Organization Active NPI

Lutheran Community at Telford

  • Skilled Nursing Facility
  • Telford, PA
National Provider Identifier
1396728366
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
124502 Issued in PA
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

Updated by the provider on Dec 31, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0007503880001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 TelfordCCN 395804
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Oct 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7565.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Member 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.

NameRoleSinceShare
Bruce Vogel Individual Corporate DirectorBoard Director Jan 1, 2026
Randall Floyd Individual Corporate Director Jan 1, 2022
Friends Services for the Aging Organization, Blue Bell, PA Corporation, Consulting firm Operational/Managerial Control Jan 1, 2015
Adp of the SNF Apr 8, 2025
Daniel McKee Individual Corporate OfficerPresident and Ceo Aug 23, 2005
Corporate DirectorBoard Member Jan 1, 2017
Operational/Managerial ControlPresident and Ceo Aug 23, 2005
Adp of the SNF Aug 23, 2005
Trevor Jones Individual Corporate DirectorBoard Director Jan 1, 2026
Ellen Shrager Individual Corporate OfficerExecutive Director Jan 1, 2017
Corporate DirectorBoard Member Jan 1, 2017
Operational/Managerial ControlExecutive Director Sep 13, 2004
Adp of the SNF Sep 13, 2004
William M Cressman Individual Corporate DirectorBoard Member Jan 1, 2017
David Harbaugh Individual Corporate OfficerSecretary Jan 1, 2023
Beth Gotwals Individual Corporate DirectorBoard Member Jan 1, 2024
Kelly Herber Rose Individual Corporate Director Jan 1, 2023
Patti Smolinsky Individual Corporate DirectorDirector of Nursing Sep 21, 1998
Adp of the SNF Sep 21, 1998
Beverly Alderfer Individual Corporate DirectorBoard Director Jan 1, 2026
Covenant Alliance Rehab East LLC Organization, Woodridge, IL LLC Adp of the SNF Oct 1, 2023
Dorothy L Jaworski Individual Corporate Director Jan 1, 2021
Truist Bank Organization, Charlotte, NC Financial institution 5% Or Greater Mortgage Interest Aug 1, 2017 69.94%
Adp of the SNF Jun 2, 2025
Michele Kraynak Individual Corporate OfficerTreasurer Jan 1, 2022
Ronald Hertzler Individual Corporate Director Jan 1, 2023
Thomas J Rutter Individual Corporate Director Jan 1, 2020
Grace Inspired Ministries Organization, Telford, PA Corporation, Management services company, Non-profit 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%
Individual Adp of the SNF May 1, 2025
Univest Bank and Trust Organization, Souderton, PA Financial institution Adp of the SNF Feb 1, 2017
First Savings Bank of Perkasie Organization, Perkasie, PA Financial institution 5% Or Greater Mortgage Interest May 21, 2010 30.06%
Adp of the SNF Jun 2, 2025
Livia Lisker-Blount Individual Corporate OfficerCfo May 1, 2025
Operational/Managerial Control May 1, 2025
Adp of the SNF May 1, 2025
Individual 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.

View all 15

Practitioners & affiliated clinicians

Practitioners 1

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

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

Verify at the official NPI Registry.