Organization Active NPI

William Penn PA Opco LLC

Doing business as William Penn Nursing and Rehab

  • Skilled Nursing Facility
  • Lewistown, PA
National Provider Identifier
1619720836
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WILLIAM PENN PA OPCO LLC
Doing business as
William Penn Nursing and Rehab
Practice address
163 Summit Dr
Lewistown, PA 17044-1245
Phone
(717) 248-3941
NPI assigned
Apr 8, 2024
Last updated
Apr 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Aharon Franco
Title
Authorized Representative
Phone
(646) 823-6464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

163 Summit Dr
Lewistown, PA 17044-1245

Mailing address

1815 Lakewood Road
Suite 255
Toms River, NJ 08755

Other names 1

  • William Penn Nursing and Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241219004108 PA Part A Provider - Skilled Nursing Facility 8921535592 Practice locations: Lewistown, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619720836. Details of each certification follow.

Skilled nursing facility certification: CCN 395335

Legal name
WILLIAM PENN PA OPCO LLC
Doing business as
WILLIAM PENN NURSING AND REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 5, 1978
Last certification
May 9, 2025
Beds
121
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Valley West Health
Organization structure
LLCProprietary
Enrollment address
163 Summit Dr
Lewistown, PA 17044-1245
Nursing home name
WILLIAM PENN NURSING AND REHAB
Affiliated entity
VALLEY WEST HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
William Penn Nursing and RehabCCN 395335 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 5, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
121116.8 residents per day on average
Chain
Valley West Health12 facilities in the chain

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
39D0186138William Penn Nursing & Rehab163 Summit Drive, Lewistown, PA 17044Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 28

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Valley West Health LLC Organization, Toms River, NJ LLC, Management services company, For-profit Operational/Managerial Control Nov 15, 2024
Adp of the SNF Dec 20, 2024
Fillmore Strategic Investors LLC Organization, Chicago, IL LLC, For-profit Adp of the SNF Dec 20, 2024
Washington State Investment Board Organization, Olympia, WA LLC, For-profit Adp of the SNF Dec 20, 2024
Isaac Rami Individual Operational/Managerial Control Oct 29, 2024
Adp of the SNF Oct 29, 2024
Surety Compliance Organization, Southlake, TX Consulting firm, For-profit Adp of the SNF Oct 29, 2024
Iskeb 2024 Trust Organization, Toms River, NJ Created for acquisition, For-profit 5% Or Greater Indirect Ownership Interest Oct 29, 2024 100%
GPH Lewistown LP Organization, Frisco, TX For-profit Adp of the SNF Dec 20, 2024
Heather Andrews Individual Adp of the SNF Oct 29, 2024
Drumm Merger Co Organization, San Francisco, CA Corporation, For-profit Adp of the SNF Dec 20, 2024
Holly a Rasmussen-Jones Individual Adp of the SNF Oct 29, 2024
Pearl Senior Care, LLC. Organization, Frisco, TX LLC, For-profit Adp of the SNF Dec 20, 2024
Drumm Intermediary Sub Co LLC Organization, Frisco, TX LLC Adp of the SNF Dec 20, 2024
Iskeb Western PA LLC Organization, Toms River, NJ Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Oct 29, 2024 95%
Tana Traxler Individual Adp of the SNF Dec 20, 2024
Beverly Enterprises LLC Organization, Frisco, TX LLC Adp of the SNF Dec 20, 2024
Drumm Merger Co Sub LLC Organization, San Francisco, CA LLC, For-profit Adp of the SNF Dec 20, 2024
Beverly Enterprises - Pennsylvania, Inc. Organization, Frisco, TX LLC, For-profit Adp of the SNF Dec 20, 2024
Beverly Health and Rehabilitiation Services, Inc Organization, Frisco, TX LLC, For-profit Adp of the SNF Dec 20, 2024
Brandon M Roscoe Individual Adp of the SNF Dec 20, 2024
Geary Property Holdings LLC Organization, Frisco, TX LLC, For-profit Adp of the SNF Dec 20, 2024
Kim Linam Individual Adp of the SNF Oct 29, 2024
Aharon Franco Individual Operational/Managerial Control Oct 29, 2024
Adp of the SNF Oct 29, 2024
Jean Miller Individual Adp of the SNF Nov 15, 2024
Keystone Ventures LLC Organization, Toms River, NJ Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Oct 29, 2024 5%
Western PA Opco Holdings I LLC Organization, Toms River, NJ Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Oct 29, 2024
Adp of the SNF Dec 19, 2024
Sarah Karity Individual Trustee of the SNF Oct 29, 2024
Adp of the SNF Oct 29, 2024
Nicholas R Finn Individual Adp of the SNF Oct 29, 2024
Teresa Willow Individual Adp of the SNF Dec 20, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 11

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.

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": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1619720836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 LAKEWOOD ROAD",
            "address_2": "SUITE 255",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 SUMMIT DR",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170441245",
            "telephone_number": "717-248-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM PENN PA OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "FRANCO",
        "authorized_official_first_name": "AHARON",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "646-823-6464",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "William Penn Nursing and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewistown, PA

Sources for this page

Verify at the official NPI Registry.