Active NPI
United Church of Christ Homes
- Skilled Nursing Facility
- Annville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 730602
- 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 HOMES
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007555290004 | Medicaid | PA |
Other names 1
- The Lebanon Valley Home
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 the
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Sep 1, 1990
- Medicare certification status
- Active
- Certified beds
- 55
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 |
|---|---|---|---|
| 39D0185352 | Lebanon Valley Home | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Lebanon Valley Home
- 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.
-
- Skilled Nursing Facility
- Carlisle, PA
- NPI 1528059854
-
- Skilled Nursing Facility
- Ephrata, PA
- NPI 1548251879
-
- Skilled Nursing Facility
- Carlisle, PA
- NPI 1588655815
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Lori Dierolf | Operational/Managerial Control | Jun 19, 2022 | |
| Adp of the SNF | Jun 19, 2022 | ||
| Christopher Michael Rankin | Managing Control - Governing Body | May 1, 2024 | |
| Adp of the SNF | May 1, 2024 | ||
| Megan Pulaski | Operational/Managerial Control | Feb 19, 2019 | |
| Adp of the SNF | Feb 19, 2019 | ||
| Carol D Sears | Adp of the SNF | Apr 27, 2004 | |
| Cliftonlarsonallen LLP | Adp of the SNF | Jan 1, 2012 | |
| John Rieker | Managing Control - Governing Body | Apr 25, 2019 | |
| Adp of the SNF | Apr 25, 2019 | ||
| Neil Weiser | Operational/Managerial Control | Jun 24, 2019 | |
| Adp of the SNF | Jun 24, 2019 | ||
| James Lyons | Managing Control - Governing Body | May 1, 2024 | |
| Adp of the SNF | May 1, 2024 | ||
| United Church of Christ Homes | Operational/Managerial Control | Jun 1, 1966 | |
| Adp of the SNF | Jun 9, 2025 | ||
| Kay Deaner | Managing Control - Governing Body | Jan 22, 2024 | |
| Adp of the SNF | Jan 22, 2024 | ||
| Tony Fields | Managing Control - Governing Body | May 1, 2023 | |
| Adp of the SNF | May 1, 2023 | ||
| Fulton Bank, N.a. | Adp of the SNF | Oct 1, 2015 | |
| Tempest Gagnon | Operational/Managerial Control | Feb 3, 2023 | |
| Adp of the SNF | Feb 3, 2023 | ||
| Galen E Russell | Managing Control - Governing Body | May 1, 2021 | |
| Adp of the SNF | May 1, 2021 | ||
| Lindsay Sheaffer | Operational/Managerial Control | May 11, 2009 | |
| Adp of the SNF | May 11, 2009 | ||
| Dwight C Hein | Managing Control - Governing Body | Apr 28, 2025 | |
| Adp of the SNF | Apr 28, 2025 | ||
| Craig R Shelly | Operational/Managerial Control | May 2, 2025 | |
| Adp of the SNF | May 2, 2025 | ||
| Catherine a Harvey | Operational/Managerial Control | Feb 10, 2025 | |
| Adp of the SNF | Feb 10, 2025 | ||
| Victoria Velez | Operational/Managerial Control | Mar 1, 1995 | |
| Adp of the SNF | Mar 1, 1995 | ||
| Emily Enright | Operational/Managerial Control | Jun 1, 2022 | |
| Adp of the SNF | Jun 1, 2022 | ||
| Pennsylvania Association of Director of Nursing Administration (Padona | Adp of the SNF | Jul 1, 2024 | |
| Ronald Gourley | Corporate Officer | Dec 13, 2024 | |
| Operational/Managerial Control | Dec 13, 2024 | ||
| Adp of the SNF | Dec 13, 2024 | ||
| Donna E Prinz | Managing Control - Governing Body | May 1, 2023 | |
| Adp of the SNF | May 1, 2023 | ||
| Sharon Eyster | Corporate Officer | Oct 31, 2022 | |
| Adp of the SNF | Oct 31, 2022 | ||
| Daniel Krebs | Operational/Managerial Control | Feb 28, 2023 | |
| Adp of the SNF | Feb 23, 2023 | ||
| Rebecca Baum Boone | Managing Control - Governing Body | Apr 28, 2022 | |
| Adp of the SNF | Apr 28, 2022 | ||
| Tita Domingos | Managing Control - Governing Body | Jul 25, 2024 | |
| Adp of the SNF | Jul 25, 2024 | ||
| Meredith Fields | Corporate Officer | Feb 10, 2025 | |
| Operational/Managerial Control | Feb 10, 2025 | ||
| Adp of the SNF | Feb 10, 2025 | ||
| Amy Tillinger | Operational/Managerial Control | Aug 14, 2000 | |
| Adp of the SNF | Aug 14, 2000 | ||
| Craig Kern | Managing Control - Governing Body | Apr 25, 2025 | |
| Adp of the SNF | Apr 25, 2025 | ||
| Conrad Siegel Investment Advisors, Inc | Adp of the SNF | Jan 1, 2009 | |
| RKL LLP | Adp of the SNF | Jan 1, 2025 | |
| Abigail Fogleman | Operational/Managerial Control | Oct 22, 2024 | |
| Adp of the SNF | Oct 22, 2024 | ||
| Marsh and McLennan Companies, Inc | Adp of the SNF | Mar 15, 2024 | |
| Kenneth Womack | Managing Control - Governing Body | Apr 28, 2022 | |
| Adp of the SNF | Apr 28, 2022 | ||
| Emerson L Paul | Managing Control - Governing Body | May 1, 2023 | |
| Adp of the SNF | May 1, 2023 | ||
| Leroy Wesley Blose | Managing Control - Governing Body | 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.
-
- Skilled Nursing Facility
- Carlisle, PA
- NPI 1528059854
Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Ephrata, PA
- NPI 1548251879
Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Carlisle, PA
- NPI 1588655815
Adp of the SNF, Operational/Managerial Control
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Sarah a Todd Memorial Home | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Jan 1, 1981 Feb 20, 2025 |
| Ephrata Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1981 |
| Thornwald Home | 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.
-
- Skilled Nursing Facility
- Carlisle, PA
- NPI 1528059854
Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Ephrata, PA
- NPI 1548251879
5% Or Greater Direct Ownership Interest
-
- Skilled Nursing Facility
- Carlisle, PA
- NPI 1588655815
5% Or Greater Direct Ownership Interest, Adp of the SNF
Facilities with the same owner 3
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Carlisle, PA
- NPI 1528059854
United Church of Christ Homes
-
- Skilled Nursing Facility
- Ephrata, PA
- NPI 1548251879
United Church of Christ Homes
-
- Skilled Nursing Facility
- Carlisle, PA
- NPI 1588655815
United Church of Christ Homes
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Williamsport, PA
- NPI 1588286587
-
- Family Medicine Physician
- Fredericksburg, PA
- NPI 1881656023
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2007; 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.