Organization Active NPI

Elm Terrace Gardens

  • Assisted Living Facility
  • Lansdale, PA
National Provider Identifier
1083707178
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
A45280 Issued in PA
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
54338OtherPAAETNA PROVIDER #
0005832000OtherPABLUE CROSS/KEYSTONE PROV#
10081441140003MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 GardensCCN 395507
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jun 26, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7265.6 residents per day on average

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
39D0204229Elm Terrace Gardens660 North Broad Street, Lansdale, PA 19446Certificate of waiverJul 27, 2027

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Craig S Covington Individual Corporate DirectorBoard Member Sep 28, 2021
Mary B Fuller Individual Corporate DirectorBoard Member Sep 24, 2024
James Michael Burns Individual Corporate DirectorBoard Member Jun 27, 2017
Diane C Messner Individual Corporate DirectorBoard Member Nov 22, 2022
Eric J Krathanzel Individual Corporate DirectorBoard Member Jan 23, 2018
Karen L. Rice Individual Corporate DirectorBoard Member Jun 27, 2023
Donald Helpa Individual Corporate DirectorBoard Member Sep 23, 2008
Harold Mathues Individual Corporate DirectorBoard Member Jun 23, 1987
Natalie Glantz Individual Corporate DirectorBoard Member Oct 24, 2017
Robert Parvin Individual Corporate OfficerCoo/Nursing Home Administrator Aug 29, 2016
Operational/Managerial Control Aug 29, 2016
Adp of the SNF Aug 29, 2016
John Parola Individual Corporate DirectorBoard Member Mar 22, 2016
Linsay Wagner Individual Corporate OfficerDir. of Resident Services/Complianc Oct 23, 2018
Operational/Managerial Control Oct 23, 2025
Adp of the SNF Oct 23, 2018
Timothy Murphy Individual Corporate OfficerPresident and Ceo Nov 18, 2011
Operational/Managerial Control Nov 18, 2011
Adp of the SNF Nov 18, 2011
Madeeha Hafeez Individual Operational/Managerial Control Oct 27, 2025
Adp of the SNF Oct 27, 2025
Craig Campbell Individual Corporate DirectorBoard Member Jun 28, 2016
Matthew Phillips Individual Operational/Managerial Control Jun 1, 2023
Adp of the SNF Jun 1, 2023
Kathryn Sonia Tatum Individual Corporate DirectorBoard Member Mar 26, 2013
Jennifer J Meyers Individual Corporate OfficerFinancial Controller 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.

Practitioners & affiliated clinicians

Practitioners 2

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

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

Verify at the official NPI Registry.