Organization Active NPI

Messiah Home

Doing business as Messiah Lifeways at Messiah Village

  • Skilled Nursing Facility
  • Mechanicsburg, PA
National Provider Identifier
1750432019
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
910802 Issued in PA
Legal business name
MESSIAH HOME
Doing business as
Messiah Lifeways at Messiah Village
Practice address
100 Mount Allen Dr
Mechanicsburg, PA 17055-6171
Phone
(717) 697-4666
Fax
(717) 795-5566
NPI assigned
Jan 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Authorized official

Name
Carolyn N Burke
Title
Chief Financial Officer
Phone
(717) 796-8142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 910802 PA Primary

Addresses

Primary practice location

100 Mount Allen Dr
Mechanicsburg, PA 17055-6171

Mailing address

100 Mount Allen Dr
Mechanicsburg, PA 17055-6171
Phone (717) 697-4666

Other identifiers 1

IdentifierTypeStateIssuer
1000025720004MedicaidPA

Other names 1

  • Messiah Lifeways at Messiah Village Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120209000066 PA Part A Provider - Skilled Nursing Facility 7315984861 Practice locations: Mechanicsburg, PA

Skilled nursing facility certification: CCN 395445

Legal name
MESSIAH HOME
Doing business as
MESSIAH LIFEWAYS AT MESSIAH VILLAGE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 1979
Last certification
Jul 25, 2024
Beds
118
Ownership / control type
Church Related
Organization structure
CorporationNon-profit
Incorporated
Apr 13, 1896 in PA
Enrollment address
100 Mount Allen Dr
Mechanicsburg, PA 17055-6171
Nursing home name
MESSIAH LIFEWAYS AT MESSIAH VILLAGE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Messiah Lifeways at Messiah VillageCCN 395445 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Dec 1, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
118103.0 residents per day on average
Penalties (3 years)
1Fines totaling $8,018

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 37

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

NameRoleSinceShare
Organization, Bethlehem, PA LLC, Management services company Adp of the SNF Nov 25, 2025
Rebecca L Rose Individual Operational/Managerial Control Dec 28, 2014
Kyle Steven Petty Individual Corporate OfficerVice Chair of Board Jul 1, 2022
Adp of the SNF Jul 1, 2022
Individual Trustee of the SNF Dec 27, 2016
Adp of the SNF Dec 27, 2016
Ethan James Eshbach Individual Corporate OfficerBoard Member Dec 1, 2023
Adp of the SNF Dec 1, 2023
Karl Joseph Brummer Individual Corporate DirectorPresident Mar 3, 2014
Adp of the SNF Mar 3, 2014
Individual Trustee of the SNF Mar 3, 2025
Adp of the SNF Mar 3, 2025
Raeann Rebecca Hamon Individual Corporate OfficerBoard Member Jul 1, 2017
Adp of the SNF Jul 1, 2017
Organization, Harrisburg, PA Corporation, Medical staffing company Adp of the SNF Dec 4, 2025
Organization, Pittsburgh, PA LLC, Medical provider/supplier Adp of the SNF Jan 13, 2026
Individual Trustee of the SNF Jul 1, 2025
Adp of the SNF Jul 1, 2025
Indirect Ownership Interest Jul 1, 2025
Organization, Powell, OH LLC, Consulting firm Adp of the SNF Nov 25, 2025
Organization, Elkhorn, NE LLC, Medical staffing company Adp of the SNF Dec 4, 2025
Glen Edward Heise Individual Corporate OfficerBoard Member Jul 1, 2016
Adp of the SNF Jul 1, 2016
Jarrod E Leo Individual Corporate OfficerCfo Mar 27, 2023
Operational/Managerial Control Mar 27, 2023
Individual Trustee of the SNF Jul 1, 2025
Adp of the SNF Jul 1, 2025
Indirect Ownership Interest Jul 1, 2025
Organization, Syracuse, NY LLC, Medical staffing company Adp of the SNF Dec 4, 2025
Organization, Drexel Hill, PA LLC, Consulting firm Adp of the SNF Dec 4, 2025
Individual Trustee of the SNF Jul 15, 2024
Adp of the SNF Jul 15, 2024
Indirect Ownership Interest Jul 15, 2024
Ashli Hudack Individual Corporate OfficerNha Jan 26, 2026
Operational/Managerial Control Jan 26, 2026
Adp of the SNF Jan 26, 2026
Organization, Mechanicsburg, PA Corporation, Management services company Adp of the SNF Dec 4, 2025
Michael David Hoffner Individual Corporate OfficerBoard Member Jul 1, 2022
Adp of the SNF Jul 1, 2022
Organization, Enola, PA LLC, Medical staffing company Adp of the SNF Dec 4, 2025
Messiah Lifeways Organization, Mechanicsburg, PA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2012 100%
Operational/Managerial Control Jul 1, 2012
Direct Ownership Interest Jul 1, 2012 100%
Organization, Concord, NC LLC, Medical staffing company Adp of the SNF Dec 4, 2025
Organization, Pittsburgh, PA Corporation, Financial institution Adp of the SNF Nov 25, 2025
Organization, Blue Bell, PA Corporation, Consulting firm Adp of the SNF Nov 25, 2025
Indirect Ownership Interest Jan 1, 2015
Mitchell Scott Martin Individual Corporate OfficerBoard Member Jul 1, 2018
Adp of the SNF Jul 1, 2018
Organization, Harrisburg, PA Corporation, Medical staffing company Adp of the SNF Dec 4, 2025
Organization, Mechanicsburg, PA Consulting firm Adp of the SNF Nov 25, 2025
Jon Stuckey Individual Corporate OfficerBoard Member Jan 1, 2024
Adp of the SNF Jan 1, 2024
Andrea Laurel Britton Individual Corporate OfficerBoard Member Jul 1, 2022
Trustee of the SNF Jul 1, 2022
Adp of the SNF Jul 1, 2022
Individual Trustee of the SNF Jul 1, 2025
Adp of the SNF Jul 1, 2025
Indirect Ownership Interest Jul 1, 2025
Faith Jabers Matzoni Individual Corporate DirectorMedical Director Jun 16, 2020
Adp of the SNF Jun 16, 2020
Jennifer Jean Dose Individual Corporate OfficerBoard Member Jul 1, 2018
Adp of the SNF Jul 1, 2018
Organization, Overland Park, KS LLC, Medical staffing company Adp of the SNF Dec 4, 2025
David Warren Individual Corporate OfficerChair of the Board Jan 1, 2022
Adp of the SNF Jan 1, 2022

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.

Affiliated clinicians 7

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": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1750432019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MOUNT ALLEN DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556171",
            "telephone_number": "717-697-4666",
            "fax_number": "717-795-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MOUNT ALLEN DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556171",
            "telephone_number": "717-697-4666",
            "fax_number": "717-795-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESSIAH HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "717-796-8142"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "910802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000025720004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Messiah Lifeways at Messiah Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.