Active NPI
Lutheran Community at Telford
- Skilled Nursing Facility
- Telford, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 124502
- Legal business name
- LUTHERAN COMMUNITY AT TELFORD
- Practice address
- 12 Lutheran Home Dr
Telford, PA 18969-1728 - Phone
- (215) 723-9819
- Fax
- (215) 723-3623
- NPI assigned
- Nov 23, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Ellen Natalie Shrager, NHA
- Title
- Nursing Home Administrator
- Phone
- (215) 723-9819
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 144220 | PA | |
| Skilled Nursing Facility | 314000000X | 124502 | PA | Primary |
Addresses
Primary practice location
12 Lutheran Home Dr
Telford, PA 18969-1728
Mailing address
12 Lutheran Home Drive
Telford, PA 18969-1787
Phone (215) 723-9819
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007503880001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090327000059 | PA | Part A Provider - Skilled Nursing Facility | 1355408808 | Practice locations: Telford, PA |
Skilled nursing facility certification: CCN 395804
- Legal name
- LUTHERAN COMMUNITY AT TELFORD
- Doing business as
- GRACE INSPIRED LIVING
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 1, 1989
- Last certification
- Jun 13, 2024
- Beds
- 75
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Enrollment address
- 12 Lutheran Home Dr
Telford, PA 18969-1728 - Nursing home name
- LUTHERAN COMMUNITY AT TELFORD
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Lutheran Community at Telford
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Oct 1, 1989
- Medicare certification status
- Active
- Certified beds
- 75
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
12 Lutheran Home Dr
Telford, PA 18969
Phone (215) 723-9819
Ownership & related parties
All disclosed owners & managing parties 24
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Bruce Vogel | Corporate Director | Jan 1, 2026 | |
| Randall Floyd | Corporate Director | Jan 1, 2022 | |
| Friends Services for the Aging | Operational/Managerial Control | Jan 1, 2015 | |
| Adp of the SNF | Apr 8, 2025 | ||
| Daniel McKee | Corporate Officer | Aug 23, 2005 | |
| Corporate Director | Jan 1, 2017 | ||
| Operational/Managerial Control | Aug 23, 2005 | ||
| Adp of the SNF | Aug 23, 2005 | ||
| Trevor Jones | Corporate Director | Jan 1, 2026 | |
| Ellen Shrager | Corporate Officer | Jan 1, 2017 | |
| Corporate Director | Jan 1, 2017 | ||
| Operational/Managerial Control | Sep 13, 2004 | ||
| Adp of the SNF | Sep 13, 2004 | ||
| William M Cressman | Corporate Director | Jan 1, 2017 | |
| David Harbaugh | Corporate Officer | Jan 1, 2023 | |
| Beth Gotwals | Corporate Director | Jan 1, 2024 | |
| Kelly Herber Rose | Corporate Director | Jan 1, 2023 | |
| Patti Smolinsky | Corporate Director | Sep 21, 1998 | |
| Adp of the SNF | Sep 21, 1998 | ||
| Beverly Alderfer | Corporate Director | Jan 1, 2026 | |
| Covenant Alliance Rehab East LLC | Adp of the SNF | Oct 1, 2023 | |
| Dorothy L Jaworski | Corporate Director | Jan 1, 2021 | |
| Truist Bank | 5% Or Greater Mortgage Interest | Aug 1, 2017 | 69.94% |
| Adp of the SNF | Jun 2, 2025 | ||
| Michele Kraynak | Corporate Officer | Jan 1, 2022 | |
| Ronald Hertzler | Corporate Director | Jan 1, 2023 | |
| Thomas J Rutter | Corporate Director | Jan 1, 2020 | |
| Grace Inspired Ministries | 5% Or Greater Direct Ownership Interest | Jan 1, 2017 | 100% |
| Operational/Managerial Control | Jan 1, 2017 | ||
| Adp of the SNF | Jun 18, 2025 | ||
| Direct Ownership Interest | Jan 1, 2017 | 100% | |
| Adp of the SNF | May 1, 2025 | ||
| Univest Bank and Trust | Adp of the SNF | Feb 1, 2017 | |
| First Savings Bank of Perkasie | 5% Or Greater Mortgage Interest | May 21, 2010 | 30.06% |
| Adp of the SNF | Jun 2, 2025 | ||
| Livia Lisker-Blount | Corporate Officer | May 1, 2025 | |
| Operational/Managerial Control | May 1, 2025 | ||
| Adp of the SNF | May 1, 2025 | ||
| Adp of the SNF | Jun 19, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Facilities with the same owner 15
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Davidsville, PA
- NPI 1982679437
Friends Services for the Aging
-
- Skilled Nursing Facility
- State College, PA
- NPI 1417967720
Friends Services for the Aging
-
- Skilled Nursing Facility
- Zieglerville, PA
- NPI 1871591479
Friends Services for the Aging
-
- Skilled Nursing Facility
- Akron, PA
- NPI 1205062585
Friends Services for the Aging
-
- Skilled Nursing Facility
- Wernersville, PA
- NPI 1578561049
Friends Services for the Aging
-
- Skilled Nursing Facility
- Lititz, PA
- NPI 1598137572
Friends Services for the Aging
-
- Skilled Nursing Facility
- Souderton, PA
- NPI 1871584409
Friends Services for the Aging
-
- Skilled Nursing Facility
- Honey Brook, PA
- NPI 1659377034
Friends Services for the Aging
-
- Skilled Nursing Facility
- Sellersville, PA
- NPI 1437154648
Grace Inspired Ministries
-
- Skilled Nursing Facility
- Lititz, PA
- NPI 1174529069
Friends Services for the Aging
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Telford, PA
- NPI 1679921746
Affiliated clinicians 4
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": "1132704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1451520000000",
"number": "1396728366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 LUTHERAN HOME DRIVE",
"city": "TELFORD",
"state": "PA",
"postal_code": "189691787",
"telephone_number": "215-723-9819",
"fax_number": "215-723-3623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 LUTHERAN HOME DR",
"city": "TELFORD",
"state": "PA",
"postal_code": "189691728",
"telephone_number": "215-723-9819",
"fax_number": "215-723-3623"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUTHERAN COMMUNITY AT TELFORD",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-23",
"last_updated": "2015-12-31",
"status": "A",
"authorized_official_last_name": "SHRAGER",
"authorized_official_first_name": "ELLEN",
"authorized_official_middle_name": "NATALIE",
"authorized_official_title_or_position": "NURSING HOME ADMINISTRATOR",
"authorized_official_telephone_number": "215-723-9819",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NHA"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "PA",
"license": "144220",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "124502",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007503880001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Telford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.