Active NPI
Messiah Home
Doing business as Messiah Lifeways at Messiah Village
- Skilled Nursing Facility
- Mechanicsburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 910802
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000025720004 | Medicaid | PA |
Other names 1
- Messiah Lifeways at Messiah Village
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Village
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Church related
- Certified
- Dec 1, 1979
- Medicare certification status
- Active
- Certified beds
- 118
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Adp of the SNF | Nov 25, 2025 | ||
| Rebecca L Rose | Operational/Managerial Control | Dec 28, 2014 | |
| Kyle Steven Petty | Corporate Officer | Jul 1, 2022 | |
| Adp of the SNF | Jul 1, 2022 | ||
| Trustee of the SNF | Dec 27, 2016 | ||
| Adp of the SNF | Dec 27, 2016 | ||
| Ethan James Eshbach | Corporate Officer | Dec 1, 2023 | |
| Adp of the SNF | Dec 1, 2023 | ||
| Karl Joseph Brummer | Corporate Director | Mar 3, 2014 | |
| Adp of the SNF | Mar 3, 2014 | ||
| Trustee of the SNF | Mar 3, 2025 | ||
| Adp of the SNF | Mar 3, 2025 | ||
| Raeann Rebecca Hamon | Corporate Officer | Jul 1, 2017 | |
| Adp of the SNF | Jul 1, 2017 | ||
| Adp of the SNF | Dec 4, 2025 | ||
| Adp of the SNF | Jan 13, 2026 | ||
| Trustee of the SNF | Jul 1, 2025 | ||
| Adp of the SNF | Jul 1, 2025 | ||
| Indirect Ownership Interest | Jul 1, 2025 | ||
| Adp of the SNF | Nov 25, 2025 | ||
| Adp of the SNF | Dec 4, 2025 | ||
| Glen Edward Heise | Corporate Officer | Jul 1, 2016 | |
| Adp of the SNF | Jul 1, 2016 | ||
| Jarrod E Leo | Corporate Officer | Mar 27, 2023 | |
| Operational/Managerial Control | Mar 27, 2023 | ||
| Trustee of the SNF | Jul 1, 2025 | ||
| Adp of the SNF | Jul 1, 2025 | ||
| Indirect Ownership Interest | Jul 1, 2025 | ||
| Adp of the SNF | Dec 4, 2025 | ||
| Adp of the SNF | Dec 4, 2025 | ||
| Trustee of the SNF | Jul 15, 2024 | ||
| Adp of the SNF | Jul 15, 2024 | ||
| Indirect Ownership Interest | Jul 15, 2024 | ||
| Ashli Hudack | Corporate Officer | Jan 26, 2026 | |
| Operational/Managerial Control | Jan 26, 2026 | ||
| Adp of the SNF | Jan 26, 2026 | ||
| Adp of the SNF | Dec 4, 2025 | ||
| Michael David Hoffner | Corporate Officer | Jul 1, 2022 | |
| Adp of the SNF | Jul 1, 2022 | ||
| Adp of the SNF | Dec 4, 2025 | ||
| Messiah Lifeways | 5% Or Greater Direct Ownership Interest | Jul 1, 2012 | 100% |
| Operational/Managerial Control | Jul 1, 2012 | ||
| Direct Ownership Interest | Jul 1, 2012 | 100% | |
| Adp of the SNF | Dec 4, 2025 | ||
| Adp of the SNF | Nov 25, 2025 | ||
| Adp of the SNF | Nov 25, 2025 | ||
| Indirect Ownership Interest | Jan 1, 2015 | ||
| Mitchell Scott Martin | Corporate Officer | Jul 1, 2018 | |
| Adp of the SNF | Jul 1, 2018 | ||
| Adp of the SNF | Dec 4, 2025 | ||
| Adp of the SNF | Nov 25, 2025 | ||
| Jon Stuckey | Corporate Officer | Jan 1, 2024 | |
| Adp of the SNF | Jan 1, 2024 | ||
| Andrea Laurel Britton | Corporate Officer | Jul 1, 2022 | |
| Trustee of the SNF | Jul 1, 2022 | ||
| Adp of the SNF | Jul 1, 2022 | ||
| Trustee of the SNF | Jul 1, 2025 | ||
| Adp of the SNF | Jul 1, 2025 | ||
| Indirect Ownership Interest | Jul 1, 2025 | ||
| Faith Jabers Matzoni | Corporate Director | Jun 16, 2020 | |
| Adp of the SNF | Jun 16, 2020 | ||
| Jennifer Jean Dose | Corporate Officer | Jul 1, 2018 | |
| Adp of the SNF | Jul 1, 2018 | ||
| Adp of the SNF | Dec 4, 2025 | ||
| David Warren | Corporate Officer | 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.
-
- Internal Medicine Physician
- Harrisburg, PA
- NPI 1508813288
Adp of the SNF, Corporate Director
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Harrisburg, PA
- NPI 1508813288
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.