Embassy of Tunkhannock LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

EMBASSY OF TUNKHANNOCK LLC

Practice address

30 Virginia Dr
Tunkhannock, PA 18657-1701

Phone

(216) 378-2050

NPI assigned

Apr 4, 2024

Organization subpart

No

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

Authorized official

Name

Nicholas Ciccone

Title

Chief Compliance Officer

Phone

(216) 378-2050

Specialties & licenses 1

Addresses

Other names 1

• Embassy of Tunkhannock Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Skilled nursing facility certification: CCN 395433

Legal name

EMBASSY OF TUNKHANNOCK, LLC

Doing business as

EMBASSY OF TUNKHANNOCK

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 1, 1979

Last certification

Mar 21, 2025

Beds

124

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Embassy Healthcare

Organization structure

LLCProprietary

Enrollment address

30 Virginia Dr
Tunkhannock, PA 18657-1701

Nursing home name

EMBASSY OF TUNKHANNOCK

Affiliated entity

EMBASSY HEALTHCARE

Listed as

Embassy of TunkhannockCCN 395433

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jun 1, 1979

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

12465.7 residents per day on average

Chain

Embassy Healthcare33 facilities in the chain

Special focus status

SFF Candidate

Penalties (3 years)

5Fines totaling $149,772

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 19

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

Owners & managing parties with NPI records 1

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

• Samuel A Valenti, M.D.

  • Internal Medicine Physician
  • Scranton, PA
  • NPI 1609979988

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 31

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

• Delaware Valley Skilled Nursing Operating Company, LLC

  • Skilled Nursing Facility
  • Matamoras, PA
  • NPI 1043809577

  2020 GSR Dynasty LLC, George S. Repchick 2020 Family Dynasty Trust

  CMS ownership
• Embassy Hearthside, LLC

  • Skilled Nursing Facility
  • State College, PA
  • NPI 1467069005

  2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, George S. Repchick 2020 Family Dynasty Trust

  CMS ownership
• Embassy Hermitage, LLC

  • Skilled Nursing Facility
  • Hermitage, PA
  • NPI 1124648878

  2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, George S. Repchick 2020 Family Dynasty Trust

  CMS ownership
• Embassy Hillsdale Park, LLC

  • Skilled Nursing Facility
  • Hillsdale, PA
  • NPI 1831796036

  2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, George S. Repchick 2020 Family Dynasty Trust

  CMS ownership
• Embassy Huntingdon Park, LLC

  • Skilled Nursing Facility
  • Huntingdon, PA
  • NPI 1629685276

  2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, George S. Repchick 2020 Family Dynasty Trust

  CMS ownership
• Embassy of East Mountain LLC

  • Skilled Nursing Facility
  • Wilkes Barre, PA
  • NPI 1407608128

  2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, George S. Repchick 2020 Family Dynasty Trust

  CMS ownership
• Embassy of Scranton LLC

  • Skilled Nursing Facility
  • Scranton, PA
  • NPI 1932951654

  2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Aaron Handler Revocable Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, George S. Repchick 2020 Family Dynasty Trust

  CMS ownership
• Embassy of Wyoming Valley LLC

  • Skilled Nursing Facility
  • Wilkes Barre, PA
  • NPI 1730931478

  2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Aaron Handler Revocable Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, George S. Repchick 2020 Family Dynasty Trust

  CMS ownership
• Embassy Park Avenue, LLC

  • Skilled Nursing Facility
  • Meadville, PA
  • NPI 1760099311

  2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, George S. Repchick 2020 Family Dynasty Trust

  CMS ownership
• Embassy Saxonburg LLC

  • Skilled Nursing Facility
  • Saxonburg, PA
  • NPI 1205596061

  2020 GSR Dynasty LLC, Ah Dynasty LLC, Embassy Healthcare Holdings Inc

  CMS ownership
• Embassy Sharon, LLC

  • Skilled Nursing Facility
  • Sharon, PA
  • NPI 1205456704

  2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, George S. Repchick 2020 Family Dynasty Trust

  CMS ownership
• Embassy Woodland Park, LLC

  • Skilled Nursing Facility
  • Orbisonia, PA
  • NPI 1982211538

  2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, George S. Repchick 2020 Family Dynasty Trust

  CMS ownership

Practitioners 2

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

• Patrick Kilduff, D.O.

  • Internal Medicine Physician
  • Wilkes Barre, PA
  • NPI 1003857186
  NPD (past)
• Samuel A Valenti, M.D.

  • Internal Medicine Physician
  • Scranton, PA
  • NPI 1609979988
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Samuel A Valenti, M.D.

  • Internal Medicine Physician
  • Scranton, PA
  • NPI 1609979988

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1780436410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25201 CHAGRIN BLVD STE 190",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 VIRGINIA DR",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186571701",
            "telephone_number": "216-378-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBASSY OF TUNKHANNOCK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "CICCONE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "216-378-2050"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Embassy of Tunkhannock",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diane Eastman, CNP
• Edward G. Zurad, MD PC
• Eihab Human Services
• Eihab Human Services Pennsylvania, Inc.
• Eihab Human Services, Inc.
• Endless Smiles Dental Group, L.L.C.
• Family Prosthetic & Dental Implant Associates of Wyoming County, P.C.
• Michelle Christiana Fan, DO
• James Clinton Feehan, RP031430L
• Ann E. Feeney, CRNP

• All providers in Tunkhannock, PA
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.

Verify at the official NPI Registry.