Active NPI
Jenner'S Pond Inc.
- Assisted Living Facility
- West Grove, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 101500
- Legal business name
- JENNER'S POND INC.
- Practice address
- 2000 Greenbriar LN
West Grove, PA 19390-9485 - Phone
- (610) 869-6770
- NPI assigned
- Oct 17, 2005
- Organization subpart
- Yes
- Parent organization
- SIMPSON SENIOR SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Toni McClay
- Title
- President & Ceo
- Phone
- (610) 869-6802
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 101500 | PA | Primary |
| Pediatric Skilled Nursing Facility | 3140N1450X | 15700201 | PA |
Addresses
Primary practice location
2000 Greenbriar LN
West Grove, PA 19390-9485
Mailing address
2000 Greenbriar LN
West Grove, PA 19390-9485
Phone (610) 869-6770
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7972591 | Other | PA | PPO |
| 3975364 | Other | PA | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040629001016 | PA | Part A Provider - Skilled Nursing Facility | 4385620376 | Practice locations: West Grove, PA |
Skilled nursing facility certification: CCN 396090
- Legal name
- JENNER'S POND INC.
- Doing business as
- PRESTON RESIDENCE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- May 19, 2004
- Last certification
- Jul 11, 2024
- Beds
- 38
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Simpson
- Organization structure
- Corporation
- Incorporated
- Oct 1, 2001 in PA
- Enrollment address
- 200 Sycamore Dr
Preston Residence
West Grove, PA 19390-9480 - Nursing home name
- PRESTON RESIDENCE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Preston Residence
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- Non profit - Corporation
- Certified
- May 19, 2004
- Medicare certification status
- Active
- Certified beds
- 38
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D1023689 | Jenner'S Pond Inc | Certificate of waiver | Mar 22, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Georgine Tracy | Operational/Managerial Control | Feb 13, 2023 | |
| Adp of the SNF | Mar 18, 2025 | ||
| Kenneth Franiak | Corporate Officer | Aug 9, 2021 | |
| Operational/Managerial Control | Aug 9, 2021 | ||
| Jenner'S Pond Inc. | 5% Or Greater Direct Ownership Interest | Feb 1, 1998 | 100% |
| 5% Or Greater Indirect Ownership Interest | Feb 1, 1998 | 100% | |
| Operational/Managerial Control | Feb 1, 1998 | ||
| Adp of the SNF | Feb 1, 1998 | ||
| