Organization Active NPI

United Church of Christ Homes

  • Skilled Nursing Facility
  • Annville, PA
National Provider Identifier
1497746713
Registry record updated Oct 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
730602 Issued in PA
Legal business name
UNITED CHURCH OF CHRIST HOMES
Doing business as
The Lebanon Valley Home
Practice address
550 E Main St
Annville, PA 17003-1511
Phone
(717) 867-4467
Fax
(717) 867-7060
NPI assigned
Nov 4, 2005
Organization subpart
Yes
Parent organization
UNITED CHURCH OF CHRIST HOMESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 8, 2007

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

Authorized official

Name
Mr. Stephen Horvath
Title
Executive Director Chief Executive
Phone
(717) 303-1502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 730602 PA Primary

Addresses

Primary practice location

550 E Main St
Annville, PA 17003-1511

Mailing address

550 E Main St
Annville, PA 17003-1511
Phone (717) 867-4467

Other identifiers 1

IdentifierTypeStateIssuer
1007555290004MedicaidPA

Other names 1

  • The Lebanon Valley Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120214000446 PA Part A Provider - Skilled Nursing Facility 2163517285 Practice locations: Annville, PA

Skilled nursing facility certification: CCN 395832

Legal name
UNITED CHURCH OF CHRIST HOMES
Doing business as
THE LEBANON VALLEY HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1990
Last certification
Oct 3, 2024
Beds
55
Ownership / control type
Nonprofit Corporation
Multi-facility organization
United Church of Christ Homes
Organization structure
CorporationNon-profit
Incorporated
Jan 24, 1964 in PA
Enrollment address
550 East Main Street
The Lebanon Valley Home
Annville, PA 17003-1511
Nursing home name
LEBANON VALLEY HOME THE

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lebanon Valley Home theCCN 395832 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Sep 1, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5548.8 residents per day on average

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
39D0185352Lebanon Valley Home550 East Main Street, Annville, PA 17003Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Lebanon Valley Home4 organizations share this tax ID, including this one
Part of
Lebanon Valley Home

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 37

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

NameRoleSinceShare
Lori Dierolf Individual Operational/Managerial Control Jun 19, 2022
Adp of the SNF Jun 19, 2022
Christopher Michael Rankin Individual Managing Control - Governing BodyBoard Member-Vice Chair May 1, 2024
Adp of the SNF May 1, 2024
Megan Pulaski Individual Operational/Managerial Control Feb 19, 2019
Adp of the SNF Feb 19, 2019
Carol D Sears Individual Adp of the SNF Apr 27, 2004
Cliftonlarsonallen LLP Organization, Minneapolis, MN Consulting firm Adp of the SNF Jan 1, 2012
John Rieker Individual Managing Control - Governing BodyBoard Member Apr 25, 2019
Adp of the SNF Apr 25, 2019
Neil Weiser Individual Operational/Managerial Control Jun 24, 2019
Adp of the SNF Jun 24, 2019
James Lyons Individual Managing Control - Governing BodyBoard Member May 1, 2024
Adp of the SNF May 1, 2024
United Church of Christ Homes Organization, Camp Hill, PA Corporation, Non-profit, Chain home office Operational/Managerial Control Jun 1, 1966
Adp of the SNF Jun 9, 2025
Kay Deaner Individual Managing Control - Governing BodyBoard Member Jan 22, 2024
Adp of the SNF Jan 22, 2024
Tony Fields Individual Managing Control - Governing BodyBoard Member May 1, 2023
Adp of the SNF May 1, 2023
Fulton Bank, N.a. Organization, Lancaster, PA Financial institution Adp of the SNF Oct 1, 2015
Tempest Gagnon Individual Operational/Managerial Control Feb 3, 2023
Adp of the SNF Feb 3, 2023
Galen E Russell Individual Managing Control - Governing BodyBoard Member May 1, 2021
Adp of the SNF May 1, 2021
Lindsay Sheaffer Individual Operational/Managerial Control May 11, 2009
Adp of the SNF May 11, 2009
Dwight C Hein Individual Managing Control - Governing Body Apr 28, 2025
Adp of the SNF Apr 28, 2025
Craig R Shelly Individual Operational/Managerial Control May 2, 2025
Adp of the SNF May 2, 2025
Catherine a Harvey Individual Operational/Managerial Control Feb 10, 2025
Adp of the SNF Feb 10, 2025
Victoria Velez Individual Operational/Managerial Control Mar 1, 1995
Adp of the SNF Mar 1, 1995
Emily Enright Individual Operational/Managerial Control Jun 1, 2022
Adp of the SNF Jun 1, 2022
Pennsylvania Association of Director of Nursing Administration (Padona Organization, Shade Gap, PA Consulting firm, Non-profit Adp of the SNF Jul 1, 2024
Ronald Gourley Individual Corporate OfficerVice President of Finance/Cfo Dec 13, 2024
Operational/Managerial Control Dec 13, 2024
Adp of the SNF Dec 13, 2024
Donna E Prinz Individual Managing Control - Governing BodyBoard Member May 1, 2023
Adp of the SNF May 1, 2023
Sharon Eyster Individual Corporate OfficerVice President of Operations/Coo Oct 31, 2022
Adp of the SNF Oct 31, 2022
Daniel Krebs Individual Operational/Managerial Control Feb 28, 2023
Adp of the SNF Feb 23, 2023
Rebecca Baum Boone Individual Managing Control - Governing BodyBoard Member-Secretary Apr 28, 2022
Adp of the SNF Apr 28, 2022
Tita Domingos Individual Managing Control - Governing BodyBoard Member Jul 25, 2024
Adp of the SNF Jul 25, 2024
Meredith Fields Individual Corporate OfficerChief Executive Officer/Ceo Feb 10, 2025
Operational/Managerial Control Feb 10, 2025
Adp of the SNF Feb 10, 2025
Amy Tillinger Individual Operational/Managerial Control Aug 14, 2000
Adp of the SNF Aug 14, 2000
Craig Kern Individual Managing Control - Governing BodyBoard Member Apr 25, 2025
Adp of the SNF Apr 25, 2025
Conrad Siegel Investment Advisors, Inc Organization, Harrisburg, PA Corporation, Investment firm, Consulting firm Adp of the SNF Jan 1, 2009
RKL LLP Organization, Lancaster, PA Consulting firm Adp of the SNF Jan 1, 2025
Abigail Fogleman Individual Operational/Managerial Control Oct 22, 2024
Adp of the SNF Oct 22, 2024
Marsh and McLennan Companies, Inc Organization, Boston, MA Management services company, Investment firm, Consulting firm Adp of the SNF Mar 15, 2024
Kenneth Womack Individual Managing Control - Governing BodyBoard Member-Chair Apr 28, 2022
Adp of the SNF Apr 28, 2022
Emerson L Paul Individual Managing Control - Governing BodyBoard Member May 1, 2023
Adp of the SNF May 1, 2023
Leroy Wesley Blose Individual Managing Control - Governing BodyBoard Member Apr 26, 2018
Adp of the SNF Apr 26, 2018

Owners & managing parties with NPI records 4

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

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sarah a Todd Memorial HomeCarlisle, PA, CCN 395677 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Jan 1, 1981
Feb 20, 2025
Ephrata ManorEphrata, PA, CCN 395857 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1981
Thornwald HomeCarlisle, PA, CCN 395802 Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF
Jan 1, 1981
Jun 9, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 3

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 4

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": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191801600000",
    "number": "1497746713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E MAIN ST",
            "city": "ANNVILLE",
            "state": "PA",
            "postal_code": "170031511",
            "telephone_number": "717-867-4467",
            "fax_number": "717-867-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E MAIN ST",
            "city": "ANNVILLE",
            "state": "PA",
            "postal_code": "170031511",
            "telephone_number": "717-867-4467",
            "fax_number": "717-867-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CHURCH OF CHRIST HOMES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITED CHURCH OF CHRIST HOMES",
        "enumeration_date": "2005-11-04",
        "last_updated": "2007-10-08",
        "status": "A",
        "authorized_official_last_name": "HORVATH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR CHIEF EXECUTIVE",
        "authorized_official_telephone_number": "717-303-1502",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "730602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007555290004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Lebanon Valley Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Annville, PA

Sources for this page

Verify at the official NPI Registry.