Active NPI
Baptist Homes Society
Doing business as Providence Point Healthcare Residence
- Skilled Nursing Facility
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- PENDING
- Legal business name
- BAPTIST HOMES SOCIETY
- Doing business as
- Providence Point Healthcare Residence
- Practice address
- 200 Adams Avenue
Pittsburgh, PA 15243-1028 - Phone
- (412) 276-4500
- Fax
- (412) 276-1650
- NPI assigned
- Apr 1, 2009
- 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. Todd F Swortzel
- Title
- Ceo
- Phone
- (412) 563-6550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | PENDING | PA | Primary |
Addresses
Primary practice location
200 Adams Avenue
Pittsburgh, PA 15243-1028
Mailing address
489 Castle Shannon Blvd
Pittsburgh, PA 15234-1419
Phone (412) 563-6550
Other names 1
- Providence Point Healthcare Residence
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090520000025 | PA | Part A Provider - Skilled Nursing Facility | 5890896971 | Practice locations: Pitsburgh, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1568604841. Details of each certification follow.
Skilled nursing facility certification: CCN 396124
- Legal name
- BAPTIST HOMES SOCIETY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Nov 10, 2009
- Last certification
- Jun 18, 2025
- Beds
- 42
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Nov 1, 1944 in PA
- Enrollment address
- 200 Adams Ave
Providence Point Healthcare Residence
Pitsburgh, PA 15243-1028 - Nursing home name
- PROVIDENCE POINT HEALTHCARE RESIDENCE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Providence Point Healthcare Residence
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- Non profit - Corporation
- Certified
- Nov 10, 2009
- Medicare certification status
- Active
- Certified beds
- 42
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryLocations
500 Providence Point Blvd
Pittsburgh, PA 15243
Phone (412) 489-3550
Ownership & 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 |
|---|---|---|---|
| Diane Mickail | Corporate Officer | Oct 1, 2013 | |
| Susan Flynn | Corporate Director | Oct 1, 2023 | |
| Michelle Brennfleck | Managing Control - Governing Body | Oct 1, 2018 | |
| Mark Smeltzer | Corporate Director | Aug 7, 2025 | |
| Adp of the SNF | Nov 11, 2025 | ||
| Raymond Kozlowski | Corporate Officer | Oct 1, 2018 | |
| Brian Gongaware | Corporate Director | Jan 1, 2015 | |
| John T Sullivan | Corporate Director | Oct 1, 2023 | |
| David Russey | Corporate Officer | Oct 1, 2019 | |
| Timothy Myers | Corporate Director | Jan 1, 2022 | |
| Operational/Managerial Control | Jan 1, 2022 | ||
| Kari Resler | Corporate Director | Oct 1, 2019 | |
| Nithin Bhandarkar | Corporate Director | Feb 1, 2020 | |
| Adp of the SNF | Feb 10, 2025 | ||
| Erin Stinner | Corporate Director | Jan 1, 2015 | |
| Karen Timko | Corporate Director | Oct 1, 2016 | |
| Gabby Williams | Corporate Director | Oct 1, 2023 | |
| Brent Foster | Corporate Director | Sep 14, 2023 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Canonsburg, PA
- NPI 1992943419
Adp of the SNF, Corporate Director
Practitioners & affiliated clinicians
Affiliated clinicians 7
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Canonsburg, PA
- NPI 1992943419
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1261094400000",
"number": "1568604841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "489 CASTLE SHANNON BLVD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152341419",
"telephone_number": "412-563-6550",
"fax_number": "412-572-8294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 ADAMS AVENUE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152431028",
"telephone_number": "412-276-4500",
"fax_number": "412-276-1650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAPTIST HOMES SOCIETY",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-01",
"last_updated": "2009-12-18",
"status": "A",
"authorized_official_last_name": "SWORTZEL",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "412-563-6550",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "PENDING",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Providence Point Healthcare Residence",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; 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.