Country Meadows of Northampton Associates, LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

096802 Issued in PA

Legal business name

COUNTRY MEADOWS OF NORTHAMPTON ASSOCIATES, LP

Practice address

4025 Green Pond Rd
Bethlehem, PA 18020-9662

Phone

(610) 882-4110

Fax

(610) 882-4311

NPI assigned

Jul 21, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Vincent J. Mizak, CPA

Title

VP- Finance, Accounting, Infor SRVS

Phone

(717) 533-2474

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• country meadows nursing center of bethlehem Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Skilled nursing facility certification: CCN 396053

Legal name

COUNTRY MEADOWS OF NORTHAMPTON ASSOCIATES LP

Doing business as

COUNTRY MEADOWS NURSING CENTER OF BETHLEHEM

Certification status

Active

Provider type (POS)

Nursing home – SNF (Medicare) only

Participating since

Jun 4, 1998

Last certification

Jun 18, 2024

Beds

70

Ownership / control type

Corporation

Multi-facility organization

Country Meadows and Ecumenical Communities

Organization structure

PartnershipProprietary

Incorporated

Jan 1, 2012 in PA

Enrollment address

4025 Green Pond Rd
Bethlehem, PA 18020-9662

Nursing home name

COUNTRY MEADOWS NURSING CENTER OF BETHLEHEM

Listed as

Country Meadows Nursing Center of BethlehemCCN 396053

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 - Corporation

Certified

Jun 4, 1998

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7062.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 21

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

Owners & managing parties with NPI records 1

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

• Sunitha Potluri, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Allentown, PA
  • NPI 1437321353

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 4

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

• Vasumathy Kandallu Kumaresan, M.D,

  • Internal Medicine Physician
  • Bethlehem, PA
  • NPI 1811000631

  Nursing home

  Care Compare affiliation
• Sunitha Potluri, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Allentown, PA
  • NPI 1437321353

  Nursing home

  Care Compare affiliation
• Saima Shafi, M.D.

  • Internal Medicine Physician
  • Easton, PA
  • NPI 1285655134

  Nursing home

  Care Compare affiliation
• Om Prakash Sharma, M.D.

  • Internal Medicine Physician
  • Easton, PA
  • NPI 1467493734

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344384000000",
    "number": "1265432165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 CHERRY DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332007",
            "telephone_number": "717-533-2474",
            "fax_number": "717-533-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 GREEN POND RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180209662",
            "telephone_number": "610-882-4110",
            "fax_number": "610-882-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY MEADOWS OF NORTHAMPTON ASSOCIATES, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2012-08-08",
        "status": "A",
        "authorized_official_last_name": "MIZAK",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "VP- FINANCE, ACCOUNTING, INFOR SRVS",
        "authorized_official_telephone_number": "717-533-2474",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "096802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026761200001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "country meadows nursing center of bethlehem",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michele L Cotter, MA, LPC, NCC, CCTP
• Ashley Bryn Coughlin, LBS
• Council on Alcohol and Drug Abuse
• Counseling Center
• Ellen M Counterman, R.D.
• Dane Douglas Counts
• Mary Counts, D.M.D.
• Harrison Courie, MD
• Ann Covalt
• Neela Shiri Covel, DDS

• Skilled Nursing Facility in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; 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.

Verify at the official NPI Registry.