Lackawanna Healthcare Associates LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LACKAWANNA HEALTHCARE ASSOCIATES LLC

Practice address

1301 Bloom Rd
Danville, PA 17821-6532

Phone

(570) 284-4343

Fax

(570) 284-4346

NPI assigned

Aug 27, 2019

Organization subpart

No

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

Authorized official

Name

David W Klingerman Jr.

Title

Member

Phone

(570) 204-8787

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Skilled nursing facility certification: CCN 395625

Legal name

LACKAWANNA HEALTHCARE ASSOCIATES LLC

Doing business as

MARYWOOD HEIGHTS

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1984

Last certification

May 8, 2025

Beds

72

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Enrollment address

2500 Adams Ave
Scranton, PA 18509-1515

Nursing home name

MARYWOOD HEIGHTS

Listed as

Marywood HeightsCCN 395625 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jan 1, 1984

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7270.2 residents per day on average

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

1Fines totaling $32,646

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Hamilton Healthcare Associates, LLC

  • Skilled Nursing Facility
  • Cincinnati, OH
  • NPI 1053029124

  Member Of

  NPD member

All disclosed owners & managing parties 8

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

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 1

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

• Hamilton Healthcare Associates, LLC

  • Skilled Nursing Facility
  • Cincinnati, OH
  • NPI 1053029124

  5% Or Greater Direct Ownership Interest

  CMS ownership

Facilities with the same owner 1

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

• Hamilton Healthcare Associates, LLC

  • Skilled Nursing Facility
  • Cincinnati, OH
  • NPI 1053029124

  Lackawanna Healthcare Associates LLC

  CMS ownership

Practitioners 1

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

• Michael L Kondash, DO

  • Family Medicine Physician
  • South Abington Township, PA
  • NPI 1710966536
  NPD (past)

Affiliated clinicians 1

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

• Michael L Kondash, DO

  • Family Medicine Physician
  • South Abington Township, PA
  • NPI 1710966536

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1386292035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BLOOM RD",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178216532",
            "telephone_number": "570-284-4343",
            "fax_number": "570-284-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BLOOM RD",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178216532",
            "telephone_number": "570-284-4343",
            "fax_number": "570-284-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACKAWANNA HEALTHCARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "KLINGERMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "570-204-8787",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03152020",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caroline L Kush, PHARMD
• Amanda Preston Kusske, MS, RD, CSO
• Catherine Mieko Kwon, MD
• Taesung Kwon, M.D.
• Jelena Lacas
• Emily Ladnier
• William Lai, DO
• Xuan Hanh Thanh Lam, DNP, CRNA
• Richard L. Lambert, M.D.
• Gayle Lanphier

• Skilled Nursing Facility in Danville, PA
• Providers in Danville, 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 Aug 30, 2024; 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.