Active NPI
Saint Joseph Villa
- Skilled Nursing Facility
- Flourtown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 711102
- Legal business name
- SAINT JOSEPH VILLA
- Practice address
- 110 W Wissahickon Ave
Flourtown, PA 19031-1802 - Phone
- (215) 836-4179
- Fax
- (215) 248-7845
- NPI assigned
- Jul 18, 2005
- 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
- Sister Dorothy Apprich
- Title
- Administrator
- Phone
- (215) 836-4179
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 711102 | PA | Primary |
Addresses
Primary practice location
110 W Wissahickon Ave
Flourtown, PA 19031-1802
Mailing address
110 W Wissahickon Ave
Flourtown, PA 19031-1802
Phone (215) 836-4179
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015804150002 | Medicaid | PA | |
| 1050743 | Other | PA | KEYSTONE MERCY |
| 0006091000 | Other | PA | IBC/KEYSTONE/PC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
Skilled nursing facility certification: CCN 395278
- Legal name
- SAINT JOSEPH VILLA
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 11, 1970
- Last certification
- Mar 3, 2025
- Beds
- 106
- Ownership / control type
- Church Related
- Organization structure
- Corporation
- Incorporated
- Jun 2, 1974 in PA
- Enrollment address
- 110 W Wissahickon Ave
Flourtown, PA 19031-1802 - Nursing home name
- SAINT JOSEPH VILLA
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Saint Joseph Villa
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Church related
- Certified
- Feb 11, 1970
- Medicare certification status
- Active
- Certified beds
- 106
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0012867 | Saint Joseph Villa | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Adp of the SNF | Jun 3, 2016 | ||
| Adp of the SNF | Oct 1, 2019 | ||
| Irene Dunn | Corporate Officer | Sep 7, 2018 | 100% |
| Nancy Mandes | Corporate Director | Jan 16, 2022 | |
| Catherine Wise | Corporate Director | May 20, 2019 | |
| Operational/Managerial Control | May 20, 2019 |
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acute Care Nurse Practitioner
- Flourtown, PA
- NPI 1518430875
-
- Family Medicine Physician
- Wyncote, PA
- NPI 1275572901
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1215236484
-
- Family Medicine Physician
- Conshohocken, PA
- NPI 1699712968
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1700379161
Affiliated clinicians 7
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": "1121644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323129600000",
"number": "1649279142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 W WISSAHICKON AVE",
"city": "FLOURTOWN",
"state": "PA",
"postal_code": "190311802",
"telephone_number": "215-836-4179",
"fax_number": "215-248-7845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W WISSAHICKON AVE",
"city": "FLOURTOWN",
"state": "PA",
"postal_code": "190311802",
"telephone_number": "215-836-4179",
"fax_number": "215-248-7845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAINT JOSEPH VILLA",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-18",
"last_updated": "2011-12-06",
"status": "A",
"authorized_official_last_name": "APPRICH",
"authorized_official_first_name": "SISTER DOROTHY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "215-836-4179"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "711102",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015804150002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "1050743",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC/KEYSTONE/PC",
"identifier": "0006091000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flourtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.