Active NPI
Quarryville Presbyterian Retirement Community
- Skilled Nursing Facility
- Quarryville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 170102
- Legal business name
- QUARRYVILLE PRESBYTERIAN RETIREMENT COMMUNITY
- Practice address
- 625 Robert Fulton Hwy
Quarryville, PA 17566-9202 - Phone
- (717) 786-7321
- Fax
- (717) 786-5288
- NPI assigned
- Jul 13, 2005
- Last updated
- Nov 13, 2008
- 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. Robert B Hayward Jr.
- Title
- President/Ceo
- Phone
- (717) 786-5202
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 170102 | PA | Primary |
Addresses
Primary practice location
625 Robert Fulton Hwy
Quarryville, PA 17566-9202
Mailing address
625 Robert Fulton Hwy
Quarryville, PA 17566-9202
Phone (717) 786-7321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050709000057 | PA | Part A Provider - Skilled Nursing Facility | 8820024185 | Practice locations: Quarryville, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1699773655. Details of each certification follow.
Skilled nursing facility certification: CCN 395336
- Legal name
- QUARRYVILLE PRESBYTERIAN RETIREMENT COMMUNITY
- Doing business as
- QUARRYVILLE PRESBYTERIAN RETIREMENT
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 1, 1975
- Last certification
- Jul 10, 2024
- Beds
- 130
- Ownership / control type
- Church Related
- Organization structure
- Corporation
- Incorporated
- May 28, 1948 in PA
- Enrollment address
- 625 Robert Fulton Hwy
Quarryville, PA 17566-1400 - Nursing home name
- QUARRYVILLE PRESBYTERIAN RETIREMENT COMMUNITY
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Quarryville Presbyterian Retirement Community
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Church related
- Certified
- Aug 1, 1975
- Medicare certification status
- Active
- Certified beds
- 130
National Provider Directory
National Provider DirectoryLocations
625 Robert Fulton Hwy
Quarryville, PA 17566
Phone (717) 284-3137
Ownership & related parties
All disclosed owners & managing parties 15
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 |
|---|---|---|---|
| Robert Hayward | Corporate Officer | Jun 1, 2004 | |
| Corporate Director | Oct 22, 1993 | ||
| W-2 Managing Employee | Jun 1, 2004 | ||
| Manufacturers & Traders Trust Company | 5% Or Greater Mortgage Interest | Sep 26, 2000 | 49% |
| David a Schempp | Corporate Director | Jun 6, 2014 | |
| Thomas M Harr | Corporate Director | Oct 12, 2012 | |
| Charles R Hartzell | Corporate Officer | Oct 12, 2012 | |
| Corporate Director | Jun 2, 2011 | ||
| Diane Aston | Corporate Officer | Nov 26, 2007 | |
| W-2 Managing Employee | Nov 26, 2007 | ||
| Mark Vangilst | Corporate Director | May 21, 2004 | |
| Guy F Webster | Corporate Director | Oct 12, 2012 | |
| Bruce R Fiol | Corporate Director | Oct 17, 1997 | |
| George Mackenzie | Corporate Director | Oct 21, 2005 | |
| Joel Clausen | Corporate Officer | Dec 1, 2008 | |
| W-2 Managing Employee | Dec 1, 2008 | ||
| Bruce G Peters | Corporate Officer | Oct 24, 2008 | |
| Corporate Director | Oct 21, 1994 | ||
| Guy L Richardson | Corporate Officer | Oct 14, 2011 | |
| Corporate Director | Jan 28, 2005 | ||
| Jonathan a Sneller | Corporate Director | Feb 11, 2011 | |
| Eric Youngdale | Corporate Director | Jun 9, 2017 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
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.
-
- Family Medicine Physician
- Willow Street, PA
- NPI 1114906914
-
- Family Medicine Physician
- Quarryville, PA
- NPI 1265483242
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Lancaster, PA
- NPI 1063726446
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226534400000",
"number": "1699773655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 ROBERT FULTON HWY",
"city": "QUARRYVILLE",
"state": "PA",
"postal_code": "175669202",
"telephone_number": "717-786-7321",
"fax_number": "717-786-5288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 ROBERT FULTON HWY",
"city": "QUARRYVILLE",
"state": "PA",
"postal_code": "175669202",
"telephone_number": "717-786-7321",
"fax_number": "717-786-5288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUARRYVILLE PRESBYTERIAN RETIREMENT COMMUNITY",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-13",
"last_updated": "2008-11-13",
"status": "A",
"authorized_official_last_name": "HAYWARD",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "717-786-5202",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "170102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quarryville, PA
- Pinnacle Health Regional Physicians (Quarryville Family Medicine)
- Ashley R Pizzimenti, PA-C
- Kayla Prange, ALPC
- Quarryville Eyecare, LLC
- Quarryville Family Foot Care, P.C.
- Thomas Lewis Regan, D.D.S.
- Ride4Health Philadelphia West
- Beth A. Risser, D.C
- Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 01922)
- Greg S Robinson, OD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.