Organization Active NPI

Jeffco Health Services, Inc.

Doing business as Penn Highlands Jefferson Manor

  • Skilled Nursing Facility
  • Brookville, PA
National Provider Identifier
1528055712
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
100802 Issued in PA
Legal business name
JEFFCO HEALTH SERVICES, INC.
Doing business as
Penn Highlands Jefferson Manor
Practice address
417 Route 28
Brookville, PA 15825-7181
Phone
(814) 849-8026
Fax
(814) 849-8026
NPI assigned
Oct 3, 2005
Last updated
Jan 27, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
PENN HIGHLANDS HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Authorized official

Name
Misty S Fleming
Title
Administrator
Phone
(814) 849-8026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 100802 PA Primary

Addresses

Primary practice location

417 Route 28
Brookville, PA 15825-7181

Mailing address

417 Route 28
Brookville, PA 15825-7181
Phone (814) 849-8026

Other names 1

  • PENN HIGHLANDS JEFFERSON MANOR Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100330000641 PA Part A Provider - Skilled Nursing Facility 6406982354 Practice locations: Brookville, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528055712. Details of each certification follow.

Skilled nursing facility certification: CCN 395626

Legal name
JEFFCO HEALTH SERVICES INC.
Doing business as
PENN HIGHLANDS JEFFERSON MANOR
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1984
Last certification
Jan 9, 2025
Beds
160
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Penn Highlands Healthcare
Organization structure
CorporationNon-profit
Incorporated
Nov 27, 1985 in PA
Enrollment address
417 Route 28
Brookville, PA 15825-7181
Nursing home name
PENN HIGHLANDS JEFFERSON MANOR

Care Compare: Nursing home

Medicare Care Compare
Listed as
Penn Highlands Jefferson ManorCCN 395626 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 1, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
16089.2 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $15,160

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
39D0671543Penn Highlands Jefferson Manor417 Route 28, Brookville, PA 15825Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Part of
Penn Highlands Healthcare

