Active NPI
Lycoming Community Care Inc
- Skilled Nursing Facility
- Montoursville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 027602
- Legal business name
- LYCOMING COMMUNITY CARE INC
- Practice address
- 2140 Warrensville Rd
Montoursville, PA 17754-9621 - Phone
- (570) 433-3161
- Fax
- (570) 433-3882
- NPI assigned
- May 31, 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
- Mr. Stephen D Fry
- Title
- Cfo
- Phone
- (570) 433-3161
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 027602 | PA | Primary |
Addresses
Primary practice location
2140 Warrensville Rd
Montoursville, PA 17754-9621
Mailing address
2140 Warrensville Rd
Montoursville, PA 17754-9621
Phone (570) 433-3161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014028520001 | Medicaid | PA |
Other names 1
- Valley View Nursing Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060621000109 | PA | Part A Provider - Skilled Nursing Facility | 9830101534 | Practice locations: Montoursville, PA |
Skilled nursing facility certification: CCN 395895
- Legal name
- LYCOMING COMMUNITY CARE INC
- Doing business as
- VALLEY VIEW NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 21, 1993
- Last certification
- May 23, 2025
- Beds
- 163
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Sep 21, 1990 in PA
- Enrollment address
- 2140 Warrensville Rd
Montoursville, PA 17754-9621 - Nursing home name
- VALLEY VIEW REHAB AND NURSING CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Valley View Rehab and Nursing Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Apr 21, 1993
- Medicare certification status
- Active
- Certified beds
- 163
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 |
|---|---|---|---|
| 39D0918923 | Valley View Nursing Center | Certificate of waiver | Aug 22, 2026 |
National Provider Directory
National Provider DirectoryLocations
2140 Warrensville Rd
Montoursville, PA 17754
Phone (570) 433-3161
Ownership & related parties
All disclosed owners & managing parties 25
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 |
|---|---|---|---|
| Amy Hostrander | Corporate Officer | Oct 30, 2017 | |
| Operational/Managerial Control | Oct 30, 2017 | ||
| Adp of the SNF | Apr 16, 2025 | ||
| Robin Smith Leidhecker | Corporate Director | Jan 31, 2023 | |
| Adp of the SNF | Jan 1, 2020 | ||
| Adp of the SNF | Apr 16, 2025 | ||
| Stephen Fry | Corporate Officer | Oct 29, 2023 | |
| Operational/Managerial Control | Oct 29, 2023 | ||
| Adp of the SNF | Jun 4, 2025 | ||
| Tracey L Stroble | Corporate Officer | Jun 3, 2019 | |
| Operational/Managerial Control | Jun 3, 2019 | ||
| Adp of the SNF | Apr 18, 2025 | ||
| Adp of the SNF | Jan 1, 2020 | ||
| Richard D Mutchler | Corporate Director | Jan 31, 2024 | |
| Operational/Managerial Control | Jan 31, 2024 | ||
| Adp of the SNF | Apr 18, 2025 | ||
| Stephanie B Duff | Adp of the SNF | Jan 1, 2020 | |
| Glenn E McCreary | Corporate Director | Jan 31, 2024 | |
| Operational/Managerial Control | Jan 31, 2024 | ||
| Adp of the SNF | Jan 1, 2020 | ||
| Stephanie Tieber Calder | Corporate Director | Jan 31, 2025 | |
| Operational/Managerial Control | Jan 31, 2025 | ||
| Adp of the SNF | Jan 1, 2020 | ||
| Adp of the SNF | Dec 1, 2024 | ||
| Adele Marie Forquer | Corporate Director | Jan 31, 2021 | |
| Operational/Managerial Control | Jan 31, 2022 | ||
| Adp of the SNF | Jan 1, 2020 | ||
| Kimberly Ann Vanemon | Corporate Director | Jan 31, 2025 | |
| Operational/Managerial Control | Jan 31, 2025 | ||
| Taryn M Johnson | Corporate Officer | Nov 12, 2023 | |
| Operational/Managerial Control | Nov 12, 2023 | ||
| Amy Alexander | Corporate Director | Jan 31, 2025 | |
| Operational/Managerial Control | Jan 31, 2025 | ||
| Adp of the SNF | Apr 16, 2025 | ||
| Elizabeth Ann White | Corporate Director | Jan 31, 2022 | |
| Operational/Managerial Control | Jan 31, 2022 | ||
| Adp of the SNF | Apr 16, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Williamsport, PA
- NPI 1376588426
Affiliated clinicians 3
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": "1149033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433116800000",
"number": "1306883210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2140 WARRENSVILLE RD",
"city": "MONTOURSVILLE",
"state": "PA",
"postal_code": "177549621",
"telephone_number": "570-433-3161",
"fax_number": "570-433-3882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 WARRENSVILLE RD",
"city": "MONTOURSVILLE",
"state": "PA",
"postal_code": "177549621",
"telephone_number": "570-433-3161",
"fax_number": "570-433-3882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LYCOMING COMMUNITY CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-31",
"last_updated": "2015-06-01",
"status": "A",
"authorized_official_last_name": "FRY",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "570-433-3161",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "027602",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0014028520001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Valley View Nursing Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Montoursville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.