Active NPI
Misericordia Convalescent Home
- Skilled Nursing Facility
- York, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 133302
- Legal business name
- MISERICORDIA CONVALESCENT HOME
- Practice address
- 998 S Russell St
York, PA 17402-3542 - Phone
- (717) 755-1964
- Fax
- (717) 840-0010
- NPI assigned
- Sep 2, 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
- Marion Bittner
- Title
- Nursing Home Administrator
- Phone
- (717) 755-1964
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 133302 | PA | Primary |
Addresses
Primary practice location
998 S Russell St
York, PA 17402-3542
Mailing address
998 S Russell St
York, PA 17402-3542
Phone (717) 755-1964
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007479720001 | 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 |
|---|---|---|---|---|
| O20090918000104 | PA | Part A Provider - Skilled Nursing Facility | 0446306377 | Practice locations: York, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1700870920. Details of each certification follow.
Skilled nursing facility certification: CCN 395998
- Legal name
- MISERICORDIA CONVALESCENT HOME
- Doing business as
- MISERICORDIA NURSING AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 1, 1996
- Last certification
- Aug 8, 2024
- Beds
- 50
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Apr 13, 1965 in PA
- Enrollment address
- 998 S Russell St
York, PA 17402-3542 - Nursing home name
- MISERICORDIA NURSING & REHABILITATION CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Misericordia Nursing & Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Dec 1, 1996
- Medicare certification status
- Active
- Certified beds
- 50
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 |
|---|---|---|---|
| 39D0885116 | Misericordia Convalescent Home | Certificate of waiver | Jul 15, 2028 |
National Provider Directory
National Provider DirectoryOwnership & 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 |
|---|---|---|---|
| Delaine Toerper | Corporate Director | Sep 23, 2024 | |
| Marcia Prosser Reihart | Corporate Director | Sep 23, 2024 | |
| George a Shorb | Corporate Director | Sep 23, 2024 | |
| Ma Aldeni | Corporate Officer | Sep 23, 2024 | |
| Timothy Robert Tate | Corporate Director | Sep 23, 2024 | |
| Steven Bryan Barley | Corporate Director | Sep 23, 2024 | |
| Pawan K Arora | Contracted Managing Employee | Jan 1, 2016 | |
| Margaret Curcio | Corporate Officer | Sep 23, 2024 | |
| Grace Mauri | Corporate Officer | Sep 23, 2024 | |
| Angeline a Assi | Corporate Officer | Sep 23, 2024 | |
| Marion Bittner | Corporate Director | Jun 1, 2009 | |
| W-2 Managing Employee | Jun 1, 2009 | ||
| Daughters of Our Lady of Mercy | 5% Or Greater Direct Ownership Interest | Oct 23, 1943 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- York, PA
- NPI 1396968038
Contracted Managing Employee
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.
-
- Internal Medicine Physician
- York, PA
- NPI 1396968038
Affiliated clinicians 1
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": "1125619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435017600000",
"number": "1700870920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "998 S RUSSELL ST",
"city": "YORK",
"state": "PA",
"postal_code": "174023542",
"telephone_number": "717-755-1964",
"fax_number": "717-840-0010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "998 S RUSSELL ST",
"city": "YORK",
"state": "PA",
"postal_code": "174023542",
"telephone_number": "717-755-1964",
"fax_number": "717-840-0010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISERICORDIA CONVALESCENT HOME",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-02",
"last_updated": "2015-06-23",
"status": "A",
"authorized_official_last_name": "BITTNER",
"authorized_official_first_name": "MARION",
"authorized_official_title_or_position": "NURSING HOME ADMINISTRATOR",
"authorized_official_telephone_number": "717-755-1964"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "133302",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007479720001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.