Active NPI
Pleasant Ridge Manor
- Skilled Nursing Facility
- Girard, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 311002
- Legal business name
- PLEASANT RIDGE MANOR
- Practice address
- 8300 Ridge Rd
Girard, PA 16417-8701 - Phone
- (814) 474-5521
- Fax
- (814) 474-9253
- NPI assigned
- Oct 3, 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
- Mr. Robert V Smith, NHA
- Title
- Executive Director
- Phone
- (814) 474-5521
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 311002 | PA | Primary |
| Skilled Nursing Facility | 314000000X | 050902 | PA |
Addresses
Primary practice location
8300 Ridge Rd
Girard, PA 16417-8701
Mailing address
8300 Ridge Rd
Girard, PA 16417-8701
Phone (814) 474-5521
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0536 | Other | PA | BLUE CROSS |
| 1007744350006 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
Skilled nursing facility certification: CCN 395361
- Legal name
- PLEASANT RIDGE MANOR
- Doing business as
- SYMBRIA REHAB, AN HVA SENIOR LIVING ALLIANCE PARTNER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1986
- Last certification
- Jul 31, 2024
- Beds
- 300
- Ownership / control type
- County
- Organization structure
- Corporation
- Incorporated
- Jul 26, 1976 in PA
- Enrollment address
- 8300 West Ridge Road
Girard, PA 16417-8701 - Nursing home name
- PLEASANT RIDGE MANOR EAST/WEST
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Pleasant Ridge Manor East/West
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Government - County
- Certified
- Jul 1, 1986
- Medicare certification status
- Active
- Certified beds
- 300
- Penalties (3 years)
- 1
National Provider Directory
National Provider Directory- Tax ID family
- Pleasant Ridge Manor
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Girard, PA
- NPI 1376659748
Ownership & related parties
All disclosed owners & managing parties 25
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 |
|---|---|---|---|
| Rock Copeland | Managing Control - Governing Body | Jan 1, 2024 | |
| Trustee of the SNF | Jan 1, 2024 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Samuel C Bayle | Managing Control - Governing Body | Jan 1, 2022 | |
| Trustee of the SNF | Jan 1, 2022 | ||
| Adp of the SNF | Jan 1, 2022 | ||
| Christian J Schultz | Operational/Managerial Control | Jan 7, 2014 | |
| Adp of the SNF | Jan 7, 2014 | ||
| Rhonda K Bienio | Operational/Managerial Control | Jun 14, 2022 | |
| Adp of the SNF | Jun 14, 2022 | ||
| Adp of the SNF | Apr 2, 2025 | ||
| Bradley W Donor | Corporate Officer | Jun 1, 2022 | |
| Operational/Managerial Control | Jun 1, 2022 | ||
| Adp of the SNF | Jun 1, 2022 | ||
| Rebekah Glander | Operational/Managerial Control | Aug 30, 2022 | |
| Adp of the SNF | Aug 30, 2022 | ||
| Adp of the SNF | Apr 2, 2025 | ||
| Pleasant Ridge Manor | Operational/Managerial Control | May 17, 1976 | |
| Adp of the SNF | May 16, 2025 | ||
| Christopher T Drexel | Managing Control - Governing Body | Jan 1, 2024 | |
| Trustee of the SNF | Jan 1, 2024 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Adp of the SNF | Apr 2, 2025 | ||
| Emma J Trump | Operational/Managerial Control | Nov 3, 2023 | |
| Adp of the SNF | Nov 3, 2023 | ||
| Lee a Krahe | Operational/Managerial Control | Jul 11, 2007 | |
| Adp of the SNF | Jul 11, 2007 | ||
| Adp of the SNF | Apr 2, 2025 | ||
| Mark R Horton | Operational/Managerial Control | Apr 18, 2023 | |
| Adp of the SNF | Apr 18, 2023 | ||
| Michael E Anderson | Operational/Managerial Control | Jun 9, 2014 | |
| Adp of the SNF | Jun 9, 2014 | ||
| Andre Horton | Managing Control - Governing Body | Jan 1, 2014 | |
| Trustee of the SNF | Jan 1, 2014 | ||
| Adp of the SNF | Jan 1, 2014 | ||
| Adp of the SNF | Apr 2, 2025 | ||
| Craig J Heuser | Operational/Managerial Control | May 2, 2022 | |
| Adp of the SNF | May 2, 2022 | ||
| Ellen Schauerman | Managing Control - Governing Body | Jan 1, 2020 | |
| Trustee of the SNF | Jan 1, 2020 | ||
| Adp of the SNF | Jan 1, 2020 | ||
| James F Winarski | Managing Control - Governing Body | Jan 1, 2022 | |
| Trustee of the SNF | Jan 1, 2022 | ||
| Adp of the SNF | Jan 1, 2022 | ||
| Terry Scutella | Managing Control - Governing Body | Jan 1, 2021 | |
| Trustee of the SNF | Jan 1, 2021 | ||
| Adp of the SNF | Jan 1, 2021 | ||
| David C Lesseski | Operational/Managerial Control | Dec 31, 2020 | |
| Adp of the SNF | Dec 31, 2020 | ||
| Thomas K Lander | Operational/Managerial Control | Aug 1, 2022 | |
| Adp of the SNF | Aug 1, 2022 | ||
| Adp of the SNF | Jun 17, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Adult Medicine Physician
- Erie, PA
- NPI 1538165493
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Erie, PA
- NPI 1427076868
-
- Family Medicine Physician
- Erie, PA
- NPI 1982040168
-
- Adult Medicine Physician
- Erie, PA
- NPI 1538165493
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": "1128297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1144217332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8300 RIDGE RD",
"city": "GIRARD",
"state": "PA",
"postal_code": "164178701",
"telephone_number": "814-474-5521",
"fax_number": "814-474-9253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8300 RIDGE RD",
"city": "GIRARD",
"state": "PA",
"postal_code": "164178701",
"telephone_number": "814-474-5521",
"fax_number": "814-474-9253"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLEASANT RIDGE MANOR",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "814-474-5521",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "NHA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "311002",
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "050902",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0536",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007744350006",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Girard, 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.