Active NPI
Mt Hope Nazarene Retirement Community
- Skilled Nursing Facility
- Manheim, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 134002
- Legal business name
- MT HOPE NAZARENE RETIREMENT COMMUNITY
- Practice address
- 3026 Mt Hope Home Road
Manheim, PA 17545 - Phone
- (717) 665-6365
- Fax
- (717) 665-6366
- NPI assigned
- Jul 1, 2006
- Last updated
- May 26, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Joanna Lucas
- Title
- Board President
- Phone
- (717) 491-2560
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | ||
| Skilled Nursing Facility | 314000000X | 134002 | PA | Primary |
Addresses
Primary practice location
3026 Mt Hope Home Road
Manheim, PA 17545
Mailing address
3026 Mt Hope Home Road
Manheim, PA 17545
Phone (717) 665-6365
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1017617540001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061221000367 | PA | Part A Provider - Skilled Nursing Facility | 3375543374 | Practice locations: Manheim, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1508895723. Details of each certification follow.
Skilled nursing facility certification: CCN 396119
- Legal name
- MT. HOPE NAZARENE RETIREMENT COMMUNITY
- Doing business as
- MOUNT HOPE NAZARENE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 2008
- Last certification
- Sep 5, 2024
- Beds
- 50
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Enrollment address
- 3026 Mount Hope Home Rd
Manheim, PA 17545-9529 - Nursing home name
- MT HOPE NAZARENE RETIREMENT COMMUNITY
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Mt Hope Nazarene Retirement Community
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jul 1, 2008
- Medicare certification status
- Active
- Certified beds
- 50
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 |
|---|---|---|---|
| 39D0715988 | Mt Hope Nazarene Retirement Community | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 15
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 |
|---|---|---|---|
| Ephrata Church of the Nazarene | 5% Or Greater Direct Ownership Interest | Nov 1, 2006 | 60% |
| 5% Or Greater Mortgage Interest | Nov 1, 2006 | 40% | |
| 5% Or Greater Security Interest | Nov 1, 2006 | 60% | |
| Michele Tornabe | Corporate Director | Mar 12, 2012 | |
| Operational/Managerial Control | Apr 7, 2011 | ||
| Adp of the SNF | Apr 7, 2011 | ||
| Joanna Lucas | Corporate Officer | Nov 1, 2006 | |
| Corporate Director | Sep 1, 2006 | ||
| Adp of the SNF | Sep 1, 2006 | ||
| Steven M Cafrelli | Corporate Officer | Jul 1, 2021 | |
| Susie Lovell | Corporate Officer | Aug 22, 2022 | |
| Corporate Director | Aug 24, 2022 | ||
| Adp of the SNF | Aug 22, 2022 | ||
| Jeff Sterner | Corporate Officer | Feb 9, 2022 | |
| Corporate Director | Jun 1, 2022 | ||
| Adp of the SNF | Jun 1, 2022 | ||
| Marina Maxim | Corporate Director | May 5, 2017 | |
| Operational/Managerial Control | Apr 26, 2017 | ||
| Adp of the SNF | Apr 26, 2017 | ||
| Thomas L Wickenheiser | Corporate Director | Feb 29, 2024 | |
| Operational/Managerial Control | Feb 29, 2024 | ||
| Adp of the SNF | Feb 29, 2024 | ||
| Kevin Snyder | Corporate Director | Apr 11, 2025 | |
| Adp of the SNF | Apr 11, 2025 | ||
| Charlyn Snyder | Corporate Officer | Jul 7, 2020 | |
| Corporate Director | Jan 1, 2021 | ||
| Adp of the SNF | Jan 1, 2021 | ||
| Michael L Peck | Corporate Director | Oct 2, 2022 | |
| Operational/Managerial Control | Oct 2, 2022 | ||
| Adp of the SNF | Oct 2, 2022 | ||
| Joanne Stehr | Corporate Director | Dec 1, 2024 | |
| Adp of the SNF | Dec 1, 2024 | ||
| Rocklin Hambrick | Corporate Officer | Aug 5, 2013 | |
| Debbie Fillmore | Corporate Officer | Nov 1, 2006 | |
| Corporate Director | Sep 1, 2006 | ||
| Adp of the SNF | Jan 1, 2006 | ||
| Leon Martin | Corporate Director | Jan 8, 2018 | |
| Adp of the SNF | Jan 8, 2018 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Plymouth Meeting, PA
- NPI 1265427306
Adp of the SNF, Corporate Director, Operational/Managerial Control
Practitioners & affiliated clinicians
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.
-
- Family Medicine Physician
- Plymouth Meeting, PA
- NPI 1265427306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464220800000",
"number": "1508895723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3026 MT HOPE HOME ROAD",
"city": "MANHEIM",
"state": "PA",
"postal_code": "17545",
"telephone_number": "717-665-6365",
"fax_number": "717-665-6366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3026 MT HOPE HOME ROAD",
"city": "MANHEIM",
"state": "PA",
"postal_code": "17545",
"telephone_number": "717-665-6365",
"fax_number": "717-665-6366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MT HOPE NAZARENE RETIREMENT COMMUNITY",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-01",
"last_updated": "2016-05-26",
"status": "A",
"authorized_official_last_name": "LUCAS",
"authorized_official_first_name": "JOANNA",
"authorized_official_title_or_position": "BOARD PRESIDENT",
"authorized_official_telephone_number": "717-491-2560",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "134002",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1017617540001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manheim, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.