Active NPI
Elm Terrace Gardens
- Assisted Living Facility
- Lansdale, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- A45280
- Legal business name
- ELM TERRACE GARDENS
- Practice address
- 660 N Broad St
Lansdale, PA 19446-2361 - Phone
- (215) 361-5664
- Fax
- (215) 361-5670
- NPI assigned
- Oct 2, 2006
- 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
- Mr. Robert Clark McLain, C.P.A.
- Title
- Vice President and Cfo
- Phone
- (215) 361-5664
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | A45280 | PA | Primary |
| Skilled Nursing Facility | 314000000X | 310802 | PA |
Addresses
Primary practice location
660 N Broad St
Lansdale, PA 19446-2361
Mailing address
660 N Broad St
Lansdale, PA 19446-2361
Phone (215) 361-5664
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54338 | Other | PA | AETNA PROVIDER # |
| 0005832000 | Other | PA | BLUE CROSS/KEYSTONE PROV# |
| 10081441140003 | 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 |
|---|---|---|---|---|
| O20120406000241 | PA | Part A Provider - Skilled Nursing Facility | 2769643345 | Practice locations: Lansdale, PA |
Skilled nursing facility certification: CCN 395507
- Legal name
- ELM TERRACE GARDENS
- Doing business as
- POWERBACK REHABILITATION
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 26, 1981
- Last certification
- Mar 27, 2025
- Beds
- 72
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Apr 23, 1979 in PA
- Enrollment address
- 660 North Broad Street
Lansdale, PA 19446-2361 - Nursing home name
- ELM TERRACE GARDENS
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Elm Terrace Gardens
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jun 26, 1981
- Medicare certification status
- Active
- Certified beds
- 72
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 |
|---|---|---|---|
| 39D0204229 | Elm Terrace Gardens | Certificate of waiver | Jul 27, 2027 |
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 |
|---|---|---|---|
| Craig S Covington | Corporate Director | Sep 28, 2021 | |
| Mary B Fuller | Corporate Director | Sep 24, 2024 | |
| James Michael Burns | Corporate Director | Jun 27, 2017 | |
| Diane C Messner | Corporate Director | Nov 22, 2022 | |
| Eric J Krathanzel | Corporate Director | Jan 23, 2018 | |
| Karen L. Rice | Corporate Director | Jun 27, 2023 | |
| Donald Helpa | Corporate Director | Sep 23, 2008 | |
| Harold Mathues | Corporate Director | Jun 23, 1987 | |
| Natalie Glantz | Corporate Director | Oct 24, 2017 | |
| Robert Parvin | Corporate Officer | Aug 29, 2016 | |
| Operational/Managerial Control | Aug 29, 2016 | ||
| Adp of the SNF | Aug 29, 2016 | ||
| John Parola | Corporate Director | Mar 22, 2016 | |
| Linsay Wagner | Corporate Officer | Oct 23, 2018 | |
| Operational/Managerial Control | Oct 23, 2025 | ||
| Adp of the SNF | Oct 23, 2018 | ||
| Timothy Murphy | Corporate Officer | Nov 18, 2011 | |
| Operational/Managerial Control | Nov 18, 2011 | ||
| Adp of the SNF | Nov 18, 2011 | ||
| Madeeha Hafeez | Operational/Managerial Control | Oct 27, 2025 | |
| Adp of the SNF | Oct 27, 2025 | ||
| Craig Campbell | Corporate Director | Jun 28, 2016 | |
| Matthew Phillips | Operational/Managerial Control | Jun 1, 2023 | |
| Adp of the SNF | Jun 1, 2023 | ||
| Kathryn Sonia Tatum | Corporate Director | Mar 26, 2013 | |
| Jennifer J Meyers | Corporate Officer | Feb 21, 2023 | |
| Operational/Managerial Control | Feb 21, 2023 | ||
| Adp of the SNF | Feb 21, 2023 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- North Wales, PA
- NPI 1568841021
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- North Wales, PA
- NPI 1568841021
-
- Internal Medicine Physician
- Allentown, PA
- NPI 1164686853
Affiliated clinicians 1
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": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1083707178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 N BROAD ST",
"city": "LANSDALE",
"state": "PA",
"postal_code": "194462361",
"telephone_number": "215-361-5664",
"fax_number": "215-361-5670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 N BROAD ST",
"city": "LANSDALE",
"state": "PA",
"postal_code": "194462361",
"telephone_number": "215-361-5664",
"fax_number": "215-361-5670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELM TERRACE GARDENS",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "MCLAIN",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "CLARK",
"authorized_official_title_or_position": "VICE PRESIDENT AND CFO",
"authorized_official_telephone_number": "215-361-5664",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "C.P.A."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "PA",
"license": "A45280",
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "310802",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER #",
"identifier": "54338",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/KEYSTONE PROV#",
"identifier": "0005832000",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10081441140003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lansdale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.