NPIMap

Organization Active NPI

Westmoreland County

Doing business as Westmoreland Manor

  • Skilled Nursing Facility
  • Greensburg, PA
National Provider Identifier
1205810579
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2310 Issued in PA
Legal business name
WESTMORELAND COUNTY
Doing business as
Westmoreland Manor
Practice address
2480 S Grande Blvd
Greensburg, PA 15601-8902
Phone
(724) 830-4000
Fax
(724) 830-4074
NPI assigned
Dec 1, 2005
Last updated
Jan 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Authorized official

Name
Mrs. Margaret C Harper
Title
Administrator
Phone
(724) 830-4010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2310 PA Primary

Addresses

Primary practice location

2480 S Grande Blvd
Greensburg, PA 15601-8902

Mailing address

2480 S Grande Blvd
Greensburg, PA 15601-8902
Phone (724) 830-4000

Other identifiers 2

IdentifierTypeStateIssuer
2310OtherPASTATE LICENSE #
0005762020001MedicaidPA

Other names 1

  • WESTMORELAND MANOR Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100106000060 PA Part A Provider - Skilled Nursing Facility 1850432329 Practice locations: Greensburg, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205810579. Details of each certification follow.

Skilled nursing facility certification: CCN 395435

Legal name
WESTMORELAND COUNTY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1986
Last certification
May 8, 2025
Beds
408
Ownership / control type
County
Organization structure
GovernmentNon-profit
Enrollment address
2480 S Grande Blvd
Westmoreland Manor
Greensburg, PA 15601-8902
Nursing home name
WESTMORELAND MANOR

Care Compare: Nursing home

Medicare Care Compare
Listed as
Westmoreland ManorCCN 395435 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Government - County
Certified
Jan 1, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
408247.9 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
39D0892969Westmoreland Manor2480 S Grande Blvd, Greensburg, PA 15601Certificate of waiverOct 11, 2026

National Provider Directory

National Provider Directory
Tax ID family
Westmoreland County Area Agency on Aging2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Jennifer Fullman Individual Operational/Managerial Control Jun 1, 2016
Sean Kertes Individual Operational/Managerial Control Jan 1, 2020
Managing Control - Governing BodyCounty Commissioner Jan 1, 2020
Trustee of the SNF Jan 1, 2020
Vicki Herman Individual Operational/Managerial Control Jan 1, 2015
Westmoreland County Organization, Greensburg, PA Operational/Managerial Control Jan 1, 1979 100%
Edward Kohl Individual Operational/Managerial Control Jan 12, 2015
John Andursky Individual Operational/Managerial Control Feb 5, 2024
Mouhanad K Al-Fakih Individual Operational/Managerial Control Jan 31, 2025
Adp of the SNF Jan 31, 2025
CHR Consulting Services Inc Organization, Dresher, PA Corporation Operational/Managerial Control Feb 22, 2022
Adp of the SNF Apr 7, 2025
Frederick Kopas Individual Operational/Managerial Control Aug 1, 2023
Managing Control - Governing BodyCounty Commissioner Aug 1, 2023
Trustee of the SNF Aug 1, 2023
Abby Testa Individual Operational/Managerial Control Oct 2, 2020
Adp of the SNF Jul 23, 2025
Joanne Crable Individual Operational/Managerial Control Feb 1, 2021
Adp of the SNF Feb 1, 2021
Douglas Chew Individual Operational/Managerial Control Jan 1, 2020
Managing Control - Governing BodyCounty Commissioner Jan 1, 2020
Trustee of the SNF Jan 1, 2020
Jacqueline Austin Individual Operational/Managerial Control Sep 16, 2024
Lisa Beck Individual Operational/Managerial Control Nov 25, 2022

Owners & managing parties with NPI records 1

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

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Practitioners 7

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 4

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": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1205810579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 S GRANDE BLVD",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156018902",
            "telephone_number": "724-830-4000",
            "fax_number": "724-830-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 S GRANDE BLVD",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156018902",
            "telephone_number": "724-830-4000",
            "fax_number": "724-830-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTMORELAND COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "724-830-4010",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "2310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "2310",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005762020001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTMORELAND MANOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.