Arbutus Park Manor

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

012002 Issued in PA

Legal business name

ARBUTUS PARK MANOR

Practice address

207 Ottawa Street
Johnstown, PA 15904-2337

Phone

(814) 266-8621

Fax

(814) 266-5478

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Richard W Wilson, NHA

Title

Adminstrator

Phone

(814) 266-8621

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Skilled nursing facility certification: CCN 396069

Legal name

ARBUTUS PARK MANOR

Doing business as

ARBUTUS PARK RETIREMENT COMMUNITY

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 17, 2000

Last certification

Sep 19, 2024

Beds

141

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Dec 27, 1966 in PA

Enrollment address

207 Ottawa Street
Johnstown, PA 15904-2337

Nursing home name

CONCORDIA AT ARBUTUS PARK

Listed as

Concordia at Arbutus ParkCCN 396069

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jan 17, 2000

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

14198.0 residents per day on average

Penalties (3 years)

3Fines totaling $16,800

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 6

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

Practitioners 1

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

• David J Bencie, MD

  • Internal Medicine Physician
  • Windber, PA
  • NPI 1720070436
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• David J Bencie, MD

  • Internal Medicine Physician
  • Windber, PA
  • NPI 1720070436

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1497824064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 OTTAWA STREET",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159042337",
            "telephone_number": "814-266-8621",
            "fax_number": "814-266-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 OTTAWA STREET",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159042337",
            "telephone_number": "814-266-8621",
            "fax_number": "814-266-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBUTUS PARK MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "814-266-8621",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "012002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1328",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007549770001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Andersen, PHARMD
• Michael Charles Richard Andrews, M.D.
• Linsay Angus, CRNP
• Sheila M Antal
• Apex Air Ambulance, Inc.
• Bahige Henry Arida, MD
• Arlow Ophthalmology LLC
• Arlow Surgical Solutions LLC
• Renee L Arlow, M.D.
• Tim Arlow, MD

• All providers in Johnstown, PA
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.