Organization Active NPI

Calvary Fellowship Homes, Inc.

  • Skilled Nursing Facility
  • Lancaster, PA
National Provider Identifier
1891806980
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
030102 Issued in PA
Legal business name
CALVARY FELLOWSHIP HOMES, INC.
Practice address
502 Elizabeth Dr
Lancaster, PA 17601-4406
Phone
(717) 393-0711
Fax
(717) 393-0998
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Mr. Marlin Weaver
Title
President & Ceo
Phone
(717) 393-0711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 030102 PA Primary

Addresses

Primary practice location

502 Elizabeth Dr
Lancaster, PA 17601-4406

Mailing address

502 Elizabeth Dr
Lancaster, PA 17601-4406
Phone (717) 393-0711

Other identifiers 1

IdentifierTypeStateIssuer
0007452430001MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1891806980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 ELIZABETH DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014406",
            "telephone_number": "717-393-0711",
            "fax_number": "717-393-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 ELIZABETH DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014406",
            "telephone_number": "717-393-0711",
            "fax_number": "717-393-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVARY FELLOWSHIP HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "MARLIN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "717-393-0711",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "030102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007452430001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.