NPIMap

Organization Active NPI

Humangood Pennsylvania

Doing business as Rydal Park Medical Center

  • Skilled Nursing Facility
  • Jenkintown, PA
National Provider Identifier
1184619736
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
182102 Issued in PA
Legal business name
HUMANGOOD PENNSYLVANIA
Doing business as
Rydal Park Medical Center
Practice address
1515 The Fairway
Jenkintown, PA 19046-1435
Phone
(215) 885-6800
Fax
(215) 885-4560
NPI assigned
Sep 20, 2005
Last updated
Jun 2, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
HUMANGOOD PENNSYLVANIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Authorized official

Name
Gwen Ellen Vangelisto
Title
Director of Accounts Receivable
Phone
(949) 463-0893

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Skilled Nursing Facility 314000000X 182102 PA Primary

Addresses

Primary practice location

1515 The Fairway
Jenkintown, PA 19046-1435

Mailing address

2000 Joshua Road
Lafayette Hill, PA 19444-2430
Phone (610) 828-4848

Other identifiers 1

IdentifierTypeStateIssuer
1007453170003MedicaidPA

Other names 1

  • Rydal Park Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040422000605 PA Part B Supplier - Clinic/Group Practice 3577559038 Receives reassigned benefits from 3 practitioners
Practice locations: Rydal, PA
O20090901000045 PA Part A Provider - Skilled Nursing Facility 3577559038 Practice locations: Rydal, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184619736. Details of each certification follow.

Skilled nursing facility certification: CCN 395321

Legal name
HUMANGOOD PENNSYLVANIA
Doing business as
RYDAL PARK OF PHILADELPHIA PRESBYTERY HOMES, INC.
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 25, 1974
Last certification
Mar 6, 2025
Beds
114
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Humangood
Organization structure
CorporationNon-profit
Enrollment address
1515 The Fairway
Rydal, PA 19046-1435
Nursing home name
RYDAL PARK OF PHILADELPHIA PRESBYTERY HOMES, INC
Affiliated entity
HUMANGOOD

Care Compare: Nursing home

Medicare Care Compare
Listed as
Rydal Park of Philadelphia Presbytery Homes, IncCCN 395321 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Oct 25, 1974
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
114101.9 residents per day on average
Chain
Humangood17 facilities in the chain

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
39D0670680Rydal Park1515 The Fairway, Rydal, PA 19046Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Cardiology Rydal Park4 organizations share this tax ID, including this one
Part of
Cardiology Rydal Park

