Organization Active NPI

Quality Life Services - Westmont, LLC

  • Skilled Nursing Facility
  • Johnstown, PA
National Provider Identifier
1194590893
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
QUALITY LIFE SERVICES - WESTMONT, LLC
Practice address
787 Goucher St
Johnstown, PA 15905-3028
Phone
(814) 255-5539
NPI assigned
Nov 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Authorized official

Name
Steven D. Tack
Title
President/Ceo
Phone
(724) 431-0770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

787 Goucher St
Johnstown, PA 15905-3028

Mailing address

612 N Main St
Butler, PA 16001-4363
Phone (724) 431-0770

Other names 1

  • Quality Life Services - Westmont Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250919000816 PA Part A Provider - Skilled Nursing Facility 1355845595 Practice locations: Johnstown, PA

Skilled nursing facility certification: CCN 396132

Legal name
QUALITY LIFE SERVICES - WESTMONT, LLC
Doing business as
QUALITY LIFE SERVICES - WESTMONT
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 2011
Last certification
Feb 20, 2025
Beds
41
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Quality Life Services
Organization structure
LLCProprietary
Enrollment address
787 Goucher Street
Johnstown, PA 15905-3028
Nursing home name
QUALITY LIFE SERVICES - WESTMONT
Affiliated entity
QUALITY LIFE SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Quality Life Services - WestmontCCN 396132
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 1, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4137.3 residents per day on average
Chain
Quality Life Services10 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
39D0894145Quality Life Services - Westmont787 Goucher Street, Johnstown, PA 15905Certificate of waiverNov 7, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Tonia M Kania Individual Adp of the SNF Nov 1, 2024
Emily Reckner Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Sugar Creek Rest, Inc Organization, Butler, PA Corporation Adp of the SNF Mar 5, 2026
Steven D Tack Irrevocable Trust Organization, Butler, PA Adp of the SNF Mar 5, 2026
Mary Susan Tack-Yurek Irrevocable Trust Organization, Butler, PA Adp of the SNF Mar 5, 2026
Encova Mutual Insurance Group Inc Organization, Columbus, OH Financial institution Adp of the SNF Mar 5, 2026
Susan Tack Beardsley Irrevocable Trust Organization, Butler, PA Adp of the SNF Mar 5, 2026
First National Insurance Agency Organization, Pittsburgh, PA Financial institution Adp of the SNF Mar 5, 2026
Christine Carter Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Susan E Tack-Beardsley Individual Operational/Managerial Control Nov 1, 2024
Westmont Woods, LP Organization, Butler, PA Adp of the SNF Nov 1, 2024
Lisa Stafford Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Mary S Tack-Yurek Individual Operational/Managerial Control Nov 1, 2024
Tack Family Ventures LLC Organization, Butler, PA LLC Adp of the SNF Mar 5, 2026
Patrick Michael Gray Individual Adp of the SNF Nov 1, 2024
Holsinger PC Organization, Wexford, PA Corporation, Consulting firm Adp of the SNF Nov 1, 2024
Steven D Tack Individual Operational/Managerial Control Nov 1, 2024
Bonnie Lopiccolo Individual Corporate DirectorDirector of Revenue Cycle May 5, 2025
Adp of the SNF May 5, 2025
Michael Markivich Individual Corporate OfficerChief Financial Officer Nov 1, 2024

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1700611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1194590893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 N MAIN ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014363",
            "telephone_number": "724-431-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 GOUCHER ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159053028",
            "telephone_number": "814-255-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY LIFE SERVICES - WESTMONT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "TACK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "724-431-0770"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality Life Services - Westmont",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.