Active NPI
Centre Care, Inc.
- Nursing Facility/Intermediate Care Facility
- Bellefonte, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- Legal business name
- CENTRE CARE, INC.
- Doing business as
- Centre Crest
- Practice address
- 502 E Howard St
Bellefonte, PA 16823-2128 - Phone
- (814) 355-6777
- NPI assigned
- Jul 26, 2013
- 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
- Mr. Carl Raup
- Title
- Secretary/Treasurer
- Phone
- (814) 693-3354
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | PA | Primary | |
| Skilled Nursing Facility | 314000000X | PA |
Addresses
Primary practice location
502 E Howard St
Bellefonte, PA 16823-2128
Mailing address
502 E Howard St
Bellefonte, PA 16823-2128
Phone (814) 355-6777
Other names 1
- Centre Crest
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131029001635 | PA | Part A Provider - Skilled Nursing Facility | 1759516776 | Practice locations: Bellefonte, PA |
Skilled nursing facility certification: CCN 395779
- Legal name
- CENTRE CARE INC
- Doing business as
- CENTRE CARE REHABILITATION AND WELLNESS SERVICES
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1989
- Last certification
- Oct 8, 2024
- Beds
- 240
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Other
- Incorporated
- Jun 26, 2013 in PA
- Enrollment address
- 250 Persia Road
Bellefonte, PA 16823-9525 - Nursing home name
- CENTRE CARE REHABILITATION AND WELLNESS SERVICES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Centre Care Rehabilitation and Wellness Services
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jan 1, 1989
- Medicare certification status
- Active
- Certified beds
- 240
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 |
|---|---|---|---|
| 39D0901195 | Centre Care Laboratory | Certificate of waiver | May 17, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Centre Care Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Bellefonte, PA
- NPI 1043216351
Ownership & related parties
All disclosed owners & managing parties 10
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 |
|---|---|---|---|
| Lawrence Bickford | Corporate Officer | Nov 1, 2013 | |
| Alfred Jones | Other | Nov 1, 2013 | |
| Donna Fick | Other | May 8, 2020 | |
| Carl Raup | Corporate Officer | Nov 1, 2013 | |
| Richard Wisniewski | Other | Nov 1, 2013 | |
| Centre Care Inc | Other | Nov 1, 2013 | 100% |
| Thomas Charles | Corporate Officer | Oct 14, 2016 | |
| Other | Oct 14, 2016 | ||
| Constance W Corl | Other | Nov 1, 2013 | |
| William H Rockey | Other | Nov 1, 2013 | |
| Betsy Boyer | Corporate Officer | Nov 1, 2013 | 100% |
| W-2 Managing Employee | Nov 1, 2013 | 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.
-
- Internal Medicine Physician
- Bellefonte, PA
- NPI 1770546434
Affiliated clinicians 1
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": "1374796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1374796800000",
"number": "1548602964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 E HOWARD ST",
"city": "BELLEFONTE",
"state": "PA",
"postal_code": "168232128",
"telephone_number": "814-355-6777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 E HOWARD ST",
"city": "BELLEFONTE",
"state": "PA",
"postal_code": "168232128",
"telephone_number": "814-355-6777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRE CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-26",
"last_updated": "2013-07-26",
"status": "A",
"authorized_official_last_name": "RAUP",
"authorized_official_first_name": "CARL",
"authorized_official_title_or_position": "SECRETARY/TREASURER",
"authorized_official_telephone_number": "814-693-3354",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "PA",
"license": null,
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Centre Crest",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bellefonte, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; 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.