Active NPI
Tunkhannock Rehabilitation & Health Care Center Operating Company LLC
- Skilled Nursing Facility
- Tunkhannock, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Apr 8, 2025
- Medicare certification status
- Active
- Certified beds
- 52
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
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 |
|---|---|---|---|
| 39D2319820 | Tunkhannock Rehab & HLTH Care Ctr | Certificate of waiver | Mar 6, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Michael P Kelly | Operational/Managerial Control | Mar 1, 2025 | |
| Adp of the SNF | Mar 1, 2025 | ||
| Direct Ownership Interest | Jan 9, 2025 | 50% | |
| Adp of the SNF | Mar 1, 2025 | ||
| Michele Gresko | Adp of the SNF | Mar 1, 2025 | |
| William Kammerer | Operational/Managerial Control | Mar 1, 2025 | |
| Adp of the SNF | Mar 1, 2025 | ||
| Adp of the SNF | Mar 1, 2025 | ||
| Susan Keefer | Operational/Managerial Control | Mar 1, 2025 | |
| Adp of the SNF | Jul 21, 2022 | ||
| Direct Ownership Interest | Jan 9, 2025 | 50% | |
| Marc N Zimmet | Adp of the SNF | Mar 1, 2025 | |
| Adp of the SNF | May 14, 2025 | ||
| Adp of the SNF | Mar 1, 2025 | ||
| Adp of the SNF | Mar 1, 2025 | ||
| Michael L Kondash | Operational/Managerial Control | Mar 1, 2025 | |
| Adp of the SNF | Mar 1, 2025 | ||
| Heather L Rogers | Operational/Managerial Control | Mar 1, 2025 | |
| Adp of the SNF | Mar 1, 2025 | ||
| The Fidelity Deposits & Discounts Bank | Adp of the SNF | Mar 1, 2025 | |
| Senior Health Care Solutions | Operational/Managerial Control | Mar 1, 2025 | |
| Adp of the SNF | Mar 1, 2025 | ||
| Zimmet Healthcare Services Group LLC | Adp of the SNF | Mar 1, 2025 | |
| Tunkhannock Rehabilitation & Health Care Center Operating Company LLC | Adp of the SNF | Sep 13, 2022 | |
| 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.
-
- Family Medicine Physician
- South Abington Township, PA
- NPI 1710966536
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Pottsville, PA
- NPI 1043697212
Senior Health Care Solutions
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Sayre, PA
- NPI 1538588678
-
- Family Medicine Physician
- Du Bois, PA
- NPI 1639394034
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"
}
]
}
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- Tunkhannock Hospital Company LLC
- Tunkhannock Hospital Physician Services LLC
- Colleen Kimberly Ulitchney, MSPT
- Vision Innovation Centers of Pennsylvania LLC
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.