Other organizations with this tax ID 3

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

Locations

2000 Joshua Rd
Lafayette Hl, PA 19444

Ownership & related parties

All disclosed owners & managing parties 31

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

NameRoleSinceShare
Organization, Johnston, RI Corporation Adp of the SNF Jan 29, 2014
Susan Bankert Individual Adp of the SNF Sep 12, 2024
Hal Hockfield Individual Operational/Managerial Control Jul 1, 2010
Adp of the SNF Jul 1, 2010
Organization, Portland, OR LLC Adp of the SNF Mar 27, 2017
William J Battison Individual Corporate DirectorBoard Member May 1, 2016
Operational/Managerial Control May 1, 2016
Robert Lohoefer Individual Operational/Managerial Control Jan 5, 2026
Adp of the SNF Jan 5, 2026
Alan Griffith Individual Corporate DirectorBoard Member Jun 30, 2019
Operational/Managerial Control Jun 30, 2019
Baker Tilly US LLP Organization, Madison, WI Adp of the SNF Oct 15, 2024
Albert W Kelley Individual Corporate DirectorBoard Member May 1, 2016
Operational/Managerial Control May 1, 2016
Humangood Pennsylvania Organization, Lafayette Hill, PA Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 30, 2019 100%
Operational/Managerial Control Dec 6, 2010
Adp of the SNF Dec 6, 2010
Randy Barge Individual Corporate DirectorBoard Member Jun 30, 2019
Operational/Managerial Control Jun 30, 2019
Nancy Muth Individual Corporate DirectorBoard Member Nov 5, 2019
Operational/Managerial Control Nov 5, 2019
John H. Cochrane Individual Corporate OfficerCeo Aug 10, 2009
Operational/Managerial Control Jun 30, 2019
Kenneth G McKeown Individual Corporate DirectorBoard Member Jun 30, 2019
Operational/Managerial Control Jun 30, 2019
The Bank of New York Mellon Corporation Organization, New York, NY Corporation 5% Or Greater Security Interest Oct 1, 2017 42%
Adp of the SNF Oct 1, 2017
Humangood Norcal Organization, Duarte, CA Corporation, Non-profit Operational/Managerial Control Jul 1, 2019
Adp of the SNF Jul 1, 2019
Michelle M Holmes Individual Corporate DirectorBoard Member Jun 30, 2019
Operational/Managerial Control Jun 30, 2019
Judith D Baker Individual Corporate DirectorBoard Member May 1, 2016
Operational/Managerial Control May 1, 2016
Humangood East Organization, Madison, WI Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 11, 1966 100%
Adp of the SNF Aug 11, 1966
Herman Declan Brown Individual Corporate OfficerSecretary Jun 30, 2019
Corporate DirectorBoard Member Jun 30, 2019
Operational/Managerial Control Jun 30, 2019
Bethany J Ghassemi Individual Corporate OfficerAssistant Secretary May 28, 2019
Operational/Managerial Control Jun 30, 2019
Gwen Vangelisto Individual Operational/Managerial Control Aug 30, 2021
Adp of the SNF Aug 30, 2021
Baker Tilly Advisory Group LP Organization, Madison, WI Adp of the SNF Mar 21, 2025
Carisa Livingston Individual Operational/Managerial Control Nov 18, 2025
Adp of the SNF Nov 18, 2025
Daniel Ogus Individual Corporate OfficerExecutive VP Coo Jun 30, 2019
Operational/Managerial Control Jun 30, 2019
Andrew McDonald Individual Corporate OfficerCfo Jan 1, 2020
Operational/Managerial Control Jan 1, 2020
Humangood Organization, Duarte, CA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jun 30, 2019 100%
Adp of the SNF Jun 30, 2019
Individual Adp of the SNF Sep 4, 2024
Harry G Dittman Individual Corporate DirectorBoard Member Jun 30, 2019
Operational/Managerial Control Jun 30, 2019
Humangood Cornerstone Organization, Duarte, CA Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 30, 2019 100%
Adp of the SNF Jun 30, 2019
George Robert Overhiser Individual Corporate DirectorBoard Member Jun 30, 2019
Operational/Managerial Control Jun 30, 2019

Owners & managing parties with NPI records 7

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

  • Hal S Hockfield, MD
    • Internal Medicine Physician
    • Abington, PA
    • NPI 1477559920

    Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Humangood Norcal

    dba The Terraces at Los Altos Health Facility

    • Skilled Nursing Facility
    • Los Altos, CA
    • NPI 1083795595

    Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Humangood Norcal

    dba Valle Verde

    • Skilled Nursing Facility
    • Santa Barbara, CA
    • NPI 1255412763

    Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Humangood Norcal

    dba Piedmont Gardens

    • Skilled Nursing Facility
    • Oakland, CA
    • NPI 1437230943

    Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Humangood Norcal

    dba Terraces of Los Gatos

    • Skilled Nursing Facility
    • Los Gatos, CA
    • NPI 1659356111

    Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Humangood Norcal

    dba Rosewood

    • Skilled Nursing Facility
    • Bakersfield, CA
    • NPI 1700967213

    Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Humangood Norcal

    dba Plymouth Village

    • Skilled Nursing Facility
    • Redlands, CA
    • NPI 1982789343

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 16

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

View all 16

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 12

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": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1184619736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 JOSHUA ROAD",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194442430",
            "telephone_number": "610-828-4848",
            "fax_number": "610-834-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 THE FAIRWAY",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190461435",
            "telephone_number": "215-885-6800",
            "fax_number": "215-885-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMANGOOD PENNSYLVANIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HUMANGOOD PENNSYLVANIA",
        "enumeration_date": "2005-09-20",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "VANGELISTO",
        "authorized_official_first_name": "GWEN",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "DIRECTOR OF ACCOUNTS RECEIVABLE",
        "authorized_official_telephone_number": "949-463-0893"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "182102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007453170003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rydal Park Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rydal Park Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jenkintown, PA

Sources for this page

Verify at the official NPI Registry.