospital
- Susquehanna, PA
- NPI 1639355456
-
- Rural Health Clinic/Center
- Honesdale, PA
- NPI 1659180388
-
- Multi-Specialty Clinic/Center
- Hallstead, PA
- NPI 1720573918
-
- Rural Health Clinic/Center
- Honesdale, PA
- NPI 1750190484
-
- Clinic/Center
- New Milford, PA
- NPI 1750524369
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/bkchosp-be195a39
Ownership & related parties
All disclosed owners & managing parties 13
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 |
|---|---|---|---|
| Donald Button | Corporate Director | Sep 1, 2021 | |
| Trustee of the SNF | Jul 1, 2024 | ||
| Sara Adornato | Corporate Officer | Jul 1, 2024 | |
| Adp of the SNF | Jul 1, 2024 | ||
| Bhupendra Patel | Operational/Managerial Control | Jul 1, 2024 | |
| Adp of the SNF | Feb 12, 2025 | ||
| Robert Page | Corporate Director | Oct 2, 2009 | |
| Trustee of the SNF | Jul 1, 2024 | ||
| Charles Aliano | Corporate Director | Jun 24, 2009 | |
| Trustee of the SNF | Jul 1, 2024 | ||
| Daniel L Coster | Corporate Director | Jul 1, 2025 | |
| Trustee of the SNF | Jul 1, 2025 | ||
| George Stover | Corporate Officer | Sep 1, 2021 | |
| Trustee of the SNF | Jul 1, 2024 | ||
| Kelli Kane | Corporate Officer | Jul 1, 2024 | |
| Adp of the SNF | Jul 1, 2024 | ||
| Patrick Ahearn | Corporate Director | Feb 11, 2011 | |
| Trustee of the SNF | Jul 1, 2024 | ||
| Wayne Memorial Health System Inc. | Operational/Managerial Control | Jul 1, 2024 | |
| Adp of the SNF | Jul 1, 2024 | ||
| Direct Ownership Interest | Jul 1, 2024 | 100% | |
| Kylie Slocum | Operational/Managerial Control | May 5, 2019 | |
| Adp of the SNF | Feb 12, 2025 | ||
| Joseph White | Corporate Director | Jul 1, 2020 | |
| Trustee of the SNF | Jul 1, 2024 | ||
| Rosaria Armetta | Corporate Director | Jul 1, 2020 | |
| Trustee of the SNF | Jul 1, 2024 |
Owners & managing parties with NPI records 3
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Emergency Medicine Physician
- Tunkhannock, PA
- NPI 1659394807
Corporate Director, Trustee of the SNF
-
- Internal Medicine Physician
- Susquehanna, PA
- NPI 1649216466
Adp of the SNF, Operational/Managerial Control
-
- Chiropractor
- Great Bend, PA
- NPI 1144322330
Corporate Officer, Trustee of the SNF
Facilities with the same owner 7
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Family Health Clinic of Barnes Kasson Hospital
- Rural Health Clinic/Center
- New Milford, PA
- NPI 1497996037
Wayne Memorial Health System Inc.
-
- Multi-Specialty Clinic/Center
- Hallstead, PA
- NPI 1720573918
Wayne Memorial Health System Inc.
-
dba Family Health Clinic of Barnes Kasson Hospital
- Rural Health Clinic/Center
- Susquehanna, PA
- NPI 1821239385
Wayne Memorial Health System Inc.
-
- Medicare Defined Swing Bed Hospital Unit
- Susquehanna, PA
- NPI 1871511949
Wayne Memorial Health System Inc.
-
- Critical Access Hospital
- Susquehanna, PA
- NPI 1932138161
Wayne Memorial Health System Inc.
-
dba Family Health Clinic of Barnes Kasson Hospital
- Rural Health Clinic/Center
- Susquehanna, PA
- NPI 1962680256
Wayne Memorial Health System Inc.
-
- Skilled Nursing Facility
- Waymart, PA
- NPI 1629075163
Wayne Memorial Health System Inc.
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Internal Medicine Physician
- Susquehanna, PA
- NPI 1649216466
-
- Internal Medicine Physician
- Susquehanna, PA
- NPI 1992749477
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": "1153094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1419206400000",
"number": "1083632202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2872 TURNPIKE ST",
"city": "SUSQUEHANNA",
"state": "PA",
"postal_code": "188472771",
"telephone_number": "570-853-3135",
"fax_number": "570-853-3008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2872 TURNPIKE ST",
"city": "SUSQUEHANNA",
"state": "PA",
"postal_code": "188472771",
"telephone_number": "570-853-3135",
"fax_number": "570-853-3008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARNES-KASSON COUNTY HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-17",
"last_updated": "2014-12-22",
"status": "A",
"authorized_official_last_name": "ADORNATO",
"authorized_official_first_name": "SARA",
"authorized_official_middle_name": "FRANCIS",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "570-853-3135",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "ESQ."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "020502",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007276220011",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Susquehanna, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.