Active NPI
Grove Manor Corporation
- Skilled Nursing Facility
- Grove City, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100750943 | Medicaid | PA |
Other names 1
- Grove Manor Corporation
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Manor
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Church related
- Certified
- Oct 1, 1981
- Medicare certification status
- Active
- Certified beds
- 59
- Penalties (3 years)
- 1
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 |
|---|---|---|---|
| 39D0906308 | Grove Manor Nursing Home | Certificate of waiver | Sep 28, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Caring Place
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Franklin, PA
- NPI 1114099215
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Robert Guy | Corporate Director | Jan 1, 2014 | |
| Phil Scott | Corporate Director | Apr 1, 2023 | |
| Nancy Scott | Corporate Director | Apr 1, 2023 | |
| Garet Weston | Operational/Managerial Control | Jun 1, 2023 | |
| Elizabeth a Dunlap | Corporate Director | 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.
-
- Family Medicine Physician
- Du Bois, PA
- NPI 1639394034
-
- Family Medicine Physician
- Grove City, PA
- NPI 1376512590
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.