Active NPI
Calvary Fellowship Homes, Inc.
- Skilled Nursing Facility
- Lancaster, PA
National Provider Identifier
1891806980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 030102
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007452430001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Lancaster, PA
- NPI 1629134036
-
- Geriatric Medicine (Family Medicine) Physician
- Lancaster, PA
- NPI 1831154178
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.