Embassy Hearthside, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

EMBASSY HEARTHSIDE, LLC

Doing business as

Embassy of Hearthside

Practice address

450 Waupelani Dr
State College, PA 16801-4516

Phone

(814) 237-0630

NPI assigned

Sep 28, 2020

Last updated

Sep 28, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

George Repchick

Title

President of Manager

Phone

(216) 378-2050

Specialties & licenses 1

Addresses

Other names 1

• Embassy of Hearthside Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467069005. Details of each certification follow.

• CCN 395868 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 395868

Legal name

EMBASSY HEARTHSIDE, LLC

Doing business as

EMBASSY OF HEARTHSIDE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 15, 1991

Last certification

Mar 14, 2025

Beds

157

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Embassy Healthcare

Organization structure

LLCProprietary

Incorporated

Aug 6, 2020 in PA

Enrollment address

450 Waupelani Drive
State College, PA 16801-4516

Nursing home name

EMBASSY OF HEARTHSIDE

Affiliated entity

EMBASSY HEALTHCARE

Listed as

Embassy of HearthsideCCN 395868 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Nov 15, 1991

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

157123.7 residents per day on average

Chain

Embassy Healthcare33 facilities in the chain

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

3Fines totaling $154,786

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 12

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Brandon M Roscoe, M.D.

  • Family Medicine Physician
  • Du Bois, PA
  • NPI 1639394034

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 36

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

• Delaware Valley Skilled Nursing Operating Company, LLC

  dba Delaware Valley Skilled Nursing & Rehabilitation Center

  • Skilled Nursing Facility
  • Matamoras, PA
  • NPI 1043809577

  2020 GSR Dynasty LLC, George S. Repchick 2020 Family Dynasty Trust

  CMS ownership
• Embassy Hermitage, LLC

  dba Hermitage Nursing and Rehabilitation

  • Skilled Nursing Facility
  • Hermitage, PA
  • NPI 1124648878

  2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, Embassy Healthcare Management Inc, George S. Repchick 2020 Family Dynasty Trust, Heritage Employment Services, LLC

  CMS ownership
• Embassy Hillsdale Park, LLC

  dba Embassy of Hillsdale Park

  • Skilled Nursing Facility
  • Hillsdale, PA
  • NPI 1831796036

  2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, Embassy Healthcare Management Inc, Embassy PA Tenant 2 Holdings LLC, George S. Repchick 2020 Family Dynasty Trust, Heritage Employment Servic

  CMS ownership
• Embassy Huntingdon Park, LLC

  dba Embassy of Huntingdon Park

  • Skilled Nursing Facility
  • Huntingdon, PA
  • NPI 1629685276

  2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, Embassy Healthcare Management Inc, Embassy PA Tenant 2 Holdings LLC, George S. Repchick 2020 Family Dynasty Trust, Heritage Employment Servic

  CMS ownership
• Embassy of East Mountain LLC

  dba Embassy of East Mountain

  • Skilled Nursing Facility
  • Wilkes Barre, PA
  • NPI 1407608128

  2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, George S. Repchick 2020 Family Dynasty Trust

  CMS ownership
• Embassy of Scranton LLC

  dba Embassy of Scranton

  • Skilled Nursing Facility
  • Scranton, PA
  • NPI 1932951654

  2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, George S. Repchick 2020 Family Dynasty Trust

  CMS ownership
• Embassy of Tunkhannock LLC

  dba Embassy of Tunkhannock

  • Skilled Nursing Facility
  • Tunkhannock, PA
  • NPI 1780436410

  2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, George S. Repchick 2020 Family Dynasty Trust

  CMS ownership
• Embassy of Wyoming Valley LLC

  dba Embassy of Wyoming Valley

  • Skilled Nursing Facility
  • Wilkes Barre, PA
  • NPI 1730931478

  2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, George S. Repchick 2020 Family Dynasty Trust

  CMS ownership
• Embassy Park Avenue, LLC

  dba Embassy of Park Avenue

  • Skilled Nursing Facility
  • Meadville, PA
  • NPI 1760099311

  2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, Embassy Healthcare Management Inc, Embassy PA Tenant 2 Holdings LLC, George S. Repchick 2020 Family Dynasty Trust, Heritage Employment Servic

  CMS ownership
• Embassy Saxonburg LLC

  dba Embassy of Saxonburg

  • Skilled Nursing Facility
  • Saxonburg, PA
  • NPI 1205596061

  2020 GSR Dynasty LLC, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, Embassy Healthcare Management Inc, Heritage Employment Services, LLC

  CMS ownership
• Embassy Sharon, LLC

  dba Clepper Manor

  • Skilled Nursing Facility
  • Sharon, PA
  • NPI 1205456704

  2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, Embassy Healthcare Management Inc, George S. Repchick 2020 Family Dynasty Trust, Heritage Employment Services, LLC

  CMS ownership
• Embassy Woodland Park, LLC

  dba Embassy of Woodland Park

  • Skilled Nursing Facility
  • Orbisonia, PA
  • NPI 1982211538

  2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, Embassy Healthcare Management Inc, Embassy PA Tenant 2 Holdings LLC, George S. Repchick 2020 Family Dynasty Trust, Heritage Employment Servic

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brandon M Roscoe, M.D.

  • Family Medicine Physician
  • Du Bois, PA
  • NPI 1639394034
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1467069005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25201 CHAGRIN BLVD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 WAUPELANI DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168014516",
            "telephone_number": "814-237-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBASSY HEARTHSIDE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "REPCHICK",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT OF MANAGER",
        "authorized_official_telephone_number": "216-378-2050"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Embassy of Hearthside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margaret A Ellis
• Rachel Anne Ellis, MS, OTR/L
• Ryan Ellis
• Thomas J Ellis, D.O.
• Eric L Emanski, MD
• Stacy Emile
• Energy Rehab Wellness and Training
• David Robert Englehart, D.M.D.
• Stephen L Engroff, MD DDS
• Ennis Straight Chiropractic Center

• Skilled Nursing Facility in State College, PA
• Providers in State College, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.

Verify at the official NPI Registry.