Jeffco Health Services, Inc.
Organization Active NPI Skilled Nursing Facility · Brookville, PA
NPI 1528055712 · NPPES record last updated Jan 27, 2021
Key facts
- NPI
- 1528055712
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 100802 (PA)
- Legal business name
- JEFFCO HEALTH SERVICES, INC.
- Practice address
- 417 Route 28
Brookville, PA 15825-7181 - Phone
- (814) 849-8026
- Fax
- (814) 849-8026
- NPI assigned
- Oct 3, 2005
- Organization subpart
- Yes
- Parent organization (as reported)
- PENN HIGHLANDS HEALTHCARE
Authorized official
- Name
- Misty S Fleming
- Title
- Administrator
- Phone
- (814) 849-8026
Parent organization (reported in NPPES) 1
Owners & managing parties with NPI records 14
-
Donald E. Conrad, D.O.
-
James Edward Devlin, M.D.
Member of 2
Facilities with the same owner 18
Practitioners 3
-
Brandon M Roscoe, M.D.
-
Janice Semeyn, D.O.
Affiliated clinicians 2
-
Janice Semeyn, D.O.
Medicare Care Compare: Nursing home
- Listed as
- Penn Highlands Jefferson Manor
- 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
- Active
- Certified beds
- 160 · 89.2 residents per day on average
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 2 · fines totaling $15,160
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0671543 | Penn Highlands Jefferson Manor | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
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
- Corporation · Non-profit
- Incorporated
- Nov 27, 1985 in PA
- Enrollment address
- 417 Route 28
Brookville, PA 15825-7181 - Nursing home name
- PENN HIGHLANDS JEFFERSON MANOR
All disclosed owners & managing parties 33
| Name | Role | Since | Share |
|---|---|---|---|
| Douglas Winner |
Corporate Officer |
Jul 1, 2024 | |
| Operational/Managerial Control | Jul 1, 2024 | ||
| Adp of the SNF | Jul 1, 2024 | ||
| Jourdan D Strishock |
Corporate Director |
Aug 1, 2021 | |
| Operational/Managerial Control | Aug 1, 2021 | ||
| Adp of the SNF | Aug 1, 2021 | ||
| |
Adp of the SNF | Dec 9, 2025 | |
| Brookville Hospital |
5% Or Greater Direct Ownership Interest | Apr 1, 2019 | 100% |
| Russell E Cameron |
Corporate Officer |
Jul 1, 2024 | |
| Operational/Managerial Control | Jul 1, 2024 | ||
| Adp of the SNF | Jul 1, 2024 | ||
| |
Adp of the SNF | Dec 9, 2025 | |
| Penn Highlands Healthcare, Inc. |
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 |
Corporate Officer |
Jul 1, 2021 | |
| Managing Control - Governing Body |
Jul 1, 2024 | ||
| Adp of the SNF | Jul 1, 2024 | ||
| Trina L Johnson |
Corporate Officer |
Jul 1, 2024 | |
| Operational/Managerial Control | Jul 1, 2024 | ||
| Adp of the SNF | Jul 1, 2024 | ||
| Edward Yahner |
Corporate Officer |
Jul 1, 2025 | |
| Managing Control - Governing Body |
Jul 1, 2025 | ||
| Adp of the SNF | Jul 1, 2025 | ||
| |
Adp of the SNF | Dec 9, 2025 | |
| Joanne Ryan |
Corporate Officer |
Jul 1, 2022 | |
| Managing Control - Governing Body |
Jul 1, 2024 | ||
| Adp of the SNF | Jul 1, 2024 | ||
| David Lezzer |
Corporate Officer | Jul 1, 2021 | |
| Managing Control - Governing Body |
Jul 1, 2024 | ||
| Adp of the SNF | Jul 1, 2024 | ||
| James E Devlin |
Corporate Officer | Jul 1, 2022 | |
| Managing Control - Governing Body |
Jul 1, 2022 | ||
| Adp of the SNF | Jul 1, 2022 | ||
| |
Adp of the SNF | Dec 9, 2025 | |
| Carlyn Belczyk |
