Organization Active NPI

Grove Manor Corporation

  • Skilled Nursing Facility
  • Grove City, PA
National Provider Identifier
1265504369
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GROVE MANOR CORPORATION
Practice address
435 N Broad St
Grove City, PA 16127-1711
Phone
(724) 958-7800
Fax
(724) 458-6122
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Authorized official

Name
Paula Kay Notarfrancisco
Title
Ceo
Phone
(856) 266-2852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

435 N Broad St
Grove City, PA 16127-1711

Mailing address

435 N Broad St
Grove City, PA 16127-1711
Phone (856) 266-2852

Other identifiers 1

IdentifierTypeStateIssuer
100750943MedicaidPA

Other names 1

  • Grove Manor Corporation Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080815000194 PA Part A Provider - Skilled Nursing Facility 3476626854 Practice locations: Grove City, PA

Skilled nursing facility certification: CCN 395510

Legal name
GROVE MANOR CORPORATION
Doing business as
GROVE MANOR NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 1981
Last certification
Oct 24, 2024
Beds
59
Ownership / control type
Church Related
Organization structure
CorporationNon-profit
Incorporated
Nov 7, 1966 in PA
Enrollment address
435N Broad St
Grove City, PA 16127-1711
Nursing home name
GROVE MANOR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Grove ManorCCN 395510
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Oct 1, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5954.6 residents per day on average
Penalties (3 years)
1Fines totaling $18,837

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
39D0906308Grove Manor Nursing Home435 North Broad Street, Grove City, PA 16127Certificate of waiverSep 28, 2027

National Provider Directory

National Provider Directory
Tax ID family
Caring Place2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

435 N Broad St
Grove City, PA 16127
Phone (724) 450-7800

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Robert Guy Individual Corporate DirectorBoard President Jan 1, 2014
Phil Scott Individual Corporate DirectorSecretary Apr 1, 2023
Nancy Scott Individual Corporate DirectorTreasurer Apr 1, 2023
Garet Weston Individual Operational/Managerial ControlVP of Operational Finance Jun 1, 2023
Elizabeth a Dunlap Individual Corporate DirectorVice President Board Member Jan 14, 2014

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1265504369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 N BROAD ST",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161271711",
            "telephone_number": "856-266-2852",
            "fax_number": "414-908-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N BROAD ST",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161271711",
            "telephone_number": "724-958-7800",
            "fax_number": "724-458-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE MANOR CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "NOTARFRANCISCO",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-266-2852"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100750943",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grove Manor Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Grove City, PA

Sources for this page

Verify at the official NPI Registry.