Active NPI
Church of God Home Inc
- Skilled Nursing Facility
- Carlisle, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 291602
- Legal business name
- CHURCH OF GOD HOME INC
- Practice address
- 801 N Hanover St
Carlisle, PA 17013-1599 - Phone
- (717) 249-5322
- Fax
- (717) 254-1125
- NPI assigned
- Jan 23, 2007
- Last updated
- Feb 12, 2016
- 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
- Mr. Steven J. Reiter
- Title
- President/Ceo
- Phone
- (717) 866-3200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 291602 | PA | Primary |
Addresses
Primary practice location
801 N Hanover St
Carlisle, PA 17013-1599
Mailing address
801 N Hanover St
Carlisle, PA 17013-1599
Phone (717) 249-5322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007476040001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090716000624 | PA | Part A Provider - Skilled Nursing Facility | 6800948167 | Practice locations: Carlisle, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1659425957. Details of each certification follow.
Skilled nursing facility certification: CCN 395784
- Legal name
- CHURCH OF GOD HOME INC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 1, 1989
- Last certification
- Feb 6, 2025
- Beds
- 109
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- Corporation
- Incorporated
- Jan 9, 1929 in PA
- Enrollment address
- 801 N Hanover St
Carlisle, PA 17013-1599 - Nursing home name
- LETORT SPRING NURSING AND REHAB LLC
Care Compare: Nursing home
Medicare Care Compare- Listed as
- LeTort Spring Nursing and Rehab LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Apr 1, 1989
- Medicare certification status
- Active
- Certified beds
- 109
- Penalties (3 years)
- 3
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 |
|---|---|---|---|
| 39D0679653 | Church of God Home Incorporated | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 6
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 |
|---|---|---|---|
| Stoneridge Retirement Living Communities, Inc. | Operational/Managerial Control | Jan 1, 2014 | 100% |
| Carson Ritchie | Corporate Director | Jan 1, 2022 | |
| Ryan Casey | Corporate Officer | Jun 2, 2014 | |
| W-2 Managing Employee | Jun 2, 2014 | ||
| Steven Reiter | Corporate Director | May 1, 2008 | |
| W-2 Managing Employee | May 1, 2008 | ||
| Cynthia Walters | Corporate Director | Jan 1, 2022 | |
| Scott Artz | Corporate Director | Jan 1, 2022 |
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Myerstown, PA
- NPI 1467478941
Stoneridge Retirement Living Communities, Inc.
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Carlisle, PA
- NPI 1609816586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455235200000",
"number": "1659425957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 N HANOVER ST",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170131599",
"telephone_number": "717-249-5322",
"fax_number": "717-254-1125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 N HANOVER ST",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170131599",
"telephone_number": "717-249-5322",
"fax_number": "717-254-1125"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHURCH OF GOD HOME INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2016-02-12",
"status": "A",
"authorized_official_last_name": "REITER",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "717-866-3200",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "291602",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007476040001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carlisle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.