NPIMap

Organization Active NPI

Holy Redeemer Health System

  • Skilled Nursing Facility
  • Meadowbrook, PA
National Provider Identifier
1376533109
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
451002 Issued in PA
Legal business name
HOLY REDEEMER HEALTH SYSTEM
Practice address
1616 Huntingdon Pike
Meadowbrook, PA 19046-8001
Phone
(215) 938-4000
Fax
(215) 938-4122
NPI assigned
Oct 24, 2005
Organization subpart
Yes
Parent organization
HOLY REDEEMER HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Authorized official

Name
Mr. Brian Fallon
Title
Vice President of Finance, Lifecare
Phone
(215) 856-1123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 451002 PA Primary

Addresses

Primary practice location

1616 Huntingdon Pike
Meadowbrook, PA 19046-8001

Mailing address

1616 Huntingdon Pike
Meadowbrook, PA 19046-8001
Phone (215) 938-4000

Other identifiers 1

IdentifierTypeStateIssuer
1001264530004MedicaidPA

Other names 1

  • St. Josephs Manor Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080212000431 PA Part A Provider - Skilled Nursing Facility 5496795312 Practice locations: Meadowbrook, PA

Skilled nursing facility certification: CCN 395006

Legal name
HOLY REDEEMER HEALTH SYSTEM
Doing business as
ST. JOSEPHS MANOR
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Feb 13, 2025
Beds
296
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Holy Redeemer Health System
Organization structure
CorporationNon-profit
Incorporated
Jun 12, 1956 in PA
Enrollment address
1616 Huntingdon Pike
Attn: Brian Fallon St Josephs Manor
Meadowbrook, PA 19046-8001
Nursing home name
ST JOSEPH'S MANOR

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
St Joseph'S ManorCCN 395006
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
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
296220.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Holy Redeemer Health System2 organizations share this tax ID, including this one
Part of
House Staff Holy Redeem

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
William Sasso Individual Corporate DirectorBoard Member Feb 7, 2008
Donald F Friel Individual Corporate OfficerAssistant Treasurer Nov 19, 2003
Cristina Peoples Individual Corporate OfficerSecretary Jul 1, 2021
W-2 Managing EmployeeExecutive Assistant to President Jul 1, 2021
Joseph Ragg Individual Corporate DirectorBoard Member Dec 1, 2019
Charlotte McKinnes Individual Corporate DirectorBoard Member Nov 1, 2013
James Lynch Individual Corporate DirectorBoard Member Feb 7, 2008
Gregory Wozniak Individual Corporate Officer Jul 15, 2024
Corporate Director Jul 15, 2024
W-2 Managing EmployeePresident & Ceo Jul 15, 2024
Managing Control - Governing BodyPresident & Ceo Jul 15, 2024
Ellyn Ito Individual Corporate DirectorBoard Member Nov 1, 2017
James Rodgers Individual Corporate DirectorBoard Member Jan 1, 2020
Guy E McElwain Individual Corporate DirectorBoard Member Feb 7, 2008
S Nicholas Lezzi Individual Corporate DirectorBoard Member Jan 1, 2014
Thomas G Harris Individual Corporate OfficerVice President & Asst. Treasurer Aug 1, 2024
W-2 Managing EmployeeVice President & Asst Treasurer Aug 1, 2024
Holy Redeemer Health System Organization, Huntingdon Valley, PA Non-profit Other Jan 1, 1990 100%
Beth Dupree Individual Corporate DirectorBoard Member Nov 1, 2017
Ronald Brooks Individual Corporate DirectorBoard Member Feb 7, 2008
Robyn Walsh Individual Corporate DirectorBoard Member Feb 7, 2008
Michael Keen Individual Corporate Officer Mar 1, 2020
W-2 Managing Employee Mar 1, 2020
Brian Fallon Individual W-2 Managing EmployeeVice President of Finance Aug 21, 2023

Owners & managing parties with NPI records 9

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

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Holy Redeemer HospitalMeadowbrook, PA, CCN 390097 Hospital Other (100%) Sep 5, 1991
Senior Behavorial HealthMeadowbrook, PA, CCN 39S097 Hospital Other (100%) Oct 1, 1997
Rothman Orthopaedic Specialty HospitalBensalem, PA, CCN 390322 Hospital 5% Or Greater Direct Ownership Interest (5%) May 26, 2010
Holy Redeemer Diabetes CounselingDarby, PA, CCN 395821 Skilled nursing facility Adp of the SNF
Direct Ownership Interest (100%)		 Dec 15, 2017
Dec 15, 2017
HRH Transitional Care UnitMeadowbrook, PA, CCN 395861 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Sep 5, 2011
Sep 5, 2011
Sep 5, 2011
Holy Redeemer Home Care- NJ SouthRunnemede, NJ, CCN 317025 Home health agency Operational/Managerial Control (100%) Oct 1, 2004
Holy Redeemer Home Care-PAPhiladelphia, PA, CCN 397104A Home health agency Other (100%) Feb 23, 1973
Holy Redeemer Hospice - NJ, SouthRunnemede, NJ, CCN 311513 Hospice Operational/Managerial Control (100%) Jul 5, 2021
Holy Redeemer Hospice-PAPhiladelphia, PA, CCN 391514A Hospice Other (100%) Feb 23, 1973

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 8

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

Affiliated clinicians 7

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": "1130112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1376533109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 HUNTINGDON PIKE",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468001",
            "telephone_number": "215-938-4000",
            "fax_number": "215-938-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 HUNTINGDON PIKE",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468001",
            "telephone_number": "215-938-4000",
            "fax_number": "215-938-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY REDEEMER HEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOLY REDEEMER HEALTH SYSTEM",
        "enumeration_date": "2005-10-24",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "FALLON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE, LIFECARE",
        "authorized_official_telephone_number": "215-856-1123",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "451002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001264530004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Josephs Manor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Josephs Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meadowbrook, PA

Sources for this page

Verify at the official NPI Registry.