Active NPI
Guy and Mary Felt Manor, Inc.
- Skilled Nursing Facility
- Emporium, PA
National Provider Identifier
1740287499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 75018441
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 606 | Other | PA | BLUE CROSS |
| 0007521030001 | 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 |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Sep 1, 1976
- Medicare certification status
- Active
- Certified beds
- 30
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 |
|---|---|---|---|
| 39D0711030 | Guy and Mary Felt Manor Inc | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Patricia Martin | Corporate Director | Mar 16, 2021 | |
| Susan Hoy | Corporate Officer | Feb 1, 2008 | |
| Marsha Hendrickson | Corporate Officer | Nov 13, 2015 | |
| Gary Boden | Corporate Officer | Jul 2, 2018 | |
| Managing Control - Governing Body | Jul 2, 2018 | ||
| James Moate | Corporate Officer | Mar 16, 2021 | |
| Sandy Stuart | Corporate Officer | Nov 17, 2021 | |
| Adp of the SNF | Mar 3, 2025 | ||
| Guy and Mary Felt Manor Inc | Operational/Managerial Control | Jul 1, 2018 | |
| Adp of the SNF | Mar 3, 2025 | ||
| Reshawn Shipe | 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.
-
- Family Medicine Physician
- Du Bois, PA
- NPI 1639394034
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.