Active NPI
St. John Lutheran Care Center
Doing business as St. John Specialty Care Center
- Skilled Nursing Facility
- Mars, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ST. JOHN LUTHERAN CARE CENTER
- Doing business as
- St. John Specialty Care Center
- Practice address
- 500 Wittenburg Way
Mars, PA 16046 - Phone
- (724) 776-1100
- Fax
- (724) 776-0811
- NPI assigned
- Jul 13, 2005
- Last updated
- Oct 8, 2025
- Organization subpart
- Yes
- Parent organization
- LUTHERAN SENIORLIFE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Carraway
- Title
- Cfo
- Phone
- (724) 742-2246
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NU | ||
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
500 Wittenburg Way
Mars, PA 16046
Mailing address
1323 Freedom Rd
Cranberry Township, PA 16066-5001
Phone (724) 776-1100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0621 | Other | BLUE CROSS | |
| 1007389300003 | Medicaid | PA |
Other names 1
- St. John Specialty Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030501000033 | PA | Part A Provider - Skilled Nursing Facility | 3779493515 | Practice locations: Mars, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1801894712. Details of each certification follow.
Skilled nursing facility certification: CCN 395164
- Legal name
- ST. JOHN LUTHERAN CARE CENTER
- Doing business as
- ST JOHN SPECIALTY CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 26, 1967
- Last certification
- Oct 11, 2024
- Beds
- 150
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Lutheran SeniorLife
- Organization structure
- Corporation
- Incorporated
- May 27, 1893 in PA
- Enrollment address
- 500 Wittenberg Way
St John Specialty Care Center
Mars, PA 16046-0928 - Nursing home name
- ST JOHN SPECIALTY CARE CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- St John specialty Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jan 26, 1967
- Medicare certification status
- Active
- Certified beds
- 150
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0675707 | St John Lutheran Care Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
1323 Freedom Rd
Cranberry Twp, PA 16066
Phone (724) 452-5400
Ownership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Jeffrey L Carraway | Corporate Officer | May 27, 2021 | 100% |
| Corporate Director | May 27, 2021 | 100% | |
| Trustee of the SNF | Jul 1, 2023 | ||
| Robert M Pfoff | Adp of the SNF | May 1, 2001 | |
| Lutheran Seniorlife | Adp of the SNF | Jan 1, 1986 | |
| David Fenoglietto | Corporate Officer | Jul 1, 2004 | 100% |
| Corporate Director | May 27, 2021 | 100% | |
| Trustee of the SNF | Jul 1, 2023 | ||
| Samanth L Rapuk | Operational/Managerial Control | Jul 1, 2023 | |
| Trustee of the SNF | Jul 1, 2023 | ||
| Adp of the SNF | Jul 1, 2017 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Internal Medicine) Physician
- Warrendale, PA
- NPI 1750317566
Adp of the SNF
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.
-
- Family Medicine Physician
- Pittsburgh, PA
- NPI 1194138818
-
- Geriatric Medicine (Internal Medicine) Physician
- Warrendale, PA
- NPI 1750317566
Affiliated clinicians 1
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": "1121212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759881600000",
"number": "1801894712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1323 FREEDOM RD",
"city": "CRANBERRY TOWNSHIP",
"state": "PA",
"postal_code": "160665001",
"telephone_number": "724-776-1100",
"fax_number": "724-776-0811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 WITTENBURG WAY",
"city": "MARS",
"state": "PA",
"postal_code": "16046",
"telephone_number": "724-776-1100",
"fax_number": "724-776-0811"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. JOHN LUTHERAN CARE CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LUTHERAN SENIORLIFE",
"enumeration_date": "2005-07-13",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A",
"authorized_official_last_name": "CARRAWAY",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "724-742-2246"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0621",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007389300003",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "St. John Specialty Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mars, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.