Passavant Retirement and Health Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

163602 Issued in PA

Legal business name

PASSAVANT RETIREMENT AND HEALTH CENTER

Doing business as

Passavant Retirement Community

Practice address

105 Burgess Dr
Zelienople, PA 16063-2525

Phone

(724) 776-1100

Fax

(724) 776-1108

NPI assigned

Jul 13, 2005

Last updated

Oct 8, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Carraway

Title

Cfo

Phone

(724) 742-2246

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Passavant Retirement Community Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306844295. Details of each certification follow.

• CCN 395001 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 395001

Legal name

PASSAVANT RETIREMENT AND HEALTH CENTER

Doing business as

PASSAVANT COMMUNITY

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1967

Last certification

Feb 21, 2025

Beds

102

Ownership / control type

Church Related

Multi-facility organization

Lutheran SeniorLife

Organization structure

CorporationNon-profit

Incorporated

Apr 29, 1874 in PA

Enrollment address

105 Burgess Drive
Passavant Community
Zelienople, PA 16063-1555

Nursing home name

PASSAVANT RETIREMENT AND HEALT

Listed as

Passavant Retirement and HealtCCN 395001 · All quality measures

Overall star rating

2 of 5

Health inspections

1 of 5

Staffing

5 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Church related

Certified

Jan 1, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10296.2 residents per day on average

Abuse citation

Cited for abuse (Care Compare abuse icon)

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 6

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

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karen G Bucher, D.O.

  • Family Medicine Physician
  • Pittsburgh, PA
  • NPI 1679912430
  NPD (past)
• Gerome A Burford, CRNP

  • Family Nurse Practitioner
  • Mars, PA
  • NPI 1689005217
  NPD (past)
• Julie Cameron

  • Internal Medicine Physician
  • Wexford, PA
  • NPI 1679513147
  NPD (past)
• Janet SV Godfrey, MD

  • Internal Medicine Physician
  • Cranberry Township, PA
  • NPI 1558359588
  NPD (past)

Affiliated clinicians 4

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

• Karen G Bucher, D.O.

  • Family Medicine Physician
  • Pittsburgh, PA
  • NPI 1679912430

  Nursing home

  Care Compare affiliation
• Julie Cameron

  • Internal Medicine Physician
  • Wexford, PA
  • NPI 1679513147

  Nursing home

  Care Compare affiliation
• Janet SV Godfrey, MD

  • Internal Medicine Physician
  • Cranberry Township, PA
  • NPI 1558359588

  Nursing home

  Care Compare affiliation
• Janet Dolores Vlha, MD

  • Internal Medicine Physician
  • Pittsburgh, PA
  • NPI 1598775652

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1306844295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 FREEDOM RD",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160665001",
            "telephone_number": "724-776-1100",
            "fax_number": "724-776-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BURGESS DR",
            "city": "ZELIENOPLE",
            "state": "PA",
            "postal_code": "160632525",
            "telephone_number": "724-776-1100",
            "fax_number": "724-776-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSAVANT RETIREMENT AND HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "CARRAWAY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "724-742-2246"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "163602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007566400001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0632",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Passavant Retirement Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morgan E Oaks
• Beven Ruth Ochs, MS
• Karen Morris Ostrosky, PT
• Cynthia Marie Paras, OT
• Ryan C Parrish
• Molly Catherine Patsch, DC
• Jill Pawlowski, OT
• Peach Therapy LLC
• Victor L Peffer, RPH
• Perform Physio

• Skilled Nursing Facility in Zelienople, PA
• Providers in Zelienople, 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 Oct 8, 2025; 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.