Active NPI
Community Welfare Council of Newtown
- Skilled Nursing Facility
- Newtown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 160802
- Legal business name
- COMMUNITY WELFARE COUNCIL OF NEWTOWN
- Practice address
- 226 N Lincoln Ave
Newtown, PA 18940-2216 - Phone
- (215) 968-3878
- Fax
- (215) 968-8894
- NPI assigned
- Jun 16, 2005
- 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. Donna Clark
- Title
- Administrator
- Phone
- (215) 968-3878
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 160802 | PA | Primary |
Addresses
Primary practice location
226 N Lincoln Ave
Newtown, PA 18940-2216
Mailing address
226 N Lincoln Ave
Newtown, PA 18940-2216
Phone (215) 968-3878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007507710002 | Medicaid | PA |
Other names 1
- Pickering Manor Home
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121011000012 | PA | Part A Provider - Skilled Nursing Facility | 6002065836 | Practice locations: Newtown, PA |
Skilled nursing facility certification: CCN 395597
- Legal name
- COMMUNITY WELFARE COUNCIL OF NEWTOWN
- Doing business as
- PICKERING MANOR HOME
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1984
- Last certification
- Oct 31, 2024
- Beds
- 47
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- May 12, 1953 in PA
- Enrollment address
- 226 N Lincoln Avenue
Pickering Manor Home
Newtown, PA 18940-2216 - Nursing home name
- PICKERING MANOR HOME
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Pickering Manor Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jan 1, 1984
- Medicare certification status
- Active
- Certified beds
- 47
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 |
|---|---|---|---|
| 39D0193860 | Pickering Manor Home | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 2
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 |
|---|---|---|---|
| David Woodhead | Corporate Director | Jul 1, 2010 | 100% |
| W-2 Managing Employee | Jul 1, 2010 | 100% | |
| Claudia Knobloch | Corporate Officer | Jul 1, 2010 | 100% |
| W-2 Managing Employee | Jul 1, 2010 | 100% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Langhorne, PA
- NPI 1386792398
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Levittown, PA
- NPI 1013064377
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1124023148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 N LINCOLN AVE",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189402216",
"telephone_number": "215-968-3878",
"fax_number": "215-968-8894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "226 N LINCOLN AVE",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189402216",
"telephone_number": "215-968-3878",
"fax_number": "215-968-8894"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY WELFARE COUNCIL OF NEWTOWN",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "DONNA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "215-968-3878",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "160802",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007507710002",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pickering Manor Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.