Bradford Ecumenical Home Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

281402 Issued in PA

Legal business name

BRADFORD ECUMENICAL HOME INC

Practice address

100 Saint Francis Drive
Bradford, PA 16701

Phone

(814) 368-5648

Fax

(814) 368-4642

NPI assigned

Oct 12, 2005

Organization subpart

No

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

Authorized official

Name

Lisa A Johnson, CEO

Title

Chief Executive Officer

Phone

(814) 368-5648

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Skilled nursing facility certification: CCN 395908

Legal name

BRADFORD ECUMENICAL HOME INC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1994

Last certification

Aug 29, 2024

Beds

100

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Oct 1, 1988 in PA

Enrollment address

100 Saint Francis Dr
Bradford, PA 16701-1868

Nursing home name

BRADFORD ECUMENICAL HOME, INC

Listed as

Bradford Ecumenical Home, IncCCN 395908 · 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 1, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10097.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Locations

All disclosed owners & managing parties 13

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.

• Fayez Roumani, M.D.

  • Internal Medicine Physician
  • Bradford, PA
  • NPI 1982647723

  Adp of the SNF, Corporate Director

  CMS ownership

Practitioners 4

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

• Isaac Levari

  • Family Medicine Physician
  • Pittsburgh, PA
  • NPI 1770574139
  NPD (past)
• Banafsheh Lotfi Moghaddas, M.D.

  • Family Medicine Physician
  • Springfield, VA
  • NPI 1730593377
  NPD (past)
• Charles Edward Rohrbach, DO

  • Internal Medicine Physician
  • Corry, PA
  • NPI 1548498272
  NPD (past)
• Fayez Roumani, M.D.

  • Internal Medicine Physician
  • Bradford, PA
  • NPI 1982647723
  NPD (past)

Affiliated clinicians 3

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

• Isaac Levari

  • Family Medicine Physician
  • Pittsburgh, PA
  • NPI 1770574139

  Nursing home

  Care Compare affiliation
• Banafsheh Lotfi Moghaddas, M.D.

  • Family Medicine Physician
  • Springfield, VA
  • NPI 1730593377

  Nursing home

  Care Compare affiliation
• Fayez Roumani, M.D.

  • Internal Medicine Physician
  • Bradford, PA
  • NPI 1982647723

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1831187079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SAINT FRANCIS DRIVE",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "16701",
            "telephone_number": "814-368-5648",
            "fax_number": "814-368-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SAINT FRANCIS DRIVE",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "16701",
            "telephone_number": "814-368-5648",
            "fax_number": "814-368-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADFORD ECUMENICAL HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "814-368-5648",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "281402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011692000001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "395908",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Boyer, RPA-C
• Bradford Area School District
• Bradford Area Transport Service, LLC
• Bradford Chiropractic Center LLC
• Bradford Dental Center
• Bradford Emergency Associates PC
• Bradford Family Medicine, Inc.
• Bradford Oncology LLC
• Bradford Orthopaedic & Sports Medicine Group, PC
• Bradford PA Opco LLC

• Skilled Nursing Facility in Bradford, PA
• Providers in Bradford, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.