Organization Active NPI

Foxdale Village Corporation

  • Skilled Nursing Facility
  • State College, PA
National Provider Identifier
1417967720
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
063202 Issued in PA
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

Updated by the provider on Oct 2, 2007

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 VillageCCN 395838
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare
Ownership
Non profit - Other
Certified
Sep 19, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4644.7 residents per day on average
Chain
Friends Services for the Aging5 facilities in the chain
Penalties (3 years)
1Fines totaling $8,018

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0185012Foxdale Village500 E Marylyn Ave, State College, PA 16801Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Lorna Arocena Individual Corporate Director Dec 31, 2020
Margaret Clouser Individual Operational/Managerial Control Sep 1, 2014
Peace Church Risk Retention Group Organization, Burlington, VT Operational/Managerial Control Jan 1, 2018
Adp of the SNF Jul 17, 2025
Nancy Eaton Individual Corporate Director Jul 1, 2020
Brent Ronan Individual Operational/Managerial Control Oct 1, 1999
Adp of the SNF Oct 1, 1999
Rodney M Sepich Individual Operational/Managerial Control Mar 8, 2005
Adp of the SNF Mar 8, 2005
Tama Carey Individual Corporate Officer Sep 10, 2020 100%
Operational/Managerial Control Sep 10, 2020
Adp of the SNF Sep 10, 2020
Friends Services for the Aging Organization, Blue Bell, PA Corporation, Consulting firm Operational/Managerial Control Jan 1, 1999
Adp of the SNF Jul 17, 2025
Ken Martin Individual Corporate Director Jul 1, 2020
Glendon Blume Individual Corporate Director Jul 1, 2024
Lorain National Bank Organization, Warren, PA Financial institution Operational/Managerial Control Jun 25, 2010
Adp of the SNF Jul 17, 2025
Rob Nicholas Individual Corporate Director Jul 1, 2020
Thomas Scott Schrack Individual Corporate Director Jul 1, 2022
Peter Seymour Marshall Individual Corporate Director Jul 1, 2025
Deborah Shughart Individual Corporate OfficerCfo Sep 24, 2020 100%
Adp of the SNF Sep 24, 2020
Indirect Ownership Interest Sep 24, 2020
Eric Ian Farmer Individual Corporate Director Jul 1, 2022
Emma Priya Myers Individual Corporate Director Jul 1, 2024
Brosi Anna Bradley Individual Corporate Director Aug 17, 2023
Morrison Management Specialists Inc Organization, Charlotte, NC Corporation, Management services company Operational/Managerial Control Apr 1, 2020
Adp of the SNF Jul 17, 2025
Advantage Care Rehabilitation, Inc Organization, Pittsburgh, PA LLC Operational/Managerial Control Jan 2, 2023
Adp of the SNF Jul 24, 2025
Margaret Gross Moose Individual Corporate Director Jul 1, 2025
RKL LLP Organization, Lancaster, PA Operational/Managerial Control Aug 12, 2024
Adp of the SNF Jul 17, 2025
Jeannine Shade Individual Operational/Managerial Control Apr 16, 2023
Beth G Resko Individual Corporate Director Jul 1, 2021
Laura Cook Individual 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.

Facilities with the same owner 27

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

View all 27

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

Verify at the official NPI Registry.