Organization Active NPI

St. John Lutheran Care Center

Doing business as St. John Specialty Care Center

  • Skilled Nursing Facility
  • Mars, PA
National Provider Identifier
1801894712
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
LUTHERAN SENIORLIFEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0621OtherBLUE CROSS
1007389300003MedicaidPA

Other names 1

  • St. John Specialty Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 CenterCCN 395164 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 26, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
150135.5 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)

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
39D0675707St John Lutheran Care Center500 Wittenberg Way, Mars, PA 16046Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Jeffrey L Carraway Individual Corporate OfficerBoard Treasurer May 27, 2021 100%
Corporate DirectorCfo May 27, 2021 100%
Trustee of the SNF Jul 1, 2023
Robert M Pfoff Individual Adp of the SNF May 1, 2001
Lutheran Seniorlife Organization, Cranberry Township, PA Non-profit Adp of the SNF Jan 1, 1986
David Fenoglietto Individual Corporate OfficerChairman of the Board Jul 1, 2004 100%
Corporate DirectorPresident/Ceo May 27, 2021 100%
Trustee of the SNF Jul 1, 2023
Samanth L Rapuk Individual 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.

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 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

Verify at the official NPI Registry.