Organization Active NPI

Ivory Wellness Center LLC

  • Skilled Nursing Facility
  • Norristown, PA
National Provider Identifier
1114810058
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
IVORY WELLNESS CENTER LLC
Practice address
2004 Old Arch Rd
Norristown, PA 19401-2008
Phone
(610) 277-0380
Fax
(610) 277-7415
NPI assigned
May 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Abraham Kraus
Title
Manager
Phone
(917) 474-7967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2004 Old Arch Rd
Norristown, PA 19401-2008

Mailing address

2004 Old Arch Rd
Norristown, PA 19401-2008
Phone (610) 277-0380

Other names 1

  • Ivory Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250908000126 PA Part A Provider - Skilled Nursing Facility 0749782969 Practice locations: Norristown, PA

Skilled nursing facility certification: CCN 395446

Legal name
IVORY WELLNESS CENTER LLC
Doing business as
IVORY WELLNESS CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 28, 1979
Last certification
Oct 31, 2024
Beds
120
Ownership / control type
Individual
Multi-facility organization
Paramount Care Centers
Organization structure
LLCProprietary
Enrollment address
2004 Old Arch Rd
Norristown, PA 19401-2008
Nursing home name
IVORY WELLNESS CENTER
Affiliated entity
PARAMOUNT CARE CENTERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Ivory Wellness CenterCCN 395446
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Jun 28, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120112.6 residents per day on average
Chain
Paramount Care Centers10 facilities in the chain
Penalties (3 years)
1Fines totaling $25,324

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
39D0203741Ivory Wellness Center2004 Old Arch Road, Norristown, PA 19401Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Bankwell Organization, New Canaan, CT Financial institution Adp of the SNF May 1, 2025
Onyx Ivory Propco LLC Organization, Lakewood, NJ Management services company Adp of the SNF May 1, 2025
Paramount Care Centers LLC Organization, Lakewood, NJ LLC, Management services company Operational/Managerial Control May 1, 2025
Andrew Graf Individual Adp of the SNF May 1, 2025
Lorena Peake Individual Operational/Managerial Control May 1, 2025
Adp of the SNF May 1, 2025
Abraham Kraus Individual 5% Or Greater Direct Ownership Interest May 1, 2025 67%
Adp of the SNF May 1, 2025
Sam Reich Individual Operational/Managerial Control May 1, 2025
Adp of the SNF May 1, 2025
Michael Czermek Individual 5% Or Greater Direct Ownership Interest May 1, 2025 25%
Adp of the SNF May 1, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational 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.

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": "1748563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1114810058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 OLD ARCH RD",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194012008",
            "telephone_number": "610-277-0380",
            "fax_number": "610-277-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 OLD ARCH RD",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194012008",
            "telephone_number": "610-277-0380",
            "fax_number": "610-277-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVORY WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "KRAUS",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "917-474-7967"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ivory Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norristown, PA

Sources for this page

Verify at the official NPI Registry.