Organization Active NPI

Guy and Mary Felt Manor, Inc.

  • Skilled Nursing Facility
  • Emporium, PA
National Provider Identifier
1740287499
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
75018441 Issued in PA
Legal business name
GUY AND MARY FELT MANOR, INC.
Practice address
110 E 4TH St
Emporium, PA 15834-1445
Phone
(814) 486-3736
Fax
(814) 486-3827
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Kimberly Ann Jones, NHA
Title
Administrator
Phone
(814) 486-3736

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 75018441 PA Primary

Addresses

Primary practice location

110 E 4TH St
Emporium, PA 15834-1445

Mailing address

110 E 4TH St
Emporium, PA 15834-1445
Phone (814) 486-3736

Other identifiers 2

IdentifierTypeStateIssuer
606OtherPABLUE CROSS
0007521030001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120807000031 PA Part A Provider - Skilled Nursing Facility 7315193471 Practice locations: Emporium, PA

Skilled nursing facility certification: CCN 395356

Legal name
GUY AND MARY FELT MANOR INC
Doing business as
GUY AND MARY FELT MANOR
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1976
Last certification
Jul 25, 2024
Beds
30
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 21, 1972 in PA
Enrollment address
110 E 4TH St
Emporium, PA 15834-1445
Nursing home name
GUY AND MARY FELT MANOR, INC

Care Compare: Nursing home

Medicare Care Compare
Listed as
Guy and Mary Felt Manor, IncCCN 395356 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Sep 1, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3028.1 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
39D0711030Guy and Mary Felt Manor Inc110 East Fourth Street, Emporium, PA 15834Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Patricia Martin Individual Corporate DirectorBoard Member Mar 16, 2021
Susan Hoy Individual Corporate OfficerVice President Feb 1, 2008
Marsha Hendrickson Individual Corporate OfficerBoard Member Nov 13, 2015
Gary Boden Individual Corporate OfficerPresident Jul 2, 2018
Managing Control - Governing BodyPresident Jul 2, 2018
James Moate Individual Corporate OfficerBoard Member Mar 16, 2021
Sandy Stuart Individual Corporate OfficerBoard Member Nov 17, 2021
Individual Adp of the SNF Mar 3, 2025
Guy and Mary Felt Manor Inc Organization, Emporium, PA Non-profit Operational/Managerial Control Jul 1, 2018
Individual Adp of the SNF Mar 3, 2025
Reshawn Shipe Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1740287499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E 4TH ST",
            "city": "EMPORIUM",
            "state": "PA",
            "postal_code": "158341445",
            "telephone_number": "814-486-3736",
            "fax_number": "814-486-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 4TH ST",
            "city": "EMPORIUM",
            "state": "PA",
            "postal_code": "158341445",
            "telephone_number": "814-486-3736",
            "fax_number": "814-486-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUY AND MARY FELT MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "814-486-3736",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "75018441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "606",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007521030001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Emporium, PA

Sources for this page

Verify at the official NPI Registry.