NPIMap

Organization Active NPI

Willow Valley Communities

  • Skilled Nursing Facility
  • Lancaster, PA
National Provider Identifier
1194758151
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
077902 Issued in PA
Legal business name
WILLOW VALLEY COMMUNITIES
Practice address
675 Willow Valley SQ
Lancaster, PA 17602-4876
Phone
(717) 464-6130
Fax
(717) 464-6132
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Authorized official

Name
Mr. James Hostetter
Title
President of Board of Directors
Phone
(717) 464-2741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 077902 PA Primary

Addresses

Primary practice location

675 Willow Valley SQ
Lancaster, PA 17602-4876

Mailing address

675 Willow Valley SQ
Lancaster, PA 17602-4876
Phone (717) 464-2741

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100212000109 PA Part A Provider - Skilled Nursing Facility 9234048638 Practice locations: Lancaster, PA

Skilled nursing facility certification: CCN 395956

Legal name
WILLOW VALLEY COMMUNITIES
Doing business as
THE GLEN AT WILLOW VALLEY
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Jul 20, 1995
Last certification
Oct 18, 2024
Beds
280 (262 certified)
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 6, 1982 in PA
Enrollment address
675 Willow Valley Square
The Glen at Willow Valley
Lancaster, PA 17602-4876
Nursing home name
GLEN AT WILLOW VALLEY

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Glen at Willow ValleyCCN 395956
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
Non profit - Corporation
Certified
Jul 20, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
262232.0 residents per day on average

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
39D0915018Glen Willow Valley Manor North,the675 Willow Valley Square, Lancaster, PA 17602Certificate of waiverMay 15, 2028
39D2285676Glen Personal Care at Willow Valley the Comm675 Willow Valley Square, Lancaster, PA 17602Certificate of waiverJul 16, 2027

National Provider Directory

National Provider Directory

Locations

675 Willow Valley Sq
Lancaster, PA 17602
Phone (717) 464-6130

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Margaret Donegan Individual W-2 Managing EmployeeAdministrator Healthcare Nov 27, 2002
Jill E Gilbert Individual Corporate OfficerChair Board of Directors Apr 24, 2019
Susan B Allmond Individual Corporate Director May 1, 2022
Marvin Mashner Individual Corporate OfficerAssistant Treasurer - Bod May 1, 2022
John D Kemrer Individual Corporate DirectorBoard Member May 1, 2022
Elric C Gerner Individual Corporate OfficerAssistant Secretary - Bod May 1, 2022
Gerald T Grant Individual Corporate OfficerVice Chair - Bod May 1, 2022
Kendall Hunsicker Individual W-2 Managing EmployeeVice President of Healthcare Ser Nov 9, 1999
Willow Valley Communities Organization, Lancaster, PA Created for acquisition, Corporation, Non-profit 5% Or Greater Direct Ownership Interest Dec 6, 1982 100%
Leslie W Brant Individual Corporate OfficerTreasurer Board of Directors Apr 24, 2019
Jane Barley Individual Corporate OfficerSecretary - Board of Directors Apr 19, 2012

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lakeside at Willow ValleyWillow Street, PA, CCN 395771 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 22, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 25

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1194758151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 WILLOW VALLEY SQ",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176024876",
            "telephone_number": "717-464-2741",
            "fax_number": "717-464-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 WILLOW VALLEY SQ",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176024876",
            "telephone_number": "717-464-6130",
            "fax_number": "717-464-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW VALLEY COMMUNITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "HOSTETTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT OF BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "717-464-2741",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "077902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.