Organization Active NPI

Quarryville Presbyterian Retirement Community

  • Skilled Nursing Facility
  • Quarryville, PA
National Provider Identifier
1699773655
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
170102 Issued in PA
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 CommunityCCN 395336 · All quality measures
Overall star rating
5 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Aug 1, 1975
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
13093.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Robert Hayward Individual Corporate OfficerPresident & Ceo Jun 1, 2004
Corporate DirectorBoard Member Oct 22, 1993
W-2 Managing EmployeePresident & Ceo Jun 1, 2004
Manufacturers & Traders Trust Company Organization, Buffalo, NY Corporation, Holding company, Financial institution, For-profit 5% Or Greater Mortgage Interest Sep 26, 2000 49%
David a Schempp Individual Corporate DirectorBoard Member Jun 6, 2014
Thomas M Harr Individual Corporate DirectorBoard Member Oct 12, 2012
Charles R Hartzell Individual Corporate OfficerBoard Secretary Oct 12, 2012
Corporate DirectorBoard Member Jun 2, 2011
Diane Aston Individual Corporate OfficerVP/Cfo Nov 26, 2007
W-2 Managing EmployeeVP/Cfo Nov 26, 2007
Mark Vangilst Individual Corporate DirectorBoard Member May 21, 2004
Guy F Webster Individual Corporate DirectorBoard Member Oct 12, 2012
Bruce R Fiol Individual Corporate DirectorBoard Member Oct 17, 1997
George Mackenzie Individual Corporate DirectorBoard Member Oct 21, 2005
Joel Clausen Individual Corporate OfficerVP of Healthcare Dec 1, 2008
W-2 Managing EmployeeAdministrator of Healthcare Dec 1, 2008
Bruce G Peters Individual Corporate OfficerBoard Chairman Oct 24, 2008
Corporate DirectorBoard Member Oct 21, 1994
Guy L Richardson Individual Corporate OfficerBoard Vice Chairman Oct 14, 2011
Corporate DirectorBoard Member Jan 28, 2005
Jonathan a Sneller Individual Corporate DirectorBoard Member Feb 11, 2011
Eric Youngdale Individual 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.

Affiliated clinicians 3

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": "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

Sources for this page

Verify at the official NPI Registry.