Organization Active NPI

Lafayette Manor, Inc

  • Skilled Nursing Facility
  • Uniontown, PA
National Provider Identifier
1508869652
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
120202 Issued in PA
Legal business name
LAFAYETTE MANOR, INC
Practice address
147 Lafayette Manor Road
Uniontown, PA 15401-8900
Phone
(724) 430-4848
Fax
(724) 430-1881
NPI assigned
May 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Mary Ketterman, NHA
Title
Nursing Home Administrator
Phone
(724) 430-4848

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 409610 PA
Skilled Nursing Facility 314000000X 120202 PA Primary

Addresses

Primary practice location

147 Lafayette Manor Road
Uniontown, PA 15401-8900

Mailing address

147 Lafayette Manor Road
Uniontown, PA 15401
Phone (724) 430-4848

Other identifiers 2

IdentifierTypeStateIssuer
0544OtherPABLUECROSS PROVIDER NUMBER
0007479900003MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091203000266 PA Part A Provider - Skilled Nursing Facility 0042359168 Practice locations: Uniontown, PA

Skilled nursing facility certification: CCN 395795

Legal name
LAFAYETTE MANOR, INC.
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1989
Last certification
Sep 6, 2024
Beds
98
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 8, 1975 in PA
Enrollment address
147 Lafayette Manor Rd
Uniontown, PA 15401-8900
Nursing home name
LAFAYETTE MANOR, INC

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lafayette Manor, IncCCN 395795 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jun 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9884.4 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
39D0715752Lafayette Manor Inc147 Lafayette Manor Road, Uniontown, PA 15401Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
William F Rowe Individual Corporate OfficerBoard Director Oct 1, 2023 100%
Mark a Waldrop Individual Corporate OfficerPresident, Board of Directors Oct 1, 2023 100%
Todd D Wagner Individual Corporate OfficerVice President, Secretary, Treas Oct 1, 2023 100%
Mary Ketterman Individual Corporate DirectorAdministrator Aug 10, 2023 100%
Operational/Managerial ControlAdministrator Aug 10, 2023 100%
Timothy a Duggan Individual Corporate OfficerBoard Director Oct 1, 2023 100%

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 2

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": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1508869652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 LAFAYETTE MANOR ROAD",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "15401",
            "telephone_number": "724-430-4848",
            "fax_number": "724-430-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 LAFAYETTE MANOR ROAD",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154018900",
            "telephone_number": "724-430-4848",
            "fax_number": "724-430-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE MANOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "KETTERMAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "NURSING HOME ADMINISTRATOR",
        "authorized_official_telephone_number": "724-430-4848",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "PA",
            "license": "409610",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "120202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS PROVIDER NUMBER",
            "identifier": "0544",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007479900003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

Verify at the official NPI Registry.