NPIMap

Organization Active NPI

DLP Conemaugh Memorial Medical Center LLC

Doing business as Conemaugh Memorial Medical Center Transitional Care Unit

  • Skilled Nursing Facility
  • Johnstown, PA
National Provider Identifier
1164509261
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
035601 Issued in PA
Legal business name
DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC
Doing business as
Conemaugh Memorial Medical Center Transitional Care Unit
Memorial Medical Center Transitional Care Unit
Practice address
320 Main St
Johnstown, PA 15901-1601
Phone
(814) 534-6111
Fax
(814) 534-6114
NPI assigned
Nov 1, 2006
Last updated
Apr 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Charlotte Lawrence
Title
Secretary
Phone
(615) 920-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 035601 PA Primary

Addresses

Primary practice location

320 Main St
Johnstown, PA 15901-1601

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-4536
Phone (615) 920-7000

Other identifiers 2

IdentifierTypeStateIssuer
250965307OtherPAMISC/COMMERCIAL TCU
0443OtherPABLUE CROSS TCU

Other names 2

  • Conemaugh Memorial Medical Center Transitional Care Unit Doing business as
  • Memorial Medical Center Transitional Care Unit Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.conemaugh.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141002000068 PA Part A Provider - Skilled Nursing Facility 8022238682 Practice locations: Johnstown, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164509261. Details of each certification follow.

Skilled nursing facility certification: CCN 396102

Legal name
DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC
Doing business as
CONEMAUGH MEMORIAL MEDICAL CENTER TRANSITIONAL CARE UNIT
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Jan 11, 2006
Last certification
Feb 20, 2025
Beds
30
Ownership / control type
Corporation
Multi-facility organization
Duke Lifepoint Conemaugh Memorial Medical Center
Organization structure
LLCProprietary
Incorporated
May 28, 2014 in DE
Enrollment address
320 Main Street
Johnstown, PA 15901-1601
Nursing home name
CONEMAUGH MEMORIAL MEDICAL CENTER TCU
Affiliated entity
LIFEPOINT HEALTH

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Conemaugh Memorial Medical Center TcuCCN 396102 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
For profit - Corporation
Certified
Jan 11, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3020.2 residents per day on average
Chain
Lifepoint Health8 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
DLP Conemaugh Memorial Medical Center LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
DSB Acquisition LLC Organization, New York, NY LLC, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Nov 16, 2018 97%
Rodney D Reider Individual Corporate OfficerMarket President/Hospital Ceo Feb 20, 2023
W-2 Managing Employee Feb 20, 2023
Elmer B Polite Individual Corporate OfficerPresident Jun 1, 2023
Lifepoint Health Inc Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Nov 16, 2018 97%
Marcus B Poppell Individual Corporate OfficerSenior Vice President Nov 16, 2018
Charlotte E Lawrence Individual Corporate OfficerSecretary Mar 24, 2022
DLP Partner LLC Organization, Brentwood, TN LLC, Management services company Operational/Managerial Control Sep 1, 2014
Loren Rials Individual Corporate OfficerChief Financial Officer Nov 16, 2023
DLP Conemaugh Holding Company LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest May 28, 2014 100%
John Michael Grooms Individual Corporate OfficerSr Vice President and Treasurer Nov 16, 2018
DLP Lima Partner, LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 18, 2019 97%
Christopher J Monte Individual Corporate OfficerVice President May 28, 2014
Lima Holdco LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 18, 2019 97%

Facilities with the same owner 87

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

View all 87

Practitioners & affiliated clinicians

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1164509261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274536",
            "telephone_number": "615-920-7000",
            "fax_number": "615-920-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MAIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011601",
            "telephone_number": "814-534-6111",
            "fax_number": "814-534-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "035601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISC/COMMERCIAL TCU",
            "identifier": "250965307",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS TCU",
            "identifier": "0443",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.conemaugh.org",
            "affiliation": "N",
            "address_1": "320 Main St",
            "city": "Johnstown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "159011601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Conemaugh Memorial Medical Center Transitional Care Unit",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Memorial Medical Center Transitional Care Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.