Active NPI
Ahf- Montgomery Inc
Doing business as Cheltenham Nursing & Rehab
- Skilled Nursing Facility
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 032202
- Legal business name
- AHF- MONTGOMERY INC
- Doing business as
- Cheltenham Nursing & Rehab
- Practice address
- 600 W Cheltenham Ave
Philadelphia, PA 19126-3045 - Phone
- (215) 927-7300
- Fax
- (215) 224-0850
- NPI assigned
- Dec 2, 2005
- Last updated
- Mar 9, 2020
- Organization subpart
- Yes
- Parent organization
- AMERICAN HEALTH FOUNDATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark T Haemmerle, CPA, INACTIVE
- Title
- President
- Phone
- (614) 760-7352
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 032202 | PA | Primary |
Addresses
Primary practice location
600 W Cheltenham Ave
Philadelphia, PA 19126-3045
Mailing address
5920 Venture Dr Ste 100
Dublin, OH 43017-2236
Phone (614) 760-7352
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012177100001 | Medicaid | PA |
Other names 1
- CHELTENHAM NURSING & REHAB
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060720000016 | PA | Part A Provider - Skilled Nursing Facility | 7618980566 | Practice locations: Philadelphia, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1598749558. Details of each certification follow.
Skilled nursing facility certification: CCN 395330A
- Legal name
- AHF MONTGOMERY, INC
- Doing business as
- CHELTENHAM NURSING AND REHABILITATION
- Organization structure
- Other
- Enrollment address
- 600 W Cheltenham Ave
Cheltenham Nursing & Rehabilitation
Philadelphia, PA 19126-3045
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 13
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 |
|---|---|---|---|
| James P McDonough | Corporate Director | Jan 1, 2017 | 16.67% |
| Suzanne Lehman | Corporate Officer | May 27, 1994 | 100% |
| Operational/Managerial Control | May 27, 1994 | ||
| Adp of the SNF | May 27, 1994 | ||
| American Health Foundation , Inc. | Operational/Managerial Control | Jul 1, 1989 | |
| Adp of the SNF | Mar 14, 2025 | ||
| Timothy Lehman | Corporate Director | Jul 3, 1989 | 16.67% |
| Operational/Managerial Control | Jul 3, 1989 | ||
| Adp of the SNF | Jul 3, 1989 | ||
| John M Haemmerle | Corporate Officer | Dec 29, 1994 | 16.67% |
| Managing Control - Governing Body | Nov 20, 1996 | ||
| Ahf Management Corp | Operational/Managerial Control | Jan 1, 1995 | |
| Adp of the SNF | Mar 14, 2025 | ||
| Indirect Ownership Interest | Jan 1, 1995 | ||
| Mark Haemmerle | Corporate Officer | Jul 3, 1989 | 16.67% |
| Robert Wayne Mayo | Operational/Managerial Control | Feb 1, 2019 | |
| Adp of the SNF | Feb 1, 2019 | ||
| J Michael Haemmerle | Corporate Officer | Nov 20, 1996 | 16.67% |
| Operational/Managerial Control | Nov 20, 1996 | ||
| Adp of the SNF | Nov 20, 1996 | ||
| Ahf Home Office Inc | Operational/Managerial Control | Jul 3, 1989 | |
| Annette L Salser | Operational/Managerial Control | Jul 14, 1997 | |
| Adp of the SNF | Jul 14, 1997 | ||
| Adp of the SNF | Jan 21, 2025 | ||
| Jeffrey David Haemmerle | Corporate Officer | Dec 20, 2023 | 16.67% |
| Operational/Managerial Control | Dec 20, 2023 | ||
| Adp of the SNF | Dec 20, 2023 |
Facilities with the same owner 5
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba McMurray Hills Manor
- Skilled Nursing Facility
- McMurray, PA
- NPI 1285619601
Ahf Home Office Inc, Ahf Management Corp, American Health Foundation , Inc.
-
dba Sanctuary of the Ohio Valley
- Skilled Nursing Facility
- Ironton, OH
- NPI 1114389798
Ahf Management Corp, American Health Foundation , Inc.
-
dba Samaritan Care Center and VIlla
- Skilled Nursing Facility
- Medina, OH
- NPI 1508228602
Ahf Management Corp, American Health Foundation , Inc.
-
dba Sanctuary at Wilmington Place
- Skilled Nursing Facility
- Dayton, OH
- NPI 1578917670
Ahf Management Corp, American Health Foundation , Inc.
-
dba Sanctuary at Tuttle Crossing
- Skilled Nursing Facility
- Dublin, OH
- NPI 1659733723
Ahf Management Corp
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Narberth, PA
- NPI 1629015680
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1164697124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583712000000",
"number": "1598749558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5920 VENTURE DR STE 100",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430172236",
"telephone_number": "614-760-7352",
"fax_number": "614-760-7356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W CHELTENHAM AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191263045",
"telephone_number": "215-927-7300",
"fax_number": "215-224-0850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AHF- MONTGOMERY INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AMERICAN HEALTH FOUNDATION",
"enumeration_date": "2005-12-02",
"last_updated": "2020-03-09",
"certification_date": "2020-03-09",
"status": "A",
"authorized_official_last_name": "HAEMMERLE",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "614-760-7352",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPA, INACTIVE"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "032202",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012177100001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CHELTENHAM NURSING & REHAB",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CHELTENHAM NURSING & REHAB",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.