Active NPI
William Penn Care Center
- Skilled Nursing Facility
- Jeannette, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 312402
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1001679750002 | Medicaid | PA |
Other names 1
- William Penn Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Partnership
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Partnership
- Certified
- Sep 30, 1998
- Medicare certification status
- Active
- Certified beds
- 145
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0901674 | William Penn Care Center | Certificate of waiver | Jun 1, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Grant J Shevchik | Limited Partnership Interest | Jan 1, 2014 | 3.5% |
| Lynne Lippincott | Limited Partnership Interest | Mar 1, 2012 | 1.72% |
| Heather Fello | Corporate Director | Nov 1, 2024 | |
| Operational/Managerial Control | Jan 1, 2020 | ||
| Adp of the SNF | Jan 1, 2022 | ||
| Adp of the SNF | Sep 20, 2021 | ||
| Adp of the SNF | Jul 1, 2013 | ||
| Daniel R Wukich | Limited Partnership Interest | Mar 1, 2012 | 2.46% |
| Brittany Wukich | Limited Partnership Interest | Mar 1, 2012 | 2.46% |
| Quest Healthcare Development Inc | General Partnership Interest | Sep 30, 1998 | 52% |
| Limited Partnership Interest | Jan 1, 2014 | 0.61% | |
| Adp of the SNF | Apr 29, 2025 | ||
| Kyle Lippincott | Limited Partnership Interest | Mar 1, 2012 | 2.46% |
| Eric Lippincott | Limited Partnership Interest | Mar 1, 2012 | 2.46% |
| David R Perry | Limited Partnership Interest | Mar 1, 2012 | 0.25% |
| Alexis Wukich | Operational/Managerial Control | Jan 1, 2020 | |
| Daniel P Wukich | Limited Partnership Interest | Dec 31, 2014 | 22.23% |
| Ferri Supermarkets Inc | Limited Partnership Interest | Mar 1, 2012 | 0.99% |
| Richard Wukich | Limited Partnership Interest | Mar 1, 2012 | 0.25% |
| Kenneth Bostard | 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.
-
- Community/Retail Pharmacy
- Murrysville, PA
- NPI 1326106444
Limited Partnership Interest
-
- Family Medicine Physician
- Oakmont, PA
- NPI 1275501793
Limited Partnership Interest
-
- Physical Therapist
- Bordentown, NJ
- NPI 1720953490
Limited Partnership Interest
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Irwin, PA
- NPI 1689617912
-
- Family Medicine Physician
- Trafford, PA
- NPI 1942278387
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.