Organization Active NPI

Paul'S Run

  • Assisted Living Facility
  • Philadelphia, PA
National Provider Identifier
1366443970
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
176990 Issued in PA
Legal business name
PAUL'S RUN
Practice address
9896 Bustleton Ave
Philadelphia, PA 19115-5202
Phone
(215) 934-3000
Fax
(215) 934-3018
NPI assigned
Aug 4, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. John M. Barnum
Title
VP/Cfo
Phone
(215) 643-6333

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 176990 PA Primary
Skilled Nursing Facility 314000000X 161902 PA

Addresses

Primary practice location

9896 Bustleton Ave
Philadelphia, PA 19115-5202

Mailing address

250 N Bethlehem Pike
Ambler, PA 19002-3524
Phone (215) 643-6333

Other identifiers 2

IdentifierTypeStateIssuer
0908820001OtherDMERC SUPPLIER #
0012939630002MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070917000266 PA Part A Provider - Skilled Nursing Facility 1951495373 Practice locations: Philadelphia, PA

Skilled nursing facility certification: CCN 395738

Legal name
PAUL'S RUN
Doing business as
CLIPBOARD HEALTH
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 10, 1987
Last certification
Oct 18, 2024
Beds
119
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Liberty Lutheran
Organization structure
OtherNon-profit
Incorporated
Nov 3, 1977 in PA
Enrollment address
9896 Bustleton Ave
Philadelphia, PA 19115-5202
Nursing home name
PAUL'S RUN

Care Compare: Nursing home

Medicare Care Compare
Listed as
Paul'S RunCCN 395738
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Aug 10, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
119113.8 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
39D0898920Paul'S Run9896 Bustleton Avenue, Philadelphia, PA 19115Certificate of waiverMar 15, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 26

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

NameRoleSinceShare
Akulkumar Patel Individual Adp of the SNF Feb 15, 2024
Annabelle Fernandez-Miller Individual Corporate DirectorBoard Member Jul 1, 2024 10.5%
Pamela Steitz Individual Corporate DirectorMember Sep 1, 2021 10.5%
Liberty Lutheran Services Organization, Ambler, PA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2001 100%
Operational/Managerial Control Jan 1, 2001 100%
Adp of the SNF Jan 1, 2001
Dave Stettler Individual Corporate DirectorBoard Member Nov 1, 2016 10.5%
Linda a Breckenridge Individual Corporate DirectorVice Chair Sep 1, 2019 10.5%
Michael D Galante Individual Operational/Managerial Control Aug 13, 2007
Adp of the SNF Aug 13, 2007
Powerback Rehabilitation LLC Organization, Kennett Square, PA LLC Adp of the SNF Jul 1, 2024
Wayne Matthias-Long Individual Corporate DirectorChair Sep 1, 2021 10.5%
Morgan Stanley Organization, Purchase, NY Corporation, Investment firm, For-profit Adp of the SNF Jul 1, 2024
Kreisher Miller Organization, Horsham, PA Consulting firm Adp of the SNF Mar 31, 2025
Intelycare Inc Organization, Quincy, MA Corporation Adp of the SNF Dec 21, 2022
Twomagnets LLC Organization, Covina, CA LLC, Medical staffing company Adp of the SNF Jul 1, 2024
Loyal Assistant, Inc. Organization, Arcadia, CA Corporation Adp of the SNF Jul 1, 2024
Luanne B Fisher Individual Corporate OfficerChief Executive Officer Jan 2, 1977 4%
Adp of the SNF Jan 2, 1977
Kimberly C Griffies-Edwards Individual Operational/Managerial Control Dec 2, 2024
Adp of the SNF Dec 2, 2024
Curana Health of Pennsylvania PC Organization, Austin, TX Medical provider/supplier Adp of the SNF Feb 15, 2024
Joan M Myers Individual Corporate OfficerChief Operating Officer Feb 9, 1987 4%
Adp of the SNF Feb 9, 1987
Frank Beech III Individual Operational/Managerial Control Jan 2, 2025
Adp of the SNF Jan 2, 2025
Baker Tilly Advisory Group LP Organization, Madison, WI Consulting firm Adp of the SNF Jul 1, 2024
Bank of America Corp Organization, Horsham, PA Financial institution Adp of the SNF Aug 16, 2006
Beverly Bortz Individual Corporate DirectorBoard Member Sep 1, 2012 10.5%
James Himler Individual Corporate DirectorBoard Member Sep 1, 2016 10.5%
RKL LLP Organization, York, PA Consulting firm, For-profit Adp of the SNF Jul 1, 2024
John M Barnum Individual Corporate OfficerChief Financial Officer Apr 10, 2006 4%
Adp of the SNF Apr 10, 2006
Frank Roth Individual Corporate DirectorBoard Member Jul 9, 2025 10.5%

Owners & managing parties with NPI records 2

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

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

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": "1123113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1366443970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N BETHLEHEM PIKE",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190023524",
            "telephone_number": "215-643-6333",
            "fax_number": "215-643-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9896 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191155202",
            "telephone_number": "215-934-3000",
            "fax_number": "215-934-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL'S RUN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-04",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BARNUM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "215-643-6333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "PA",
            "license": "176990",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "161902",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC SUPPLIER #",
            "identifier": "0908820001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012939630002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.