Organization Active NPI

Centre Care, Inc.

  • Nursing Facility/Intermediate Care Facility
  • Bellefonte, PA
National Provider Identifier
1548602964
Registry record updated Jul 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
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

Updated by the provider on Jul 26, 2013

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
OtherNon-profit
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 ServicesCCN 395779 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
240223.6 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
39D0901195Centre Care Laboratory250 Persia Rd, Bellefonte, PA 16823Certificate of waiverMay 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
Centre Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

NameRoleSinceShare
Lawrence Bickford Individual Corporate OfficerBoard Vice President Nov 1, 2013
Alfred Jones Individual OtherBoard Member Nov 1, 2013
Donna Fick Individual Other May 8, 2020
Carl Raup Individual Corporate OfficerTreasurer Nov 1, 2013
Richard Wisniewski Individual OtherBoard Member Nov 1, 2013
Centre Care Inc Organization, Bellefonte, PA Created for acquisition, Non-profit Other Nov 1, 2013 100%
Thomas Charles Individual Corporate OfficerBoard Vice President Oct 14, 2016
OtherBoard Member Oct 14, 2016
Constance W Corl Individual OtherBoard Member Nov 1, 2013
William H Rockey Individual OtherBoard Member Nov 1, 2013
Betsy Boyer Individual Corporate OfficerPresident Nov 1, 2013 100%
W-2 Managing EmployeeBoard President 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.

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

Verify at the official NPI Registry.