Corporate Officer |
Oct 1, 2021 | |
| Managing Control - Governing Body |
Jul 1, 2024 | ||
| Adp of the SNF | Jul 1, 2024 | ||
| Dubois Regional Medical Center |
5% Or Greater Indirect Ownership Interest | Apr 1, 2019 | |
| Adp of the SNF | Dec 9, 2025 | ||
| |
Adp of the SNF | Dec 9, 2025 | |
| Samuel Lewis |
Corporate Officer | Feb 1, 2021 | |
| Managing Control - Governing Body |
Jul 1, 2024 | ||
| Adp of the SNF | Jul 1, 2024 | ||
| Richard L Pfingstler |
Corporate Officer |
Jul 1, 2021 | |
| Managing Control - Governing Body |
Jul 1, 2024 | ||
| Adp of the SNF | Jul 1, 2024 | ||
| Donald E Conrad |
Corporate Officer |
Jul 1, 2021 | |
| Managing Control - Governing Body |
Jul 1, 2025 | ||
| Adp of the SNF | Jul 1, 2025 | ||
| Scott H Foradora |
Corporate Officer |
Jul 1, 2020 | |
| Managing Control - Governing Body |
Jul 1, 2024 | ||
| Adp of the SNF | Jul 1, 2024 | ||
| Mark Norman |
Corporate Officer |
Jul 1, 2024 | |
| Operational/Managerial Control | Jul 1, 2024 | ||
| Adp of the SNF | Jul 1, 2024 | ||
| William H Young |
Corporate Officer |
Jul 1, 2021 | |
| Managing Control - Governing Body |
Jul 1, 2024 | ||
| Adp of the SNF | Jul 1, 2024 | ||
| Mark McGinley |
Corporate Officer |
Oct 1, 2021 | |
| Managing Control - Governing Body |
Jul 1, 2024 | ||
| Adp of the SNF | Jul 1, 2024 | ||
| James B Ryan |
Corporate Officer |
Jul 1, 2020 | |
| Managing Control - Governing Body |
Jul 1, 2024 | ||
| Adp of the SNF | Jul 1, 2024 | ||
| John S Sutika |
Corporate Officer |
Jul 1, 2025 | |
| Managing Control - Governing Body |
Jul 1, 2025 | ||
| Adp of the SNF | Jul 1, 2025 | ||
| Oscar W Johnston |
Corporate Officer |
Jul 1, 2024 | |
| Managing Control - Governing Body |
Jul 1, 2024 | ||
| Adp of the SNF | Jul 1, 2024 | ||
| Alexis Brianne Zimmerman |
Adp of the SNF | Jan 1, 2024 | |
| Brian S Kline |
Corporate Director |
Jul 1, 2024 | |
| Operational/Managerial Control | Jul 1, 2024 | ||
| Adp of the SNF | Jul 1, 2024 | ||
| William Jay Chamberlain |
Corporate Officer |
Jul 1, 2024 | |
| Managing Control - Governing Body |
Jul 1, 2024 | ||
| Adp of the SNF | Jul 1, 2024 | ||
| Gregory Bauer |
Corporate Officer |
Jul 1, 2024 | |
| Corporate Director |
Jul 1, 2024 | ||
| Operational/Managerial Control | Jul 1, 2024 | ||
| Adp of the SNF | Jul 1, 2024 | ||
| Steven M Fontaine |
Corporate Officer |
Jul 1, 2024 | |
| Operational/Managerial Control | Jul 1, 2024 | ||
| Adp of the SNF | Jul 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100330000641 | PA | Part a Provider - Skilled Nursing Facility | 6406982354 | Practice locations: Brookville, PA |
National Provider Directory
- Part of
- Penn Highlands Healthcare
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 100802 | PA | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001033463-0003 | Medicaid | PA | |
| 395626 | Other | PA | PTAN |
Other names
- PENN HIGHLANDS JEFFERSON MANOR
Other providers in Brookville, PA
- Hospice Preferred Choice, Inc.
- Anna G Hummel
- Imedical Group,Inc.
- Interdependent Holdings Inc
- Jaiveer T. Reddy, M.D.
- Jefferson County Area Agency on Aging
- Jivanlal M. Patel, M.D., Inc
- Julie L Johnson
- Breanna Johnstonbaugh
- Anna Lazar Jones
All providers in Brookville, PA · Skilled Nursing Facility in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.