Organization Active NPI

Tunkhannock Rehabilitation & Health Care Center Operating Company LLC

  • Skilled Nursing Facility
  • Tunkhannock, PA
National Provider Identifier
1457166290
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
TUNKHANNOCK REHABILITATION & HEALTH CARE CENTER OPERATING COMPANY LLC
Practice address
27 West St
Tunkhannock, PA 18657-1405
Phone
(570) 996-6777
NPI assigned
Feb 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
Mr. Michael Kelly
Title
Managing Member/Owner
Phone
(570) 575-0744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

27 West St
Tunkhannock, PA 18657-1405

Mailing address

401 Moltke Ave Ste 100
Scranton, PA 18505-2886
Phone (570) 969-2188

Other names 1

  • Tunkhannock Rehabilitation & Health Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250513001845 PA Part A Provider - Skilled Nursing Facility 8325566458 Practice locations: Tunkhannock, PA

Skilled nursing facility certification: CCN 396151

Legal name
TUNKHANNOCK REHABILITATION & HEALTH CARE CENTER OPERATING COMPANY LLC
Doing business as
TUNKHANNOCK REHABILITATION & HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 8, 2025
Last certification
Apr 8, 2025
Beds
52
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Senior Healthcare Solutions
Organization structure
LLCProprietary
Enrollment address
27 West Street
Tunkhannock, PA 18657-1405
Nursing home name
TUNKHANNOCK REHABILITATION & HEALTH CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Tunkhannock Rehabilitation & Health Care CenterCCN 396151
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 8, 2025
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5246.9 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)

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
39D2319820Tunkhannock Rehab & HLTH Care Ctr27 West Street, Tunkhannock, PA 18657Certificate of waiverMar 6, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Michael P Kelly Individual Operational/Managerial Control Mar 1, 2025
Adp of the SNF Mar 1, 2025
Direct Ownership Interest Jan 9, 2025 50%
Individual Adp of the SNF Mar 1, 2025
Michele Gresko Individual Adp of the SNF Mar 1, 2025
William Kammerer Individual Operational/Managerial Control Mar 1, 2025
Adp of the SNF Mar 1, 2025
Individual Adp of the SNF Mar 1, 2025
Susan Keefer Individual Operational/Managerial Control Mar 1, 2025
Adp of the SNF Jul 21, 2022
Direct Ownership Interest Jan 9, 2025 50%
Marc N Zimmet Individual Adp of the SNF Mar 1, 2025
Organization, Dunmore, PA Holding company Adp of the SNF May 14, 2025
Individual Adp of the SNF Mar 1, 2025
Organization, Woodmere, OH Adp of the SNF Mar 1, 2025
Michael L Kondash Individual Operational/Managerial Control Mar 1, 2025
Adp of the SNF Mar 1, 2025
Heather L Rogers Individual Operational/Managerial Control Mar 1, 2025
Adp of the SNF Mar 1, 2025
The Fidelity Deposits & Discounts Bank Organization, Scranton, PA Financial institution Adp of the SNF Mar 1, 2025
Senior Health Care Solutions Organization, Scranton, PA LLC, Management services company Operational/Managerial Control Mar 1, 2025
Adp of the SNF Mar 1, 2025
Zimmet Healthcare Services Group LLC Organization, Manalapan, NJ LLC, Consulting firm Adp of the SNF Mar 1, 2025
Tunkhannock Rehabilitation & Health Care Center Operating Company LLC Organization, Scranton, PA LLC Adp of the SNF Sep 13, 2022
Individual Adp of the SNF Mar 1, 2024

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 1

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

Practitioners & affiliated clinicians

Practitioners 2

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

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": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1457166290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MOLTKE AVE STE 100",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185052886",
            "telephone_number": "570-969-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 WEST ST",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186571405",
            "telephone_number": "570-996-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUNKHANNOCK REHABILITATION & HEALTH CARE CENTER OPERATING COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING MEMBER/OWNER",
        "authorized_official_telephone_number": "570-575-0744",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tunkhannock Rehabilitation & Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tunkhannock, PA

Sources for this page

Verify at the official NPI Registry.