Allied Services Skilled Nursing Center
Organization Active NPI Skilled Nursing Facility · Scranton, PA
NPI 1851398341 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1851398341
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 011902 (PA)
- Legal business name
- ALLIED SERVICES SKILLED NURSING CENTER
- Practice address
- 303 Smallacombe Dr
Scranton, PA 18508-2634 - Phone
- (570) 348-1424
- NPI assigned
- Jun 30, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Vincent Splendido
- Title
- Avp Patient Finical Services
- Phone
- (570) 341-4699
Owners & managing parties with NPI records 2
Facilities with the same owner 8
Practitioners 8
-
Faiza Hassan, MD
-
Barry A Minora, MD
-
Thomas L Minora, M.D.
-
Syed F Qadri, MD
-
Samuel A Valenti, M.D.
Affiliated clinicians 12
-
Faiza Hassan, MD
-
Stephen Gerard Jaditz, D.O.
-
Daniel Joseph Kazmierski, M.D.
-
Barry A Minora, MD
-
Thomas L Minora, M.D.
-
Syed F Qadri, MD
-
Eric D Smith, DO
-
Samuel A Valenti, M.D.
-
Wayne Weston, MD
Medicare Care Compare: Nursing home
- Listed as
- Allied Services Skilled Nursing Center
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Feb 15, 2001
- Medicare certification status
- Active
- Certified beds
- 327 · 288.7 residents per day on average
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Skilled nursing facility certification: CCN 396074
- Legal name
- ALLIED SERVICES SKILLED NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 15, 2001
- Last certification
- Sep 20, 2024
- Beds
- 327
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation · Proprietary
- Incorporated
- Jan 1, 1989 in PA
- Enrollment address
- 303 Smallacombe Dr
Scranton, PA 18508-2033 - Nursing home name
- ALLIED SERVICES SKILLED NURSING CENTER
All disclosed owners & managing parties 14
| Name | Role | Since | Share |
|---|---|---|---|
| Kenneth J Krogulski |
Corporate Director |
Jan 1, 2011 | |
| Allied Health Care Services |
Operational/Managerial Control | Jun 1, 1994 | |
| Gerald B Franceski |
Corporate Director |
Jan 1, 2011 | |
| William W Scranton |
Corporate Director |
Jan 1, 2011 | |
| Louis Denaples |
Corporate Director |
Jan 1, 2022 | 10% |
| Christina Mueller |
Corporate Director |
Jan 1, 2022 | 10% |
| William P Conaboy |
Corporate Officer |
Jan 1, 2009 | |
| Corporate Director |
Jan 1, 2009 | ||
| Operational/Managerial Control |
Jan 1, 2009 | ||
| Jill Murray |
Corporate Director |
Jan 1, 2022 | 10% |
| Michael E Avvisato |
Corporate Officer |
Jan 1, 2002 | |
| Operational/Managerial Control |
Jan 1, 2002 | ||
| Thomas J Melone |
Corporate Director |
Jan 1, 2013 | |
| Douglas Boyle |
Corporate Director |
Jan 1, 2013 | |
| James Cooney |
W-2 Managing Employee |
Sep 1, 2018 | 100% |
| Allied Services Foundation |
5% Or Greater Direct Ownership Interest | Jun 1, 1994 | 10% |
| Operational/Managerial Control | Jun 1, 1994 | 10% | |
| Allied Services Skilled Nursing Center |
5% Or Greater Direct Ownership Interest | Jun 1, 1994 | 100% |
| Operational/Managerial Control | Jun 1, 1994 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080325000132 | PA | Part a Provider - Skilled Nursing Facility | 9931284981 | Practice locations: Scranton, PA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 011902 | PA | Yes |
| Customized Equipment (DME) | 332BC3200X | PA | ||
| Nursing Facility Supplies (DME) | 332BN1400X | PA | ||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | PA |
Addresses
Primary practice location
303 Smallacombe Dr
Scranton, PA 18508-2634
Mailing address
100 Abington Executive Park
Clarks Summit, PA 18411-2258
Phone (570) 348-1364
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 812502 | Other | PA | AETNA |
| 000000079091 | Other | PA | 3 RIVERS |
| A08008623 | Other | PA | CEDI/SUBMITTER ID |
| 0011577000002 | Medicaid | PA | |
| 30968 | Other | PA | GEISINGER |
Other providers in Scranton, PA
- Allied Healthcare Services
- Allied Healthcare Services
- Allied Services Institute of Rehabilitation Medicine
- Allied Services Institute of Rehabilitation Medicine
- Allied Services Personal Care, Inc
- Allstate Health LLC
- Tracy A Almekinder
- Mohammad Abdelghafour Ahmad Alomari
- Wail Alsafi
- Megan Alt
All providers in Scranton, PA · Skilled Nursing Facility in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.