Organization Active NPI

The Ball Pavilion

  • Skilled Nursing Facility
  • Erie, PA
National Provider Identifier
1891786604
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
540302 Issued in PA
Legal business name
THE BALL PAVILION
Practice address
5416 E Lake Rd
Erie, PA 16511-1427
Phone
(814) 899-8600
Fax
(814) 898-1910
NPI assigned
Nov 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. George William Hunter
Title
President Bvfi
Phone
(814) 899-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 540302 PA Primary

Addresses

Primary practice location

5416 E Lake Rd
Erie, PA 16511-1427

Mailing address

5416 E Lake Rd
Erie, PA 16511-1427
Phone (814) 899-8600

Other identifiers 1

IdentifierTypeStateIssuer
0007479270001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120507000152 PA Part A Provider - Skilled Nursing Facility 1557523677 Practice locations: Erie, PA

Skilled nursing facility certification: CCN 395401

Legal name
THE BALL PAVILION
Doing business as
THE BALL PAVILION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 1978
Last certification
Mar 21, 2025
Beds
85
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 7, 1975 in PA
Enrollment address
5416 East Lake Road
Erie, PA 16511-1496
Nursing home name
BALL PAVILION, THE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Ball Pavilion, TheCCN 395401
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Dec 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8560.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Ball Pavilion2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in 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
Amy M Learn Individual Corporate DirectorBall Pavilion Administrator Apr 4, 2022
Adp of the SNF Apr 4, 2022
Brevillier Village Foundation Inc Organization, Erie, PA Non-profit Operational/Managerial Control Jul 1, 1987
Adp of the SNF Jan 28, 2025
The Ball Pavilion Organization, Erie, PA Non-profit 5% Or Greater Direct Ownership Interest Dec 15, 1977 100%
Adp of the SNF Dec 15, 1977
James Hawryliw Individual Corporate DirectorBoard Member Mar 21, 2019
Trustee of the SNF Mar 21, 2019
Marquette Savings Bank Organization, Erie, PA Financial institution 5% Or Greater Mortgage Interest Dec 14, 2023 43%
Susan Plizga Individual Corporate DirectorBoard Member Oct 27, 2022
Trustee of the SNF Oct 27, 2022
Jeffrey Wieser Individual Corporate DirectorCeo Apr 16, 1987
Operational/Managerial Control Mar 1, 2014
Adp of the SNF Mar 1, 2014
Richard Elberfeld Individual Corporate DirectorBoard Member Oct 19, 2023 16.66%
Trustee of the SNF Oct 19, 2023
Individual Adp of the SNF Jan 30, 2025
William Fife Individual Corporate DirectorBoard Member Oct 28, 2021
Trustee of the SNF Oct 28, 2021
Gary D Faulhaber Individual Corporate DirectorBoard Member Oct 27, 2022
Trustee of the SNF Oct 27, 2022
Christine MC Clure Individual Corporate DirectorBoard Member Oct 19, 2021
Trustee of the SNF Oct 19, 2021

Practitioners & affiliated clinicians

Practitioners 4

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

Affiliated clinicians 2

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": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891786604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5416 E LAKE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165111427",
            "telephone_number": "814-899-8600",
            "fax_number": "814-898-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5416 E LAKE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165111427",
            "telephone_number": "814-899-8600",
            "fax_number": "814-898-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BALL PAVILION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT BVFI",
        "authorized_official_telephone_number": "814-899-8600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "540302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007479270001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.