NPIMap

Organization Active NPI

Elk Regional Health Center

  • Skilled Nursing Facility
  • Saint Marys, PA
National Provider Identifier
1770588709
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
010902 Issued in PA
Legal business name
ELK REGIONAL HEALTH CENTER
Practice address
763 Johnsonburg Rd
Saint Marys, PA 15857-3417
Phone
(814) 788-8488
Fax
(814) 788-8085
NPI assigned
Jun 16, 2005
Organization subpart
Yes
Parent organization
PENN HIGHLANDS HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Authorized official

Name
Brian S Kline
Title
Auth Official/VP-Financial Affairs
Phone
(814) 375-6377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 010902 PA Primary

Addresses

Primary practice location

763 Johnsonburg Rd
Saint Marys, PA 15857-3417

Mailing address

763 Johnsonburg Rd
Saint Marys, PA 15857-3400
Phone (814) 788-8488

Other identifiers 3

IdentifierTypeStateIssuer
395279OtherPAPTAN
1007292600009MedicaidPA
0662OtherPAHIGHMARK SKILLED-NURSING

Other names 3

  • PENN HIGHLANDS ELK Doing business as
  • PINECREST MANOR Other name
  • PENN HIGHLANDS PINECREST MANOR Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100128000013 PA Part A Provider - Skilled Nursing Facility 7517870512 Practice locations: Saint Marys, PA

Skilled nursing facility certification: CCN 395279

Legal name
ELK REGIONAL HEALTH CENTER
Doing business as
PINECREST MANOR
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1978
Last certification
Feb 13, 2025
Beds
138
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 24, 1920 in PA
Enrollment address
763 Johnsonburg Rd
Saint Marys, PA 15857-3417
Nursing home name
PINECREST MANOR

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pinecrest ManorCCN 395279
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jun 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
138106.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Part of
Penn Highlands Healthcare

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
Jourdan D Strishock Individual W-2 Managing EmployeeCompliance Supervisor Aug 1, 2021
Robert a Ordiway Individual Corporate Officer Jul 1, 2019
Thomas a Carnevale Individual Corporate Officer Jul 1, 2021
Heather Schneider Individual Corporate Director Jul 1, 2020
Fred Price Individual Corporate Officer Jul 1, 2022
Hazem F Elkassas Individual Corporate Officer Jul 1, 2020
Penn Highlands Healthcare, Inc. Organization, Du Bois, PA Corporation, Non-profit Operational/Managerial Control Oct 1, 2013
Robert W O'Leary Individual Corporate Officer Jul 1, 2021
Joanne Ryan Individual Corporate Officer Jul 1, 2022
David Lezzer Individual Corporate Officer Jul 1, 2021
James E Devlin Individual Corporate Officer Jul 1, 2022
Megan Bolden Individual Corporate Director Aug 1, 2015
W-2 Managing EmployeeAdministrator Aug 1, 2015
Lawrence Kiefer Individual Corporate Officer Jul 1, 2022
Todd P Stoltz Individual Corporate Officer Jul 1, 2022
Carlyn Belczyk Individual Corporate Officer Oct 1, 2021
Samuel Lewis Individual Corporate Officer Feb 1, 2021
Bradley Bassi Individual Corporate Officer Oct 1, 2021
Richard L Pfingstler Individual Corporate Officer Jul 1, 2021
Donald E Conrad Individual Corporate Officer Jul 1, 2021
Scott H Foradora Individual Corporate Officer Jul 1, 2020
William H Young Individual Corporate Officer Jul 1, 2021
Mark McGinley Individual Corporate Officer Oct 1, 2021
James B Ryan Individual Corporate Officer Jul 1, 2020

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Penn Highlands Community NursesSaint Marys, PA, CCN 397028 Home health agency Operational/Managerial Control Jul 1, 2013
Penn Highlands Community NursesClearfield, PA, CCN 397091 Home health agency Operational/Managerial Control Jul 1, 2013
Penn Highlands Community NursesSaint Marys, PA, CCN 391562 Hospice Operational/Managerial Control Jul 1, 2013
Penn Highlands Community NursesClearfield, PA, CCN 391542 Hospice Operational/Managerial Control Jun 1, 2017

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 16

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 16

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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

Affiliated clinicians 2

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": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1770588709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 JOHNSONBURG RD",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158573400",
            "telephone_number": "814-788-8488",
            "fax_number": "814-788-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 JOHNSONBURG RD",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158573417",
            "telephone_number": "814-788-8488",
            "fax_number": "814-788-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELK REGIONAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENN HIGHLANDS HEALTHCARE",
        "enumeration_date": "2005-06-16",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "AUTH OFFICIAL/VP-FINANCIAL AFFAIRS",
        "authorized_official_telephone_number": "814-375-6377"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "010902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "395279",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007292600009",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK SKILLED-NURSING",
            "identifier": "0662",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PENN HIGHLANDS ELK",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PINECREST MANOR",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PENN HIGHLANDS PINECREST MANOR",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "PINECREST MANOR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Marys, PA

Sources for this page

Verify at the official NPI Registry.