NPIMap

Organization Active NPI

Waverly Heights

  • Skilled Nursing Facility
  • Gladwyne, PA
National Provider Identifier
1255329918
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
233402 Issued in PA
Legal business name
WAVERLY HEIGHTS
Practice address
1400 Waverly Rd
Gladwyne, PA 19035-1254
Phone
(610) 645-8600
Fax
(610) 645-8611
NPI assigned
Oct 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Authorized official

Name
Thomas P Garvin
Title
President & Chief Executive Officer
Phone
(610) 645-8607

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X A45290 PA
Skilled Nursing Facility 314000000X 233402 PA Primary

Addresses

Primary practice location

1400 Waverly Rd
Gladwyne, PA 19035-1254

Mailing address

1400 Waverly Rd
Gladwyne, PA 19035-1254
Phone (610) 645-8600

Other identifiers 1

IdentifierTypeStateIssuer
6138OtherPABC PROVIDER NUMBER

Other names 1

  • Waverly Heights, Ltd. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120201000059 PA Part A Provider - Skilled Nursing Facility 7214978345 Practice locations: Gladwyne, PA

Skilled nursing facility certification: CCN 395718

Legal name
WAVERLY HEIGHTS
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Aug 25, 1986
Last certification
Feb 21, 2025
Beds
31
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 13, 1982 in PA
Enrollment address
1400 Waverly Rd
Gladwyne, PA 19035-1254
Nursing home name
WAVERLY HEIGHTS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Waverly HeightsCCN 395718 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
Non profit - Corporation
Certified
Aug 25, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3124.0 residents per day on average

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
39D0890230Waverly Heights LTD1400 Waverly Road, Gladwyne, PA 19035Certificate of waiverAug 14, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Meredith Feher Individual Corporate OfficerSVP Health Care Services Jun 24, 2021
Operational/Managerial Control Jun 24, 2021
Adp of the SNF Mar 7, 2025
Waverly Senior Services Organization, Gladwyne, PA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2023 100%
Operational/Managerial Control Jul 1, 2023 100%
Adp of the SNF Mar 19, 2025
Organization, Madison, WI Consulting firm Adp of the SNF Mar 7, 2025
Thomas Garvin Individual Corporate Officer Jul 4, 2010
Organization, Madison, WI Consulting firm Adp of the SNF Mar 7, 2025
Individual Adp of the SNF Jan 1, 2024
Robert Louis Supper Individual Corporate OfficerCfo Jun 24, 2021

Practitioners & affiliated clinicians

Affiliated clinicians 12

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": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1255329918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 WAVERLY RD",
            "city": "GLADWYNE",
            "state": "PA",
            "postal_code": "190351254",
            "telephone_number": "610-645-8600",
            "fax_number": "610-645-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WAVERLY RD",
            "city": "GLADWYNE",
            "state": "PA",
            "postal_code": "190351254",
            "telephone_number": "610-645-8600",
            "fax_number": "610-645-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVERLY HEIGHTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "GARVIN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "610-645-8607"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "PA",
            "license": "A45290",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "233402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC  PROVIDER NUMBER",
            "identifier": "6138",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waverly Heights, Ltd.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Waverly Heights, Ltd.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Gladwyne, PA

Sources for this page

Verify at the official NPI Registry.