Active NPI
Phoebe Richland Health Care Center
- Skilled Nursing Facility
- Richlandtown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 260302
- Legal business name
- PHOEBE RICHLAND HEALTH CARE CENTER
- Practice address
- 108 S Main St
Richlandtown, PA 18955-1048 - Phone
- (267) 371-4525
- Fax
- (267) 371-4670
- NPI assigned
- Jul 8, 2005
- Last updated
- Aug 22, 2020
- 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
- Mr. Scott Stevenson
- Title
- Chief Financial Officer
- Phone
- (610) 794-5142
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 260302 | PA | Primary |
Addresses
Primary practice location
108 S Main St
Richlandtown, PA 18955-1048
Mailing address
1925 W Turner St
Allentown, PA 18104-5513
Phone (610) 794-5010
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6275 | Other | PA | INDEPENDENCE BLUE CROSS |
| 0018166900001 | Medicaid | PA | |
| 2533957 | Other | PA | AETNA US HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050812000368 | PA | Part A Provider - Skilled Nursing Facility | 2961432653 | Practice locations: Richlandtown, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1245238724. Details of each certification follow.
Skilled nursing facility certification: CCN 395023
- Legal name
- PHOEBE RICHLAND HEALTH CARE CENTER
- Doing business as
- PHOEBE RICHLAND
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1967
- Last certification
- Jan 31, 2025
- Beds
- 143
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Phoebe-Devitt Homes
- Organization structure
- Corporation
- Enrollment address
- 108 S Main Street
Richlandtown, PA 18955-0039 - Nursing home name
- PHOEBE RICHLAND HCC
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Phoebe Richland HCC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 143
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 |
|---|---|---|---|
| 39D0889171 | Phoebe Richland Health Care Center | Certificate of waiver | Jul 20, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 50
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 |
|---|---|---|---|
| Annmarie Chavarria | Operational/Managerial Control | Aug 18, 2025 | |
| Trustee of the SNF | Aug 18, 2025 | ||
| Matthew Rassler | Corporate Director | Feb 14, 2022 | |
| Operational/Managerial Control | Feb 14, 2022 | ||
| Adp of the SNF | Feb 14, 2022 | ||
| Phoebe Services Inc | Adp of the SNF | Sep 18, 1995 | |
| Richard Barley | Operational/Managerial Control | Mar 18, 2025 | |
| Adp of the SNF | Mar 18, 2025 | ||
| Friends Services for the Aging | Adp of the SNF | May 1, 2018 | |
| Physician and Tactical Healthcare Services LLC | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Darren Morris | Corporate Director | Nov 12, 2017 | |
| Operational/Managerial Control | Nov 12, 2017 | ||
| Emmett Lien | Operational/Managerial Control | Apr 12, 2021 | |
| Trustee of the SNF | Apr 12, 2021 | ||
| Nicholas Tranguch | Operational/Managerial Control | Oct 12, 2020 | |
| Trustee of the SNF | Oct 12, 2020 | ||
| Patricia Steiner | Corporate Officer | Dec 12, 2021 | |
| Operational/Managerial Control | Dec 13, 2021 | ||
| Adp of the SNF | Dec 13, 2021 | ||
| Nicole R Watson | Operational/Managerial Control | Oct 28, 2025 | |
| Adp of the SNF | Oct 28, 2025 | ||
| Adp of the SNF | Jul 1, 2016 | ||
| Frances R Trotter-Myrick | Operational/Managerial Control | Oct 7, 2025 | |
| Adp of the SNF | Oct 7, 2025 | ||
| Carrie Call | Operational/Managerial Control | Dec 9, 2019 | |
| Trustee of the SNF | Dec 9, 2019 | ||
| Faith Palermo | Corporate Director | May 12, 2019 | |
| Operational/Managerial Control | May 12, 2019 | ||
| Adp of the SNF | May 12, 2019 | ||
| Robert Miller | Operational/Managerial Control | Oct 9, 2023 | |
| Trustee of the SNF | Oct 9, 2023 | ||
| Joel J Young | Operational/Managerial Control | Dec 12, 2025 | |
| Adp of the SNF | Dec 12, 2025 | ||
| Robert Bertolette | Operational/Managerial Control | Jul 1, 2017 | |
| Trustee of the SNF | Jul 1, 2017 | ||
| Thomas Baer | Corporate Officer | Jan 1, 2022 | |
| Operational/Managerial Control | Jan 1, 2022 | ||
| Adp of the SNF | Jan 1, 2022 | ||
| Joseph G Oneill | Adp of the SNF | Mar 1, 2015 | |
| Jason Shott | Corporate Officer | Oct 28, 2024 | |
| Operational/Managerial Control | Oct 28, 2024 | ||
| Managing Control - Governing Body | Oct 28, 2024 | ||
| Adp of the SNF | Oct 28, 2024 | ||
| Phoebe-Devitt Homes | 5% Or Greater Direct Ownership Interest | Jan 1, 1966 | 100% |
| Adp of the SNF | Jul 1, 2016 | ||
| Michael Pfleegor | Corporate Director | Nov 8, 2021 | |
| Operational/Managerial Control | Nov 8, 2021 | ||
| Adp of the SNF | Nov 8, 2021 | ||
| David Smith | Operational/Managerial Control | Apr 8, 2019 | |
| Trustee of the SNF | Apr 8, 2019 | ||
| Tracy Alfaro | Operational/Managerial Control | May 19, 2019 | |
| Adp of the SNF | May 19, 2019 | ||
| Haniff Skeete | Operational/Managerial Control | Jun 24, 2024 | |
| Trustee of the SNF | Jun 24, 2024 | ||
| Covenant Alliance Rehab East LLC | Operational/Managerial Control | Nov 1, 2025 | |
