Active NPI
Foxdale Village Corporation
- Skilled Nursing Facility
- State College, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 063202
- Legal business name
- FOXDALE VILLAGE CORPORATION
- Practice address
- 500 E Marylyn Ave
State College, PA 16801-6269 - Phone
- (814) 238-3322
- Fax
- (814) 238-2920
- NPI assigned
- Aug 9, 2006
- 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
- Corey Hamilton, CPA
- Title
- Director of Financial Services
- Phone
- (814) 272-2114
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 345650 | PA | |
| Nursing Facility/Intermediate Care Facility | 313M00000X | 063202 | PA | |
| Skilled Nursing Facility | 314000000X | 063202 | PA | Primary |
Addresses
Primary practice location
500 E Marylyn Ave
State College, PA 16801-6269
Mailing address
500 E Marylyn Ave
State College, PA 16801-6269
Phone (814) 238-3322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120807000536 | PA | Part A Provider - Skilled Nursing Facility | 9234385220 | Practice locations: State College, PA |
Skilled nursing facility certification: CCN 395838
- Legal name
- FOXDALE VILLAGE CORPORATION
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Sep 19, 1990
- Last certification
- Nov 1, 2024
- Beds
- 46
- Ownership / control type
- Other Nonprofit
- Organization structure
- Corporation
- Incorporated
- May 28, 1986 in PA
- Enrollment address
- 500 E Marylyn Ave
Foxdale Village
State College, PA 16801-6269 - Nursing home name
- FOXDALE VILLAGE
- Affiliated entity
- FRIENDS SERVICES FOR THE AGING
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Foxdale Village
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- Non profit - Other
- Certified
- Sep 19, 1990
- Medicare certification status
- Active
- Certified beds
- 46
- Chain
- Friends Services for the Aging
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0185012 | Foxdale Village | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 25
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 |
|---|---|---|---|
| Lorna Arocena | Corporate Director | Dec 31, 2020 | |
| Margaret Clouser | Operational/Managerial Control | Sep 1, 2014 | |
| Peace Church Risk Retention Group | Operational/Managerial Control | Jan 1, 2018 | |
| Adp of the SNF | Jul 17, 2025 | ||
| Nancy Eaton | Corporate Director | Jul 1, 2020 | |
| Brent Ronan | Operational/Managerial Control | Oct 1, 1999 | |
| Adp of the SNF | Oct 1, 1999 | ||
| Rodney M Sepich | Operational/Managerial Control | Mar 8, 2005 | |
| Adp of the SNF | Mar 8, 2005 | ||
| Tama Carey | Corporate Officer | Sep 10, 2020 | 100% |
| Operational/Managerial Control | Sep 10, 2020 | ||
| Adp of the SNF | Sep 10, 2020 | ||
| Friends Services for the Aging | Operational/Managerial Control | Jan 1, 1999 | |
| Adp of the SNF | Jul 17, 2025 | ||
| Ken Martin | Corporate Director | Jul 1, 2020 | |
| Glendon Blume | Corporate Director | Jul 1, 2024 | |
| Lorain National Bank | Operational/Managerial Control | Jun 25, 2010 | |
| Adp of the SNF | Jul 17, 2025 | ||
| Rob Nicholas | Corporate Director | Jul 1, 2020 | |
| Thomas Scott Schrack | Corporate Director | Jul 1, 2022 | |
| Peter Seymour Marshall | Corporate Director | Jul 1, 2025 | |
| Deborah Shughart | Corporate Officer | Sep 24, 2020 | 100% |
| Adp of the SNF | Sep 24, 2020 | ||
| Indirect Ownership Interest | Sep 24, 2020 | ||
| Eric Ian Farmer | Corporate Director | Jul 1, 2022 | |
| Emma Priya Myers | Corporate Director | Jul 1, 2024 | |
| Brosi Anna Bradley | Corporate Director | Aug 17, 2023 | |
| Morrison Management Specialists Inc | Operational/Managerial Control | Apr 1, 2020 | |
| Adp of the SNF | Jul 17, 2025 | ||
| Advantage Care Rehabilitation, Inc | Operational/Managerial Control | Jan 2, 2023 | |
| Adp of the SNF | Jul 24, 2025 | ||
| Margaret Gross Moose | Corporate Director | Jul 1, 2025 | |
| RKL LLP | Operational/Managerial Control | Aug 12, 2024 | |
| Adp of the SNF | Jul 17, 2025 | ||
| Jeannine Shade | Operational/Managerial Control | Apr 16, 2023 | |
| Beth G Resko | Corporate Director | Jul 1, 2021 | |
| Laura Cook | Operational/Managerial Control | May 20, 2021 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- State College, PA
- NPI 1720075989
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 27
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, RKL LLP
-
- Skilled Nursing Facility
- Allentown, PA
- NPI 1043215072
Morrison Management Specialists Inc
-
- 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
- Philadelphia, PA
- NPI 1487644225
Advantage Care Rehabilitation, Inc
-
- Skilled Nursing Facility
- Lititz, PA
- NPI 1346243227
Peace Church Risk Retention Group, RKL LLP
-
- Skilled Nursing Facility
- Telford, PA
- NPI 1396728366
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
Practitioners & affiliated clinicians
Affiliated clinicians 1
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": "1155081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191283200000",
"number": "1417967720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 E MARYLYN AVE",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168016269",
"telephone_number": "814-238-3322",
"fax_number": "814-238-2920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E MARYLYN AVE",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168016269",
"telephone_number": "814-238-3322",
"fax_number": "814-238-2920"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOXDALE VILLAGE CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-09",
"last_updated": "2007-10-02",
"status": "A",
"authorized_official_last_name": "HAMILTON",
"authorized_official_first_name": "COREY",
"authorized_official_title_or_position": "DIRECTOR OF FINANCIAL SERVICES",
"authorized_official_telephone_number": "814-272-2114",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "PA",
"license": "345650",
"primary": false
},
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "PA",
"license": "063202",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "063202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in State College, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.