NPIMap

Organization Active NPI

Odd Fellows Home of Pennsylvania

  • Assisted Living Facility
  • Middletown, PA
National Provider Identifier
1861492258
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
343360 Issued in PA
Legal business name
ODD FELLOWS HOME OF PENNSYLVANIA
Practice address
999 W Harrisburg Pike
Middletown, PA 17057-4801
Phone
(717) 944-3351
Fax
(717) 948-1510
NPI assigned
Jul 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Leon S Stamm
Title
President
Phone
(610) 777-5990

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 343360 PA Primary
Skilled Nursing Facility 314000000X 150302 PA

Addresses

Primary practice location

999 W Harrisburg Pike
Middletown, PA 17057-4801

Mailing address

999 W Harrisburg Pike
Middletown, PA 17057-4801
Phone (717) 944-3351

Other identifiers 1

IdentifierTypeStateIssuer
0755179MedicaidPA

Other names 1

  • The Middletown Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070612000197 PA Part A Provider - Skilled Nursing Facility 9931207198 Practice locations: Middletown, PA

Skilled nursing facility certification: CCN 395518

Legal name
ODD FELLOWS HOME OF PENNSYLVANIA
Doing business as
COURTYARD GARDENS NURSING AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Apr 1, 1982
Last certification
Sep 19, 2024
Beds
102
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 25, 1918 in PA
Enrollment address
999 West Harrisburg Pike
Middletown, PA 17057-4801
Nursing home name
COURTYARD GARDENS NURSING AND REHAB CTR

Care Compare: Nursing home

Medicare Care Compare
Listed as
Courtyard Gardens Nursing and Rehab CtrCCN 395518
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Apr 1, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10289.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Douglas Eaby Individual Corporate Director May 29, 2007
Trustee of the SNF May 29, 2007
Nicole M Osevala Individual Adp of the SNF Apr 29, 2025
Louis Vogel Individual Operational/Managerial Control Apr 1, 2013
Adp of the SNF Mar 12, 2025

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.

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": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1861492258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 W HARRISBURG PIKE",
            "city": "MIDDLETOWN",
            "state": "PA",
            "postal_code": "170574801",
            "telephone_number": "717-944-3351",
            "fax_number": "717-948-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 W HARRISBURG PIKE",
            "city": "MIDDLETOWN",
            "state": "PA",
            "postal_code": "170574801",
            "telephone_number": "717-944-3351",
            "fax_number": "717-948-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODD FELLOWS HOME OF PENNSYLVANIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "STAMM",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-777-5990",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "PA",
            "license": "343360",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "150302",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0755179",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Middletown Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middletown, PA

Sources for this page

Verify at the official NPI Registry.