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 33

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

NameRoleSinceShare
Douglas Winner Individual Corporate OfficerChief Financial Officer Jul 1, 2024
Operational/Managerial Control Jul 1, 2024
Adp of the SNF Jul 1, 2024
Jourdan D Strishock Individual Corporate DirectorCompliance Director Aug 1, 2021
Operational/Managerial Control Aug 1, 2021
Adp of the SNF Aug 1, 2021
Organization, Harrisburg, PA Adp of the SNF Dec 9, 2025
Brookville Hospital Organization, Brookville, PA Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 1, 2019 100%
Russell E Cameron Individual Corporate OfficerChief Medical Informatics Officer Jul 1, 2024
Operational/Managerial Control Jul 1, 2024
Adp of the SNF Jul 1, 2024
Organization, Traverse City, MI Corporation, For-profit Adp of the SNF Dec 9, 2025
Penn Highlands Healthcare, Inc. Organization, Du Bois, PA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2019
Operational/Managerial Control Apr 1, 2019
Adp of the SNF Apr 1, 2019
Robert W O'Leary Individual Corporate OfficerBoard Member Jul 1, 2021
Managing Control - Governing BodyBoard Member Jul 1, 2024
Adp of the SNF Jul 1, 2024
Trina L Johnson Individual Corporate OfficerChief Medical Officer Jul 1, 2024
Operational/Managerial Control Jul 1, 2024
Adp of the SNF Jul 1, 2024
Edward Yahner Individual Corporate OfficerBoard Member Jul 1, 2025
Managing Control - Governing BodyBoard Member Jul 1, 2025
Adp of the SNF Jul 1, 2025
Organization, Houston, TX Corporation Adp of the SNF Dec 9, 2025
Joanne Ryan Individual Corporate OfficerBoard Member Jul 1, 2022
Managing Control - Governing BodyBoard Member Jul 1, 2024
Adp of the SNF Jul 1, 2024
David Lezzer Individual Corporate Officer Jul 1, 2021
Managing Control - Governing BodyBoard Member Jul 1, 2024
Adp of the SNF Jul 1, 2024
James E Devlin Individual Corporate Officer Jul 1, 2022
Managing Control - Governing BodyBoard Member Jul 1, 2022
Adp of the SNF Jul 1, 2022
Organization, Alpharetta, GA Corporation, For-profit Adp of the SNF Dec 9, 2025
Carlyn Belczyk Individual Corporate OfficerBoard Member Oct 1, 2021
Managing Control - Governing BodyBoard Member Jul 1, 2024
Adp of the SNF Jul 1, 2024
Dubois Regional Medical Center Organization, Du Bois, PA Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 1, 2019
Adp of the SNF Dec 9, 2025
Organization, Cleveland, OH Corporation Adp of the SNF Dec 9, 2025
Samuel Lewis Individual Corporate Officer Feb 1, 2021
Managing Control - Governing BodyBoard Member Jul 1, 2024
Adp of the SNF Jul 1, 2024
Richard L Pfingstler Individual Corporate OfficerBoard Member Jul 1, 2021
Managing Control - Governing BodyBoard Member Jul 1, 2024
Adp of the SNF Jul 1, 2024
Donald E Conrad Individual Corporate OfficerBoard Member Jul 1, 2021
Managing Control - Governing BodyBoard Member Jul 1, 2025
Adp of the SNF Jul 1, 2025
Scott H Foradora Individual Corporate OfficerBoard Member Jul 1, 2020
Managing Control - Governing BodyBoard Member Jul 1, 2024
Adp of the SNF Jul 1, 2024
Mark Norman Individual Corporate OfficerChief Operating Officer Jul 1, 2024
Operational/Managerial Control Jul 1, 2024
Adp of the SNF Jul 1, 2024
William H Young Individual Corporate OfficerBoard Member Jul 1, 2021
Managing Control - Governing BodyBoard Member Jul 1, 2024
Adp of the SNF Jul 1, 2024
Mark McGinley Individual Corporate OfficerBoard Member Oct 1, 2021
Managing Control - Governing BodyBoard Member Jul 1, 2024
Adp of the SNF Jul 1, 2024
James B Ryan Individual Corporate OfficerBoard Member Jul 1, 2020
Managing Control - Governing BodyBoard Member Jul 1, 2024
Adp of the SNF Jul 1, 2024
John S Sutika Individual Corporate OfficerBoard Member Jul 1, 2025
Managing Control - Governing BodyBoard Member Jul 1, 2025
Adp of the SNF Jul 1, 2025
Oscar W Johnston Individual Corporate OfficerBoard Member Jul 1, 2024
Managing Control - Governing BodyBoard Member Jul 1, 2024
Adp of the SNF Jul 1, 2024
Alexis Brianne Zimmerman Individual Adp of the SNF Jan 1, 2024
Brian S Kline Individual Corporate DirectorVP of Finance Jul 1, 2024
Operational/Managerial Control Jul 1, 2024
Adp of the SNF Jul 1, 2024
William Jay Chamberlain Individual Corporate OfficerBoard Member Jul 1, 2024
Managing Control - Governing BodyBoard Member Jul 1, 2024
Adp of the SNF Jul 1, 2024
Gregory Bauer Individual Corporate OfficerChief Business Development Officer Jul 1, 2024
Corporate DirectorSNF Administrator Jul 1, 2024
Operational/Managerial Control Jul 1, 2024
Adp of the SNF Jul 1, 2024
Steven M Fontaine Individual Corporate OfficerChief Executive Officer Jul 1, 2024
Operational/Managerial Control Jul 1, 2024
Adp of the SNF Jul 1, 2024

Owners & managing parties with NPI records 14

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

View all 14

Facilities with the same owner 18

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 18

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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.

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": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1528055712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 ROUTE 28",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158257181",
            "telephone_number": "814-849-8026",
            "fax_number": "814-849-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 ROUTE 28",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158257181",
            "telephone_number": "814-849-8026",
            "fax_number": "814-849-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFCO HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENN HIGHLANDS HEALTHCARE",
        "enumeration_date": "2005-10-03",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "814-849-8026"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "100802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PENN HIGHLANDS JEFFERSON MANOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brookville, PA

Sources for this page

Verify at the official NPI Registry.