NPIMap

Organization Active NPI

Lifespace Communities Inc

Doing business as Friendship Village of South Hills

  • Skilled Nursing Facility
  • Upper St Clair, PA
National Provider Identifier
1881647899
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
320102 Issued in PA
Legal business name
LIFESPACE COMMUNITIES INC
Doing business as
Friendship Village of South Hills
Practice address
1290 Boyce Rd
Upper St Clair, PA 15241-3921
Phone
(724) 941-3100
Fax
(724) 941-6331
NPI assigned
May 19, 2006
Last updated
May 4, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
LIFESPACE COMMUNITIES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Authorized official

Name
Mr. Scott Michael Harrison
Title
President
Phone
(515) 288-5805

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 320102 PA Primary
Durable Medical Equipment & Medical Supplies 332B00000X 0438250004 PA

Addresses

Primary practice location

1290 Boyce Rd
Upper St Clair, PA 15241-3921

Mailing address

1290 Boyce Rd
Upper St Clair, PA 15241-3921
Phone (724) 941-3100

Other identifiers 3

IdentifierTypeStateIssuer
0011456010001MedicaidPA
0664OtherPASECURITY BLUE
2037510OtherPAUS HEALTHCARE

Other names 1

  • Friendship Village of South Hills Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051118000668 PA Part A Provider - Skilled Nursing Facility 2365499720 Practice locations: Upper St Clair, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881647899. Details of each certification follow.

Skilled nursing facility certification: CCN 395688

Legal name
LIFESPACE COMMUNITIES INC
Doing business as
FRIENDSHIP VILLAGE OF SOUTH HILLS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 29, 1985
Last certification
Oct 4, 2024
Beds
89
Ownership / control type
Nonprofit Corporation
Multi-facility organization
LifeSpace Communities
Organization structure
CorporationNon-profit
Incorporated
Jul 9, 2009 in IA
Enrollment address
1290 Boyce Rd
Upper St Clair, PA 15241-3921
Nursing home name
FRIENDSHIP VILLAGE OF SOUTH HI
Affiliated entity
LIFESPACE COMMUNITIES

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Friendship Village of South HiCCN 395688 · All quality measures
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
For profit - Corporation
Certified
Jan 29, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8978.9 residents per day on average
Chain
Lifespace Communities15 facilities in the chain

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
39D0179606Friendship Village of South Hills1290 Boyce Rd, Upper St Clair, PA 15241Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Life Care Retirement Communities Inc27 organizations share this tax ID, including this one
Part of
Life Care Retirement Communities Inc

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Claus Jensen Individual Corporate Director Apr 26, 2023
Gary D Blackford Individual Corporate Director Dec 1, 2021
Nicholas Harshfield Individual Corporate OfficerChief Financial Officer Jul 1, 2020
Lifespace Communities Inc Organization, West Des Moines, IA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 9, 2009 100%
Operational/Managerial Control Jul 8, 2009
Joyce Darkey-Hrinya Individual Corporate Director Jan 15, 2018
Nikki Kay Kresse Individual Corporate OfficerChief People Officer Apr 19, 2021
David Solomon Williams Individual Corporate Director Dec 1, 2021
Lifespace, Inc. Organization, West Des Moines, IA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jul 9, 2012 100%
Patrick Spangler Individual Corporate Director Jul 18, 2016
Jenifer Salamino Individual Corporate Director Apr 26, 2023
Neal Yanofsky Individual Corporate Director Jul 18, 2016
Jonathan Sokeye Individual Corporate Director Dec 1, 2021
Erin Pope Individual Corporate Officer Jul 25, 2022
Amy McDonough Individual Corporate Director Apr 26, 2023
Jesse Jantzen Individual Corporate OfficerPresident & Ceo Apr 1, 2020
Dina M Stover Individual W-2 Managing EmployeeAdministrator Aug 17, 2021
Venita E Fields Individual Corporate Director Jan 15, 2018
Clyde Stretch Individual Corporate Director Apr 26, 2023
Ana Dutra Individual Corporate Director Jul 18, 2016
Joseph T Gorman Individual Corporate OfficerSecretary Jul 26, 2022

Owners & managing parties with NPI records 9

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

All facility ownership & control disclosures 15

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Abbey DelrayDelray Beach, FL, CCN 105335 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 9, 2009
Jul 8, 2009
Abbey Delray SouthDelray Beach, FL, CCN 105411 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 9, 2009
Jul 8, 2009
Friendship Village of BloomingtonBloomington, MN, CCN 245229 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 9, 2009
Jul 8, 2009
Beacon HillLombard, IL, CCN 145522 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 9, 2009
Jul 8, 2009
Claridge CourtPrairie Village, KS, CCN 175343 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 8, 2009
The WaterfordJuno Beach, FL, CCN 105404 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 8, 2009
Apr 24, 2007
Harbour's EdgeDelray Beach, FL, CCN 105598 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jan 1, 1994
Jan 1, 1994
Village on the GreenLongwood, FL, CCN 105556 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 1994
Jan 1, 1994
Querencia at Barton CreekAustin, TX, CCN 676198 Skilled nursing facility Operational/Managerial Control Jun 27, 2019
Greenfields of GenevaGeneva, IL, CCN 146166 Skilled nursing facility Operational/Managerial Control (100%) Feb 1, 2023
Windflower Health CenterAmarillo, TX, CCN 675904 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2023
Apr 7, 2025
Oak TraceDowners Grove, IL, CCN 145804 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jan 30, 2018
Jan 30, 2018
Newcastle PlaceMequon, WI, CCN 525668 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Apr 16, 2021
Apr 16, 2021
Meadow Lake Health CenterTyler, TX, CCN 676286 Skilled nursing facility Operational/Managerial Control (100%) Jul 19, 2022
Wesley Court Health CenterAbilene, TX, CCN 676090 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 19, 2022
Jul 19, 2022

Owned or controlled facilities with NPI records 15

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 15

Facilities with the same owner 15

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

View all 15

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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 4

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": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1881647899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 BOYCE RD",
            "city": "UPPER ST CLAIR",
            "state": "PA",
            "postal_code": "152413921",
            "telephone_number": "724-941-3100",
            "fax_number": "724-941-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 BOYCE RD",
            "city": "UPPER ST CLAIR",
            "state": "PA",
            "postal_code": "152413921",
            "telephone_number": "724-941-3100",
            "fax_number": "724-941-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPACE COMMUNITIES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFESPACE COMMUNITIES INC",
        "enumeration_date": "2006-05-19",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-288-5805",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "320102",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "0438250004",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011456010001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURITY BLUE",
            "identifier": "0664",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US HEALTHCARE",
            "identifier": "2037510",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friendship Village of South Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upper St Clair, PA

Sources for this page

Verify at the official NPI Registry.