Organization Active NPI

Ahf- Montgomery Inc

Doing business as Cheltenham Nursing & Rehab

  • Skilled Nursing Facility
  • Philadelphia, PA
National Provider Identifier
1598749558
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
032202 Issued in PA
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, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
AMERICAN HEALTH FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0012177100001MedicaidPA

Other names 1

  • CHELTENHAM NURSING & REHAB Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
OtherNon-profit
Enrollment address
600 W Cheltenham Ave
Cheltenham Nursing & Rehabilitation
Philadelphia, PA 19126-3045

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
James P McDonough Individual Corporate DirectorBoard Member Jan 1, 2017 16.67%
Suzanne Lehman Individual Corporate OfficerPresident Ahf Management May 27, 1994 100%
Operational/Managerial ControlPresident of Management Company May 27, 1994
Adp of the SNF May 27, 1994
American Health Foundation , Inc. Organization, Dublin, OH Non-profit, Chain home office Operational/Managerial Control Jul 1, 1989
Adp of the SNF Mar 14, 2025
Timothy Lehman Individual Corporate DirectorBoard Member Jul 3, 1989 16.67%
Operational/Managerial Control Jul 3, 1989
Adp of the SNF Jul 3, 1989
John M Haemmerle Individual Corporate OfficerChairman of the Board Dec 29, 1994 16.67%
Managing Control - Governing BodyChairman of the Board Nov 20, 1996
Ahf Management Corp Organization, Dublin, OH Management services company Operational/Managerial Control Jan 1, 1995
Adp of the SNF Mar 14, 2025
Indirect Ownership Interest Jan 1, 1995
Mark Haemmerle Individual Corporate OfficerPresident Jul 3, 1989 16.67%
Robert Wayne Mayo Individual Operational/Managerial Control Feb 1, 2019
Adp of the SNF Feb 1, 2019
J Michael Haemmerle Individual Corporate OfficerSecretary Nov 20, 1996 16.67%
Operational/Managerial Control Nov 20, 1996
Adp of the SNF Nov 20, 1996
Ahf Home Office Inc Organization, Dublin, OH Corporation Operational/Managerial Control Jul 3, 1989
Annette L Salser Individual Operational/Managerial Control Jul 14, 1997
Adp of the SNF Jul 14, 1997
Individual Adp of the SNF Jan 21, 2025
Jeffrey David Haemmerle Individual Corporate OfficerTreasurer 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.

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.

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

Verify at the official NPI Registry.