| Carmen Bell | Operational/Managerial Control | Apr 4, 2022 | |
| Deborah Ferry | Operational/Managerial Control | Jan 6, 2026 | |
| Adp of the SNF | Jan 6, 2026 | ||
| Teri Haddad | Corporate Director | Feb 25, 2025 | |
| Adp of the SNF | Feb 25, 2025 | ||
| Candace Mason | Corporate Director | Dec 12, 2005 | |
| Operational/Managerial Control | Dec 12, 2005 | ||
| Adp of the SNF | Dec 12, 2005 | ||
| Daniel Moser | Operational/Managerial Control | Apr 9, 2018 | |
| Trustee of the SNF | Apr 9, 2018 | ||
| Alexis Strelecki | Corporate Director | Jul 1, 2016 | |
| Operational/Managerial Control | Jul 1, 2016 | ||
| Adp of the SNF | Jul 1, 2016 | ||
| Joshua Sloan | Operational/Managerial Control | Oct 12, 2020 | |
| Trustee of the SNF | Oct 12, 2020 | ||
| Shiftster LLC | Adp of the SNF | Jul 22, 2024 | |
| Joseph M Lion | Operational/Managerial Control | Aug 5, 2025 | |
| Adp of the SNF | Aug 5, 2025 | ||
| Kenneth Charette | Operational/Managerial Control | Apr 4, 2022 | |
| Trustee of the SNF | Apr 4, 2022 | ||
| Scott Stevenson | Corporate Officer | Apr 24, 2006 | |
| Corporate Director | Apr 24, 2006 | ||
| Operational/Managerial Control | Jun 30, 2008 | ||
| Adp of the SNF | Jun 30, 2008 | ||
| Scott Calvert | Corporate Director | May 11, 2020 | |
| Operational/Managerial Control | May 11, 2020 | ||
| Adp of the SNF | May 11, 2020 | ||
| Baker Tilly Advisory Group LP | Adp of the SNF | May 29, 2024 | |
| Frank Tiano | Adp of the SNF | Jun 5, 2023 | |
| Debora Merrill | Operational/Managerial Control | Oct 7, 2019 | |
| Trustee of the SNF | Oct 7, 2019 | ||
| Christa Duelberg-Kraftician | Operational/Managerial Control | Dec 8, 2025 | |
| Trustee of the SNF | Dec 30, 2025 | ||
| Daniel Bendel | Corporate Director | Jan 31, 2000 | |
| Operational/Managerial Control | Jan 31, 2000 | ||
| Adp of the SNF | Jan 31, 2000 | ||
| Jennifer L Shaffer | Operational/Managerial Control | Nov 30, 2025 | |
| Adp of the SNF | Nov 30, 2025 | ||
| Rob Khanuja | Corporate Director | Feb 22, 2011 | |
| Operational/Managerial Control | May 22, 2011 | ||
| Adp of the SNF | Feb 11, 2022 | ||
| Heather Brand | Adp of the SNF | Apr 29, 2025 | |
| Brian D Smith | Operational/Managerial Control | Feb 3, 2026 | |
| Adp of the SNF | Feb 3, 2026 | ||
| William Hacker | Operational/Managerial Control | Apr 16, 2012 | |
| Trustee of the SNF | Apr 16, 2012 |
Owners & managing parties with NPI records 3
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Phoebe Services Pharmacy
- Long Term Care Pharmacy
- Lititz, PA
- NPI 1487148524
Adp of the SNF
Facilities with the same owner 8
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Lititz, PA
- NPI 1013912500
Covenant Alliance Rehab East LLC
-
dba Frederick Living-Cedarwood
- Skilled Nursing Facility
- Zieglerville, PA
- NPI 1871591479
Covenant Alliance Rehab East LLC
-
- Skilled Nursing Facility
- Lititz, PA
- NPI 1346243227
Covenant Alliance Rehab East LLC
-
- Skilled Nursing Facility
- Wernersville, PA
- NPI 1578561049
Phoebe-Devitt Homes, Physician and Tactical Healthcare Services LLC
-
dba Phoebe Allentown Health Care Center
- Skilled Nursing Facility
- Allentown, PA
- NPI 1982602447
Phoebe-Devitt Homes, Physician and Tactical Healthcare Services LLC
-
- Skilled Nursing Facility
- Lititz, PA
- NPI 1598137572
Covenant Alliance Rehab East LLC
-
- Skilled Nursing Facility
- Souderton, PA
- NPI 1871584409
Physician and Tactical Healthcare Services LLC
-
- Skilled Nursing Facility
- Lititz, PA
- NPI 1174529069
Covenant Alliance Rehab East LLC
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Hospitalist Physician
- Allentown, PA
- NPI 1467894691
-
- Family Medicine Physician
- Ottsville, PA
- NPI 1508820523
-
- Internal Medicine Physician
- Center Valley, PA
- NPI 1487967816
-
- Internal Medicine Physician
- Center Valley, PA
- NPI 1952407678
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Center Valley, PA
- NPI 1487967816
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1245238724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1925 W TURNER ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181045513",
"telephone_number": "610-794-5010",
"fax_number": "610-794-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 S MAIN ST",
"city": "RICHLANDTOWN",
"state": "PA",
"postal_code": "189551048",
"telephone_number": "267-371-4525",
"fax_number": "267-371-4670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHOEBE RICHLAND HEALTH CARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "STEVENSON",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "610-794-5142",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "260302",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "6275",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018166900001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "2533957",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richlandtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.