John Xxiii Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

360202 Issued in PA

Legal business name

JOHN XXIII HOME

Practice address

2250 Shenango Valley Fwy
Hermitage, PA 16148-2549

Phone

(724) 981-3200

Fax

(724) 981-1677

NPI assigned

Aug 15, 2005

Organization subpart

No

Name

Mr. Kirk L Hawthorne, NHA

Title

Administrator

Phone

(724) 981-3200

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Edward D'Auria, D.O.

  • Family Medicine Physician
  • Hermitage, PA
  • NPI 1558324814
  NPD (past)
• Gregory Anthony George, M.D.

  • Adult Medicine Physician
  • Sharon, PA
  • NPI 1417909243
  NPD (past)

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Charles Edward D'Auria, D.O.

  • Family Medicine Physician
  • Hermitage, PA
  • NPI 1558324814

  Nursing home

  Care Compare affiliation
• Gregory Anthony George, M.D.

  • Adult Medicine Physician
  • Sharon, PA
  • NPI 1417909243

  Nursing home

  Care Compare affiliation
• Joseph Randy Kalik, D.O.

  • Family Medicine Physician
  • Hermitage, PA
  • NPI 1962498527

  Nursing home

  Care Compare affiliation
• David L D'Amore, M.D.

  • Internal Medicine Physician
  • Brookfield, OH
  • NPI 1558454108

  Nursing home

  Care Compare affiliation
• Saba Sheik, M.D.

  • Internal Medicine Physician
  • Fairlawn, OH
  • NPI 1003082785

  Nursing home

  Care Compare affiliation

Listed as

Saint John Xxiii HomeCCN 395794

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

5 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Church related

Certified

Jul 1, 1989

Medicare certification status

Active (Provider of Services file)

Certified beds

9046.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in PA

Legal name

JOHN XXIII HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 1, 1989

Last certification

Mar 28, 2025

Beds

90

Ownership / control type

Church Related

Organization structure

CorporationNon-profit

Incorporated

Jun 15, 1992 in PA

Enrollment address

2250 Shenango Valley Fwy
Hermitage, PA 16148-2549

Nursing home name

SAINT JOHN XXIII HOME

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 1, 2012.

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1740282144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 SHENANGO VALLEY FWY",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482549",
            "telephone_number": "724-981-3200",
            "fax_number": "724-981-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 SHENANGO VALLEY FWY",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482549",
            "telephone_number": "724-981-3200",
            "fax_number": "724-981-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN XXIII HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "HAWTHORNE",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "724-981-3200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "360202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK SECURITY BLUE",
            "identifier": "0994",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007473280001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis C Javens, PT, SCS, ATC
• Jeanette Murray-Hall Counseling, Inc.
• Laurie Joanow, LCSW
• John Balko and Associates Inc
• John W. Clemenza, DMD, MD Oral and Facial Surgical Center, LLC
• David Johnson
• Victoria Johnson
• Rebekah Lynn Johnston
• Samantha D Johnston, PA-C
• Cynthia Jolley

• All providers in Hermitage, PA
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.

Verify at the official NPI Registry.