Ahc of Hanover, LLC
Organization Active NPI Skilled Nursing Facility · Bethlehem, PA
NPI 1255069092 · NPPES record last updated Aug 10, 2026
Key facts
- NPI
- 1255069092
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- AHC OF HANOVER, LLC
- Practice address
- 3370 High Point Blvd
Bethlehem, PA 18017-7805 - Phone
- (484) 245-7100
- NPI assigned
- Aug 10, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- NEW AHC HOLDINGS, LLC
Authorized official
- Name
- Nathan Oxnam
- Title
- President
- Phone
- (385) 622-4500
Owners & managing parties with NPI records 1
Facilities with the same owner 40
Affiliated clinicians 1
-
Mohammad Raza Ali, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Advanced Health Care Of Hanover
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare
- Ownership
- For profit - Limited Liability company
- Certified
- Sep 15, 2023
- Medicare certification status
- Active
- Certified beds
- 46 · 42.0 residents per day on average
- Chain
- Advanced Health Care
- Penalties (3 years)
- 1 · fines totaling $3,387
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2285219 | Advanced Health Care of Hanover | Certificate of waiver | Jul 9, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Skilled nursing facility certification: CCN 396150
- Legal name
- AHC OF HANOVER LLC
- Doing business as
- ADVANCED HEALTH CARE OF HANOVER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Sep 15, 2023
- Last certification
- Jul 3, 2024
- Beds
- 46
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- New AHC Holdings, LLC
- Organization structure
- LLC · Proprietary
- Incorporated
- Oct 22, 2020 in UT
- Enrollment address
- 3370 High Point Blvd
Bethlehem, PA 18017-7805 - Nursing home name
- ADVANCED HEALTH CARE OF HANOVER
- Affiliated entity
- ADVANCED HEALTH CARE
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Karen Gail Miller Irrev TR Fbo Zane Miller |
5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 5.1% |
| The Karen Gail Miller Irrevocable Trust for the Benefit of Stephen F. |
5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 5.1% |
| The Karen Gail Miller Irrevocable Trust for the Benefit of Roger L. Mi |
5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 5.1% |
| Advanced Health Care - Larry H Miller Corporation |
5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 100% |
| New Ahc Holdings, LLC |
5% Or Greater Direct Ownership Interest | Jan 1, 2023 | 100% |
| Adp of the SNF | May 1, 2025 | ||
| Lhmsh LLC |
Adp of the SNF | Jan 1, 2024 | |
| |
Adp of the SNF | May 12, 2025 | |
| The Bryan Miller Utah Dynasty Trust Dated April 22, 2014 |
Indirect Ownership Interest | Jan 1, 2024 | 3.8% |
| The G&H Miller Utah Trust Dated February 26, 2019 |
Indirect Ownership Interest | Jan 1, 2024 | 2.5% |
| The Gail Miller GST Trust |
5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 72.3% |
| Josh Dvorak |
Operational/Managerial Control | May 21, 2025 | |
| Adp of the SNF | May 28, 2025 | ||
| The Karen Gail Miller Irrevocable Trust for the Benefit of Karen R. Wi |
5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 5.1% |
| |
Adp of the SNF | May 1, 2025 | |
| Paige Elizabeth Van Wirt |
Adp of the SNF | May 1, 2025 | |
| Nathan C Oxnam |
Corporate Officer |
Jan 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230316002028 | PA | Part a Provider - Skilled Nursing Facility | 7315311271 | Practice locations: Bethlehem, PA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
3370 High Point Blvd
Bethlehem, PA 18017-7805
Mailing address
3370 High Point Blvd
Bethlehem, PA 18017-7805
Other names
- Advanced Health Care of Hanover
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
Other providers in Bethlehem, PA
- Swati Agnihotri
- Maria Agosto
- Ravi Agrawal
- Darin Jay Agresti
- Ahc Home Health of Lehigh Valley LLC
- Lori Ahdieh
- Joseph Michael Ahearn III
- Maryellen P Ahern
- Nadeem V Ahmad
- Rizwan Ahmad
All providers in Bethlehem, PA · Skilled Nursing Facility in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.