Embassy Saxonburg LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

EMBASSY SAXONBURG LLC

Doing business as

Embassy of Saxonburg

Practice address

223 Pittsburgh St
Saxonburg, PA 16056-2217

Phone

(724) 352-9445

NPI assigned

Dec 21, 2021

Last updated

Dec 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicholas Ciccone

Title

Chief Compliance Officer

Phone

(216) 378-2050

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Embassy of Saxonburg Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205596061. Details of each certification follow.

• CCN 395160 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 395160

Legal name

EMBASSY SAXONBURG LLC

Doing business as

EMBASSY OF SAXONBURG

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 27, 1967

Last certification

Jun 4, 2025

Beds

68

Ownership / control type

Corporation

Multi-facility organization

Embassy Healthcare

Organization structure

LLCProprietary

Incorporated

Nov 12, 2021 in PA

Enrollment address

223 Pittsburgh Street
Saxonburg, PA 16056-2217

Nursing home name

EMBASSY OF SAXONBURG

Affiliated entity

EMBASSY HEALTHCARE

Listed as

Embassy of SaxonburgCCN 395160 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jan 27, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6854.6 residents per day on average

Chain

Embassy Healthcare33 facilities in the chain

Special focus status

SFF Candidate

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

3Fines totaling $339,073

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

Owners & managing parties with NPI records 1

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

• Danielle J Godinez, DO

  • Family Medicine Physician
  • Saxonburg, PA
  • NPI 1518978758

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 36

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

• Delaware Valley Skilled Nursing Operating Company, LLC

  dba Delaware Valley Skilled Nursing & Rehabilitation Center

  • Skilled Nursing Facility
  • Matamoras, PA
  • NPI 1043809577

  2020 GSR Dynasty LLC

  CMS ownership
• Embassy Hearthside, LLC

  dba Embassy of Hearthside

  • Skilled Nursing Facility
  • State College, PA
  • NPI 1467069005

  2020 GSR Dynasty LLC, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, Embassy Healthcare Management Inc, Heritage Employment Services, LLC

  CMS ownership
• Embassy Hermitage, LLC

  dba Hermitage Nursing and Rehabilitation

  • Skilled Nursing Facility
  • Hermitage, PA
  • NPI 1124648878

  2020 GSR Dynasty LLC, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, Embassy Healthcare Management Inc, Heritage Employment Services, LLC

  CMS ownership
• Embassy Hillsdale Park, LLC

  dba Embassy of Hillsdale Park

  • Skilled Nursing Facility
  • Hillsdale, PA
  • NPI 1831796036

  2020 GSR Dynasty LLC, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, Embassy Healthcare Management Inc, Heritage Employment Services, LLC

  CMS ownership
• Embassy Huntingdon Park, LLC

  dba Embassy of Huntingdon Park

  • Skilled Nursing Facility
  • Huntingdon, PA
  • NPI 1629685276

  2020 GSR Dynasty LLC, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, Embassy Healthcare Management Inc, Heritage Employment Services, LLC

  CMS ownership
• Embassy of East Mountain LLC

  dba Embassy of East Mountain

  • Skilled Nursing Facility
  • Wilkes Barre, PA
  • NPI 1407608128

  2020 GSR Dynasty LLC, Ah Dynasty LLC, Embassy Healthcare Holdings Inc

  CMS ownership
• Embassy of Scranton LLC

  dba Embassy of Scranton

  • Skilled Nursing Facility
  • Scranton, PA
  • NPI 1932951654

  2020 GSR Dynasty LLC, Ah Dynasty LLC, Embassy Healthcare Holdings Inc

  CMS ownership
• Embassy of Tunkhannock LLC

  dba Embassy of Tunkhannock

  • Skilled Nursing Facility
  • Tunkhannock, PA
  • NPI 1780436410

  2020 GSR Dynasty LLC, Ah Dynasty LLC, Embassy Healthcare Holdings Inc

  CMS ownership
• Embassy of Wyoming Valley LLC

  dba Embassy of Wyoming Valley

  • Skilled Nursing Facility
  • Wilkes Barre, PA
  • NPI 1730931478

  2020 GSR Dynasty LLC, Ah Dynasty LLC, Embassy Healthcare Holdings Inc

  CMS ownership
• Embassy Park Avenue, LLC

  dba Embassy of Park Avenue

  • Skilled Nursing Facility
  • Meadville, PA
  • NPI 1760099311

  2020 GSR Dynasty LLC, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, Embassy Healthcare Management Inc, Heritage Employment Services, LLC

  CMS ownership
• Embassy Sharon, LLC

  dba Clepper Manor

  • Skilled Nursing Facility
  • Sharon, PA
  • NPI 1205456704

  2020 GSR Dynasty LLC, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, Embassy Healthcare Management Inc, Heritage Employment Services, LLC

  CMS ownership
• Embassy Woodland Park, LLC

  dba Embassy of Woodland Park

  • Skilled Nursing Facility
  • Orbisonia, PA
  • NPI 1982211538

  2020 GSR Dynasty LLC, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, Embassy Healthcare Management Inc, Heritage Employment Services, LLC

  CMS ownership

Practitioners 3

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.

• Andrew Curtis Adams, M.D.

  • Internal Medicine Physician
  • Saxonburg, PA
  • NPI 1093911588
  NPD (past)
• Danielle J Godinez, DO

  • Family Medicine Physician
  • Saxonburg, PA
  • NPI 1518978758
  NPD (past)
• Karina Helene Rovnan, DO

  • Internal Medicine Physician
  • Saxonburg, PA
  • NPI 1821055013
  NPD (past)

Affiliated clinicians 2

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

• Danielle J Godinez, DO

  • Family Medicine Physician
  • Saxonburg, PA
  • NPI 1518978758

  Nursing home

  Care Compare affiliation
• Karina Helene Rovnan, DO

  • Internal Medicine Physician
  • Saxonburg, PA
  • NPI 1821055013

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1205596061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25201 CHAGRIN BLVD STE 190",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225633",
            "telephone_number": "216-378-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 PITTSBURGH ST",
            "city": "SAXONBURG",
            "state": "PA",
            "postal_code": "160562217",
            "telephone_number": "724-352-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBASSY SAXONBURG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "CICCONE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "216-378-2050"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA DOH",
            "identifier": "711002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Embassy of Saxonburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Trainor Corporation (Saxonburg Drug)
• Moitreyi Chatterjee
• Jennifer Nikkole Clark, MPT
• Dana Delo, RN
• Diamond Sleep Center, Inc
• Kassandra Marie Fissore
• Fred K. Fioravanti
• Colleen R Frewin, CRNP
• Danielle J Godinez, DO
• Jessie Gostowski

• Skilled Nursing Facility in Saxonburg, PA
• Providers in Saxonburg, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.