Organization Active NPI

Misericordia Convalescent Home

  • Skilled Nursing Facility
  • York, PA
National Provider Identifier
1700870920
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
133302 Issued in PA
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

Updated by the provider on Jun 23, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0007479720001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 CenterCCN 395998 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Dec 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5045.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0885116Misericordia Convalescent Home998 S Russell Street, York, PA 17402Certificate of waiverJul 15, 2028

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Delaine Toerper Individual Corporate Director Sep 23, 2024
Marcia Prosser Reihart Individual Corporate Director Sep 23, 2024
George a Shorb Individual Corporate Director Sep 23, 2024
Ma Aldeni Individual Corporate OfficerExecutive Board President Sep 23, 2024
Timothy Robert Tate Individual Corporate Director Sep 23, 2024
Steven Bryan Barley Individual Corporate Director Sep 23, 2024
Pawan K Arora Individual Contracted Managing EmployeeMedical Director Jan 1, 2016
Margaret Curcio Individual Corporate Officer Sep 23, 2024
Grace Mauri Individual Corporate Officer Sep 23, 2024
Angeline a Assi Individual Corporate Officer Sep 23, 2024
Marion Bittner Individual Corporate Director Jun 1, 2009
W-2 Managing Employee Jun 1, 2009
Daughters of Our Lady of Mercy Organization, Newfield, NJ Non-profit 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.

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.

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

Verify at the official NPI Registry.