Organization Active NPI

Lycoming Community Care Inc

  • Skilled Nursing Facility
  • Montoursville, PA
National Provider Identifier
1306883210
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
027602 Issued in PA
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

Updated by the provider on Jun 1, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0014028520001MedicaidPA

Other names 1

  • Valley View Nursing Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 CenterCCN 395895
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Apr 21, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
163136.9 residents per day on average

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
39D0918923Valley View Nursing Center2140 Warrensville Road, Montoursville, PA 17754Certificate of waiverAug 22, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Amy Hostrander Individual Corporate OfficerDirector of Nursing Oct 30, 2017
Operational/Managerial Control Oct 30, 2017
Organization, Wellsboro, PA Financial institution Adp of the SNF Apr 16, 2025
Robin Smith Leidhecker Individual Corporate DirectorBoard Member Jan 31, 2023
Individual Adp of the SNF Jan 1, 2020
Organization, Saint Clair Shores, MI Management services company Adp of the SNF Apr 16, 2025
Stephen Fry Individual Corporate OfficerSNF Administrator Oct 29, 2023
Operational/Managerial Control Oct 29, 2023
Adp of the SNF Jun 4, 2025
Tracey L Stroble Individual Corporate OfficerHuman Resources Director Jun 3, 2019
Operational/Managerial Control Jun 3, 2019
Organization, Montoursville, PA Consulting firm Adp of the SNF Apr 18, 2025
Individual Adp of the SNF Jan 1, 2020
Richard D Mutchler Individual Corporate DirectorBoard Member Jan 31, 2024
Operational/Managerial Control Jan 31, 2024
Organization, Howard, PA Medical provider/supplier Adp of the SNF Apr 18, 2025
Stephanie B Duff Individual Adp of the SNF Jan 1, 2020
Glenn E McCreary Individual Corporate DirectorBoard Member Jan 31, 2024
Operational/Managerial Control Jan 31, 2024
Individual Adp of the SNF Jan 1, 2020
Stephanie Tieber Calder Individual Corporate DirectorBoard Member - Secretary Jan 31, 2025
Operational/Managerial Control Jan 31, 2025
Individual Adp of the SNF Jan 1, 2020
Individual Adp of the SNF Dec 1, 2024
Adele Marie Forquer Individual Corporate DirectorBoard Member - Treasurer Jan 31, 2021
Operational/Managerial Control Jan 31, 2022
Individual Adp of the SNF Jan 1, 2020
Kimberly Ann Vanemon Individual Corporate DirectorBoard Member - Vice President Jan 31, 2025
Operational/Managerial Control Jan 31, 2025
Taryn M Johnson Individual Corporate OfficerCfo Nov 12, 2023
Operational/Managerial Control Nov 12, 2023
Amy Alexander Individual Corporate DirectorBoard Member - President Jan 31, 2025
Operational/Managerial Control Jan 31, 2025
Organization, Pittsburgh, PA Medical provider/supplier Adp of the SNF Apr 16, 2025
Elizabeth Ann White Individual Corporate DirectorBoard Member Jan 31, 2022
Operational/Managerial Control Jan 31, 2022
Organization, Hummelstown, PA Consulting firm 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.

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

Verify at the official NPI Registry.