NPIMap

Organization Active NPI

Lecom at Asbury Ridge LLC

Doing business as Saint Mary's at Asbury Ridge

  • Skilled Nursing Facility
  • Erie, PA
National Provider Identifier
1811713746
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LECOM AT ASBURY RIDGE LLC
Doing business as
Saint Mary's at Asbury Ridge
Practice address
4855 W Ridge Rd
Erie, PA 16506-1213
Phone
(814) 790-1790
NPI assigned
Nov 25, 2024
Last updated
Feb 3, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MILLCREEK MANORAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Authorized official

Name
James Lin, DONPI 1164599155
Title
President
Phone
(814) 844-2858

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

4855 W Ridge Rd
Erie, PA 16506-1213

Mailing address

5535 Peach St
Erie, PA 16509-2603

Other names 1

  • Saint Mary's at Asbury Ridge Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251111002472 PA Part A Provider - Skilled Nursing Facility 3971094640 Practice locations: Erie, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811713746. Details of each certification follow.

Skilled nursing facility certification: CCN 396081

Legal name
LECOM AT ASBURY RIDGE LLC
Doing business as
SAINT MARY'S AT ASBURY RIDGE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 4, 2002
Last certification
Oct 4, 2024
Beds
80
Ownership / control type
Nonprofit Corporation
Organization structure
LLCNon-profit
Enrollment address
4855 W Ridge Rd
Erie, PA 16506-1213
Nursing home name
LECOM AT ASBURY RIDGE DBA SAINT MARY'S ASBURY RIDGE
Affiliated entity
LECOM SENIOR LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
LECOM at Asbury Ridge dba Saint Mary's Asbury RidgCCN 396081 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 4, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8075.9 residents per day on average
Chain
Lecom Senior Living5 facilities in the chain
Ownership change
Changed ownership in the last 12 months

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Part of
Millcreek Manor Pharmacy

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
John M Ferretti Individual General Partnership InterestPresident May 1, 2025
Trustee of the SNF May 1, 2025
Individual Trustee of the SNF May 1, 2025
Adp of the SNF May 1, 2025
Direct Ownership Interest May 1, 2025
Millcreek Manor Organization, Erie, PA Non-profit 5% Or Greater Direct Ownership Interest May 1, 2025 100%
Trustee of the SNF May 1, 2025
Adp of the SNF May 1, 2025
Silvia M Ferretti Individual General Partnership InterestVice President May 1, 2025
Trustee of the SNF Jan 7, 2008
Joseph Kelly Individual General Partnership InterestBoard Member May 1, 2025
Trustee of the SNF Jan 1, 2021
James Yi Lin Individual General Partnership InterestBoard Member May 1, 2025
Trustee of the SNF Mar 29, 2024
Adp of the SNF Feb 14, 2025
Joyce Savocchio Individual General Partnership InterestBoard Member May 1, 2025
Trustee of the SNF Jan 7, 2008
Individual Trustee of the SNF May 1, 2025
Adp of the SNF May 1, 2025
Direct Ownership Interest May 1, 2025
Jaime Lynn Babiak Individual Operational/Managerial Control May 1, 2025
Trustee of the SNF May 1, 2025
Adp of the SNF May 1, 2025
Direct Ownership Interest May 1, 2025
Esther Fucci Individual General Partnership InterestBoard Member May 1, 2025
Trustee of the SNF Jan 7, 2008
Mary L Eckert Individual General Partnership InterestSecretary May 1, 2025
Trustee of the SNF Jan 7, 2008
Vincent S Fierro Individual General Partnership InterestBoard Member May 1, 2025
Trustee of the SNF Jan 7, 2008

Owners & managing parties with NPI records 5

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

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1811713746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5535 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 W RIDGE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165061213",
            "telephone_number": "814-790-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LECOM AT ASBURY RIDGE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MILLCREEK MANOR",
        "enumeration_date": "2024-11-25",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-844-2858",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Mary's at Asbury Ridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.