Organization Active NPI

Bible Fellowship Church Homes, Inc.

Doing business as Fellowship Manor

  • Skilled Nursing Facility
  • Whitehall, PA
National Provider Identifier
1790767226
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
063102 Issued in PA
Legal business name
BIBLE FELLOWSHIP CHURCH HOMES, INC.
Doing business as
Fellowship Manor
Practice address
3000 Fellowship Dr
Whitehall, PA 18052-3343
Phone
(610) 799-3000
Fax
(610) 799-3099
NPI assigned
Nov 18, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert H. Zentz, NHA
Title
President/Ceo
Phone
(610) 799-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 063102 PA Primary

Addresses

Primary practice location

3000 Fellowship Dr
Whitehall, PA 18052-3343

Mailing address

3000 Fellowship Dr
Whitehall, PA 18052-3343
Phone (610) 799-3000

Other identifiers 3

IdentifierTypeStateIssuer
1203140001OtherPAHEALTH NOW NEW YORK, INC
1134930MedicaidPA
715855OtherPAHGSA ADMINISTRATORS

Other names 1

  • Fellowship Manor Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040429001182 PA Part B Supplier - Clinic/Group Practice 2163419185 Practice locations: Whitehall, PA
O20100311000825 PA Part A Provider - Skilled Nursing Facility 2163419185 Practice locations: Whitehall, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790767226. Details of each certification follow.

Skilled nursing facility certification: CCN 395763

Legal name
BIBLE FELLOWSHIP CHURCH HOMES, INC.
Doing business as
FELLOWSHIP MANOR
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 26, 1988
Last certification
Aug 1, 2024
Beds
121
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
May 28, 1962 in PA
Enrollment address
3000 Fellowship Drive
Fellwoship Manor
Whitehall, PA 18052-3366
Nursing home name
FELLOWSHIP MANOR

Care Compare: Nursing home

Medicare Care Compare
Listed as
Fellowship ManorCCN 395763 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Aug 26, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
121116.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0685913Fellowship Manor3000 Fellowship Drive, Whitehall, PA 18052Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Robert Erland Individual Corporate DirectorChairman May 1, 2005
Timothy Schmoyer Individual Corporate DirectorSecretary Jul 1, 2021
Ronald W Reed Individual Corporate DirectorBoard Member May 26, 2011
Organization, Madison, WI Adp of the SNF May 9, 2025
Organization, Madison, WI Consulting firm Adp of the SNF May 9, 2025
Jennifer Oswald Individual Adp of the SNF Feb 21, 2025
Amanda Marie Laporte Individual Corporate OfficerSr. Vice President & Coo Feb 28, 2025
Wayne Batten Individual Corporate DirectorBoard Member Jul 1, 2018
Byron Roth Individual Corporate DirectorBoard Member Jul 25, 2024
Glenn Ruoss Individual Corporate DirectorBoard Member May 1, 1987
Dany a Nehru Individual Adp of the SNF Feb 21, 2025
Lisa Hazler Individual Corporate OfficerExecutive VP of Finance Oct 18, 1999
Mary Kay McMahon Individual Corporate OfficerCeo/President Jul 22, 2019
Operational/Managerial ControlCeo/President Jul 22, 2019
Henry Sandt Individual Corporate DirectorBoard Member May 1, 2000
Hans Waldvogel Individual Corporate DirectorBoard Member May 1, 1999
Robert Vaughn Individual Corporate DirectorBoard Member Jul 25, 2024

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 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

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": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790767226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 FELLOWSHIP DR",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180523343",
            "telephone_number": "610-799-3000",
            "fax_number": "610-799-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 FELLOWSHIP DR",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180523343",
            "telephone_number": "610-799-3000",
            "fax_number": "610-799-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIBLE FELLOWSHIP CHURCH HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZENTZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "610-799-3000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "063102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NOW NEW YORK, INC",
            "identifier": "1203140001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134930",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HGSA ADMINISTRATORS",
            "identifier": "715855",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fellowship Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whitehall, PA

Sources for this page

Verify at the official NPI Registry.