Active NPI
Embassy Huntingdon Park, LLC
Doing business as Embassy of Huntingdon Park
- Skilled Nursing Facility
- Huntingdon, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- EMBASSY HUNTINGDON PARK, LLC
- Doing business as
- Embassy of Huntingdon Park
- Practice address
- 1229 Warm Springs Ave
Huntingdon, PA 16652-2350 - Phone
- (814) 643-4210
- NPI assigned
- Sep 28, 2020
- Last updated
- Sep 28, 2020
- 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
- George Repchick
- Title
- President of Manager
- Phone
- (216) 378-2050
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1229 Warm Springs Ave
Huntingdon, PA 16652-2350
Mailing address
25201 Chagrin Blvd
Beachwood, OH 44122-5600
Other names 1
- Embassy of Huntingdon Park
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201201001989 | PA | Part A Provider - Skilled Nursing Facility | 8729499470 | Practice locations: Huntingdon, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1629685276. Details of each certification follow.
Skilled nursing facility certification: CCN 395297
- Legal name
- EMBASSY HUNTINGDON PARK LLC
- Doing business as
- EMBASSY OF HUNTINGDON PARK
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 24, 1972
- Last certification
- Apr 10, 2025
- Beds
- 93
- Ownership / control type
- Corporation
- Multi-facility organization
- Embassy Healthcare
- Organization structure
- LLC
- Incorporated
- Aug 6, 2020 in PA
- Enrollment address
- 1229 Warm Springs Avenue
Huntingdon, PA 16652-2350 - Nursing home name
- EMBASSY OF HUNTINGDON PARK
- Affiliated entity
- EMBASSY HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Embassy of Huntingdon Park
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 24, 1972
- Medicare certification status
- Active
- Certified beds
- 93
- Chain
- Embassy Healthcare
National Provider Directory
National Provider DirectoryLocations
25201 Chagrin Blvd
Cleveland, OH 44122
Phone (216) 464-1616
Ownership & related parties
All disclosed owners & managing parties 12
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 |
|---|---|---|---|
| Ah Dynasty LLC | 5% Or Greater Indirect Ownership Interest | Nov 9, 2022 | 50% |
| Jennifer Anderson | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Heritage Employment Services, LLC | Operational/Managerial Control | Nov 9, 2022 | |
| Adp of the SNF | Jul 8, 2025 | ||
| George S. Repchick 2020 Family Dynasty Trust | 5% Or Greater Indirect Ownership Interest | Nov 9, 2022 | 50% |
| Aaron Handler Family Dynasty Trust | 5% Or Greater Indirect Ownership Interest | Nov 9, 2022 | 50% |
| Brandon M Roscoe | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Aaron B Handler | Operational/Managerial Control | Jan 1, 2020 | |
| Managing Control - Governing Body | Nov 9, 2022 | ||
| Adp of the SNF | Nov 9, 2022 | ||
| Embassy PA Tenant 2 Holdings LLC | 5% Or Greater Direct Ownership Interest | Nov 10, 2020 | 100% |
| George S. Repchick | Operational/Managerial Control | Nov 9, 2022 | |
| Managing Control - Governing Body | Nov 9, 2022 | ||
| Adp of the SNF | Nov 9, 2022 | ||
| Embassy Healthcare Management Inc | Operational/Managerial Control | Nov 9, 2022 | |
| Adp of the SNF | Jul 8, 2025 | ||
| 2020 GSR Dynasty LLC | 5% Or Greater Indirect Ownership Interest | Nov 9, 2022 | 50% |
| Embassy Healthcare Holdings Inc | 5% Or Greater Indirect Ownership Interest | Nov 10, 2020 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Du Bois, PA
- NPI 1639394034
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 36
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Delaware Valley Skilled Nursing & Rehabilitation Center
- Skilled Nursing Facility
- Matamoras, PA
- NPI 1043809577
2020 GSR Dynasty LLC, George S. Repchick 2020 Family Dynasty Trust
-
dba Embassy of Hearthside
- Skilled Nursing Facility
- State College, PA
- NPI 1467069005
2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, Embassy Healthcare Management Inc, Embassy PA Tenant 2 Holdings LLC, George S. Repchick 2020 Family Dynasty Trust, Heritage Employment Servic
-
dba Hermitage Nursing and Rehabilitation
- Skilled Nursing Facility
- Hermitage, PA
- NPI 1124648878
2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, Embassy Healthcare Management Inc, George S. Repchick 2020 Family Dynasty Trust, Heritage Employment Services, LLC
-
dba Embassy of Hillsdale Park
- Skilled Nursing Facility
- Hillsdale, PA
- NPI 1831796036
2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, Embassy Healthcare Management Inc, Embassy PA Tenant 2 Holdings LLC, George S. Repchick 2020 Family Dynasty Trust, Heritage Employment Servic
-
dba Embassy of East Mountain
- Skilled Nursing Facility
- Wilkes Barre, PA
- NPI 1407608128
2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, George S. Repchick 2020 Family Dynasty Trust
-
dba Embassy of Scranton
- Skilled Nursing Facility
- Scranton, PA
- NPI 1932951654
2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, George S. Repchick 2020 Family Dynasty Trust
-
dba Embassy of Tunkhannock
- Skilled Nursing Facility
- Tunkhannock, PA
- NPI 1780436410
2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, George S. Repchick 2020 Family Dynasty Trust
-
dba Embassy of Wyoming Valley
- Skilled Nursing Facility
- Wilkes Barre, PA
- NPI 1730931478
2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, George S. Repchick 2020 Family Dynasty Trust
-
dba Embassy of Park Avenue
- Skilled Nursing Facility
- Meadville, PA
- NPI 1760099311
2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, Embassy Healthcare Management Inc, Embassy PA Tenant 2 Holdings LLC, George S. Repchick 2020 Family Dynasty Trust, Heritage Employment Servic
-
dba Embassy of Saxonburg
- Skilled Nursing Facility
- Saxonburg, PA
- NPI 1205596061
2020 GSR Dynasty LLC, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, Embassy Healthcare Management Inc, Heritage Employment Services, LLC
-
dba Clepper Manor
- Skilled Nursing Facility
- Sharon, PA
- NPI 1205456704
2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, Embassy Healthcare Management Inc, George S. Repchick 2020 Family Dynasty Trust, Heritage Employment Services, LLC
-
dba Embassy of Woodland Park
- Skilled Nursing Facility
- Orbisonia, PA
- NPI 1982211538
2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, Embassy Healthcare Management Inc, Embassy PA Tenant 2 Holdings LLC, George S. Repchick 2020 Family Dynasty Trust, Heritage Employment Servic
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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Huntingdon, PA
- NPI 1972818540
-
- Family Medicine Physician
- Du Bois, PA
- NPI 1639394034
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Huntingdon, PA
- NPI 1972818540
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601251200000",
"number": "1629685276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25201 CHAGRIN BLVD",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1229 WARM SPRINGS AVE",
"city": "HUNTINGDON",
"state": "PA",
"postal_code": "166522350",
"telephone_number": "814-643-4210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMBASSY HUNTINGDON PARK, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-28",
"last_updated": "2020-09-28",
"certification_date": "2020-09-28",
"status": "A",
"authorized_official_last_name": "REPCHICK",
"authorized_official_first_name": "GEORGE",
"authorized_official_title_or_position": "PRESIDENT OF MANAGER",
"authorized_official_telephone_number": "216-378-2050"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Embassy of Huntingdon Park",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Huntingdon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.
- 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.