NPIMap

Organization Active NPI

Presbyterian Homes Inc

Doing business as Kirkland Village

  • Skilled Nursing Facility
  • Bethlehem, PA
National Provider Identifier
1164416491
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
055402 Issued in PA
Legal business name
PRESBYTERIAN HOMES INC
Doing business as
Kirkland Village
Practice address
1 Kirkland Village Cir
Bethlehem, PA 18017-4797
Phone
(717) 502-8985
Fax
(717) 502-8842
NPI assigned
Sep 1, 2005
Last updated
Jul 1, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
PHIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Authorized official

Name
Mrs. Donna B Casner
Title
VP/Controller
Phone
(717) 502-8922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 055402 PA Primary

Addresses

Primary practice location

1 Kirkland Village Cir
Bethlehem, PA 18017-4797

Mailing address

1 Trinity Dr E
Suite201
Dillsburg, PA 17019-8522
Phone (717) 502-8840

Other names 1

  • Kirkland Village Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081223000551 PA Part A Provider - Skilled Nursing Facility 5092729723 Practice locations: Bethlehem, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164416491. Details of each certification follow.

Skilled nursing facility certification: CCN 395916

Legal name
PRESBYTERIAN HOMES INC.
Doing business as
KIRKLAND VILLAGE
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Jan 6, 1994
Last certification
Sep 12, 2024
Beds
60
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 31, 1997 in PA
Enrollment address
1 Kirkland Village Cir
Bethlehem, PA 18017-4797
Nursing home name
KIRKLAND VILLAGE
Affiliated entity
PRESBYTERIAN SENIOR LIVING

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Kirkland VillageCCN 395916 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
Non profit - Corporation
Certified
Jan 6, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6038.8 residents per day on average
Chain
Presbyterian Senior Living11 facilities in the chain
Penalties (3 years)
1Fines totaling $21,645

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Forest Park Health Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1 Kirkland Village Cir
Ofc
Bethlehem, PA 18017

1 Kirkland Vlg
Bethlehem, PA 18017
Phone (610) 691-4500

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Susan Reimann Individual Corporate Officer Jan 1, 2023
Corporate DirectorBoard Member Jan 1, 2016
Dyan McAlister Individual Corporate OfficerCfo/Senior VP Dec 17, 2016
Daniel Krieger Individual Corporate Officer Jan 1, 2024
Danny Davis Individual Corporate Officer Apr 21, 2018
Cheryl Rhodes Individual Corporate Director Jan 1, 2024
Melissa Vinette-Clay Individual W-2 Managing EmployeeDirector of Accounts Receivable Apr 19, 2010
Brenda Elliott Individual Corporate DirectorBoard Member Jan 1, 2022
Joseph M Kinard Individual Corporate Officer Jan 1, 2023
Corporate DirectorBoard Member Jan 1, 2021
James Birdsall Individual Corporate DirectorBoard Member Jan 1, 2023
Cynthia Hoffman Individual Corporate OfficerVice President of Finance Jun 2, 2021
Lawrence Chottiner Individual Corporate DirectorBoard Member Jan 1, 2023
Sharon Kelly Individual Corporate DirectorBoard Member Jan 1, 2011
Jennifer Shropshire Individual Corporate DirectorBoard Member Jun 1, 2017
Joseph Seibert Individual Corporate Director Jan 1, 2023
Terry Goldstein Individual Corporate DirectorBoard Member Jan 1, 2018
Beverly Wickline Individual Corporate Officer Jan 1, 2020
Stuart Paxton Individual Corporate DirectorBoard Member Jan 1, 2019
Nicole Bowser Individual W-2 Managing EmployeeFinance Attorney Aug 1, 2011
William Scott Individual Corporate DirectorBoard Member Jan 1, 2022
Phi Organization, Dillsburg, PA Corporation, Management services company, Non-profit 5% Or Greater Direct Ownership Interest Sep 21, 2008
Robyn I Stone Individual Corporate DirectorBoard Member Jan 1, 2016

Facilities with the same owner 10

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

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1164416491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TRINITY DR E",
            "address_2": "SUITE201",
            "city": "DILLSBURG",
            "state": "PA",
            "postal_code": "170198522",
            "telephone_number": "717-502-8840",
            "fax_number": "717-502-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KIRKLAND VILLAGE CIR",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180174797",
            "telephone_number": "717-502-8985",
            "fax_number": "717-502-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESBYTERIAN HOMES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHI",
        "enumeration_date": "2005-09-01",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "CASNER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "VP/CONTROLLER",
        "authorized_official_telephone_number": "717-502-8922",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "055402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kirkland Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.