Lebanon Valley Brethren Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

380602 Issued in PA

Legal business name

LEBANON VALLEY BRETHREN HOME

Practice address

1200 Grubb Rd
Palmyra, PA 17078-3514

Phone

(717) 838-5406

Fax

(717) 641-0073

NPI assigned

Jul 12, 2005

Last updated

Nov 19, 2015By 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

Mr. Douglas F Garrett

Title

Cfo, VP Finance

Phone

(717) 838-5406

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326046699. Details of each certification follow.

• CCN 395437 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 395437

Legal name

LEBANON VALLEY BRETHREN HOME

Doing business as

LONDONDERRY VILLAGE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Feb 23, 1979

Last certification

Jan 23, 2025

Beds

88

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Oct 3, 1974 in PA

Enrollment address

1200 Grubb Rd
Londonderry Village
Palmyra, PA 17078-3514

Nursing home name

LEBANON VALLEY BRETHREN HOME

Listed as

Lebanon Valley Brethren HomeCCN 395437 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

5 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Feb 23, 1979

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8854.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 20

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Amy Schreiber, MD

  • Family Medicine Physician
  • Palmyra, PA
  • NPI 1902195654

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 2

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.

• David A Keller, M.D.

  • Family Medicine Physician
  • Palmyra, PA
  • NPI 1467417733
  NPD (past)
• Amy Schreiber, MD

  • Family Medicine Physician
  • Palmyra, PA
  • NPI 1902195654
  NPD (past)

Affiliated clinicians 5

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

• Travis Berger, DO

  • Family Medicine Physician
  • Palmyra, PA
  • NPI 1275060998

  Nursing home

  Care Compare affiliation
• David A Keller, M.D.

  • Family Medicine Physician
  • Palmyra, PA
  • NPI 1467417733

  Nursing home

  Care Compare affiliation
• John J Messmer, MD

  • Family Medicine Physician
  • Palmyra, PA
  • NPI 1669437414

  Nursing home

  Care Compare affiliation
• Amy Schreiber, MD

  • Family Medicine Physician
  • Palmyra, PA
  • NPI 1902195654

  Nursing home

  Care Compare affiliation
• John B Welch, M.D.

  • Family Medicine Physician
  • Palmyra, PA
  • NPI 1356306534

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1326046699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 GRUBB RD",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "170783514",
            "telephone_number": "717-838-5406",
            "fax_number": "717-641-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 GRUBB RD",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "170783514",
            "telephone_number": "717-838-5406",
            "fax_number": "717-641-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEBANON VALLEY BRETHREN HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CFO, VP FINANCE",
        "authorized_official_telephone_number": "717-838-5406",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "380602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002291290002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heidi L Kohr, LCSW
• Lancaster Leasing Partnership (Palmyra Nursing Home)
• Lancaster Leasing Partnership (Twin Oaks Nursing Home)
• Mason Laudermilch, DPT
• Mark W Leach, M.D.
• Lebanon Valley Family Medicine Inc
• Lebanon Valley Family Medicine, Inc
• Jenny S Lee, M.D.
• LHM Physical Therapy Institute LLC
• Arvin Lie, PA-C

• Skilled Nursing Facility in Palmyra, PA
• Providers in Palmyra, 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 Nov 19, 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.

Verify at the official NPI Registry.