Organization Active NPI

William Penn Care Center

  • Skilled Nursing Facility
  • Jeannette, PA
National Provider Identifier
1235168519
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
312402 Issued in PA
Legal business name
WILLIAM PENN CARE CENTER
Practice address
2020 Ader Rd
Jeannette, PA 15644-4500
Phone
(724) 327-3500
Fax
(724) 327-7320
NPI assigned
Jun 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Brittany Wukich
Title
Business Office Manager
Phone
(724) 327-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 312402 PA Primary

Addresses

Primary practice location

2020 Ader Rd
Jeannette, PA 15644-4500

Mailing address

2020 Ader Rd
Jeannette, PA 15644-4500
Phone (724) 327-3500

Other identifiers 1

IdentifierTypeStateIssuer
1001679750002MedicaidPA

Other names 1

  • William Penn Care Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090226000125 PA Part A Provider - Skilled Nursing Facility 0042376113 Practice locations: Jeannette, PA

Skilled nursing facility certification: CCN 396056

Legal name
WILLIAM PENN CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 30, 1998
Last certification
Jun 6, 2025
Beds
145
Ownership / control type
Limited Liability Corporation
Organization structure
PartnershipProprietary
Incorporated
Apr 24, 1992 in PA
Enrollment address
2020 Ader Road
Jeannette, PA 15644-4500
Nursing home name
WILLIAM PENN CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
William Penn Care CenterCCN 396056
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
For profit - Partnership
Certified
Sep 30, 1998
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
14575.6 residents per day on average
Penalties (3 years)
1Fines totaling $14,074

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
39D0901674William Penn Care Center2020 Ader Road, Jeannette, PA 15644Certificate of waiverJun 1, 2027

National Provider Directory

National Provider Directory

Locations

2020 Ader Rd
Jeannette, PA 15644
Phone (724) 327-3500

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Grant J Shevchik Individual Limited Partnership Interest Jan 1, 2014 3.5%
Lynne Lippincott Individual Limited Partnership Interest Mar 1, 2012 1.72%
Heather Fello Individual Corporate DirectorCoo Nov 1, 2024
Operational/Managerial Control Jan 1, 2020
Adp of the SNF Jan 1, 2022
Individual Adp of the SNF Sep 20, 2021
Individual Adp of the SNF Jul 1, 2013
Daniel R Wukich Individual Limited Partnership Interest Mar 1, 2012 2.46%
Brittany Wukich Individual Limited Partnership Interest Mar 1, 2012 2.46%
Quest Healthcare Development Inc Organization, Penn Township, PA For-profit General Partnership Interest Sep 30, 1998 52%
Limited Partnership Interest Jan 1, 2014 0.61%
Adp of the SNF Apr 29, 2025
Kyle Lippincott Individual Limited Partnership Interest Mar 1, 2012 2.46%
Eric Lippincott Individual Limited Partnership Interest Mar 1, 2012 2.46%
David R Perry Individual Limited Partnership Interest Mar 1, 2012 0.25%
Alexis Wukich Individual Operational/Managerial Control Jan 1, 2020
Daniel P Wukich Individual Limited Partnership Interest Dec 31, 2014 22.23%
Ferri Supermarkets Inc Organization, Murrysville, PA For-profit Limited Partnership Interest Mar 1, 2012 0.99%
Richard Wukich Individual Limited Partnership Interest Mar 1, 2012 0.25%
Kenneth Bostard Individual Limited Partnership Interest Jan 1, 2015 8.62%

Owners & managing parties with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 2

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

Affiliated clinicians 3

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": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1235168519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 ADER RD",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156444500",
            "telephone_number": "724-327-3500",
            "fax_number": "724-327-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 ADER RD",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156444500",
            "telephone_number": "724-327-3500",
            "fax_number": "724-327-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM PENN CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "WUKICH",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "724-327-3500"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "312402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001679750002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "William Penn Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jeannette, PA

Sources for this page

Verify at the official NPI Registry.