NPIMap

Organization Active NPI

Homewood Living Plum Creek, Inc

  • Skilled Nursing Facility
  • Hanover, PA
National Provider Identifier
1245236488
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
342202 Issued in PA
Legal business name
HOMEWOOD LIVING PLUM CREEK, INC
Practice address
425 Westminster Ave
Hanover, PA 17331-9141
Phone
(717) 637-4166
Fax
(717) 633-4620
NPI assigned
Jun 22, 2005
Last updated
Jan 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Authorized official

Name
Karen M Haines
Title
Executive Director
Phone
(717) 637-4166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 342202 PA Primary

Addresses

Primary practice location

425 Westminster Ave
Hanover, PA 17331-9141

Mailing address

425 Westminster Ave
Hanover, PA 17331-9141
Phone (717) 637-4166

Other identifiers 1

IdentifierTypeStateIssuer
0015681800002MedicaidPA

Other names 1

  • Homewood at Plum Creek Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120201000281 PA Part A Provider - Skilled Nursing Facility 3476710575 Practice locations: Hanover, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245236488. Details of each certification follow.

Skilled nursing facility certification: CCN 395898

Legal name
HOMEWOOD AT HANOVER, PA INC
Doing business as
HOMEWOOD AT PLUM CREEK
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 10, 1993
Last certification
Jan 23, 2025
Beds
120
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 16, 1995 in PA
Enrollment address
425 Westminster Avenue
Hanover, PA 17331-9141
Nursing home name
HOMEWOOD LIVING PLUM CREEK, INC
Affiliated entity
HOMEWOOD RETIREMENT CENTERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Homewood Living Plum Creek, IncCCN 395898 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Apr 10, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120100.8 residents per day on average
Chain
Homewood Retirement Centers4 facilities in the chain
Penalties (3 years)
1Fines totaling $7,443

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
39D0657364Homewood Living Plum Creek425 Westminster Ave, Hanover, PA 17331Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Richard Miller Individual Corporate DirectorVice President of Operations Jan 15, 2021 100%
Allen Bittinger Individual Corporate DirectorBoard of Directors Jan 1, 2015
Douglas Becker Individual Corporate DirectorBoard Director Jan 1, 2025
Karen Coleman Individual Operational/Managerial Control Jan 1, 2022
Adp of the SNF Jan 1, 2022
Wendy Crampton Individual Corporate DirectorVice President of Finance Mar 1, 2019 100%
Steven Gary McKonly Individual Corporate DirectorBoard Member Jan 1, 2025
John Livelsberger Individual Corporate DirectorBoard of Directors Jan 1, 2025
Michael L Peck Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Apr 8, 2025
Thad D Rothrock Individual Corporate DirectorCeo Mar 1, 2019 100%
Buffy Bradley Individual Operational/Managerial Control Oct 16, 2000

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

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.

Affiliated clinicians 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1245236488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 WESTMINSTER AVE",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173319141",
            "telephone_number": "717-637-4166",
            "fax_number": "717-633-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 WESTMINSTER AVE",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173319141",
            "telephone_number": "717-637-4166",
            "fax_number": "717-633-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEWOOD LIVING PLUM CREEK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "HAINES",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "717-637-4166"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "342202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015681800002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homewood at Plum Creek",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hanover, PA

Sources for this page

Verify at the official NPI Registry.