Organization Active NPI

Jewish Home of Eastern Pennsylvania

  • Skilled Nursing Facility
  • Scranton, PA
National Provider Identifier
1235137472
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
360402 Issued in PA
Legal business name
JEWISH HOME OF EASTERN PENNSYLVANIA
Practice address
1101 Vine St
Scranton, PA 18510-2126
Phone
(570) 344-6177
Fax
(570) 344-9610
NPI assigned
Jul 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Samuel K Sandhaus
Title
Executive Director
Phone
(570) 344-6177

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 360402 PA Primary
Nursing Facility Supplies (DME) 332BN1400X 360402 PA
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 360402 PA

Addresses

Primary practice location

1101 Vine St
Scranton, PA 18510-2126

Mailing address

1101 Vine St
Scranton, PA 18510-2126
Phone (570) 344-6177

Other identifiers 1

IdentifierTypeStateIssuer
0007472840001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120209000382 PA Part A Provider - Skilled Nursing Facility 4981724754 Practice locations: Scranton, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235137472. Details of each certification follow.

Skilled nursing facility certification: CCN 395103

Legal name
JEWISH HOME OF EASTERN PENNSYLVANIA
Doing business as
ELAN SKILLED NURSING AND REHAB, A JEWISH SENIOR LIFE COMMUNITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Jan 24, 2025
Beds
173 (145 certified)
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 13, 1916 in PA
Enrollment address
1101 Vine St
Scranton, PA 18510-2126
Nursing home name
ELAN SKILLED NURSING AND REHAB, A JEWISH SENIOR LI

Care Compare: Nursing home

Medicare Care Compare
Listed as
Elan Skilled Nursing and Rehab, a Jewish Senior LiCCN 395103 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
145133.0 residents per day on average
Penalties (3 years)
1Fines totaling $12,418

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
39D0657557Elan Skilled Nursing and Rehab1101 Vine St, Scranton, PA 18510Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1101 Vine St
Scranton, PA 18510
Phone (570) 343-7175

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Mary Rose Applegate Individual W-2 Managing EmployeeAdministrator Jul 1, 2020
Operational/Managerial ControlAdministrator Jul 1, 2018 100%
Affinity Health Services Organization, Indiana, PA Management services company Operational/Managerial Control Jul 1, 2020 100%

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Practitioners 2

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 6

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": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1235137472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 VINE ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185102126",
            "telephone_number": "570-344-6177",
            "fax_number": "570-344-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 VINE ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185102126",
            "telephone_number": "570-344-6177",
            "fax_number": "570-344-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH HOME OF EASTERN PENNSYLVANIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "SANDHAUS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "570-344-6177"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "360402",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "PA",
            "license": "360402",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "PA",
            "license": "360402",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007472840001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.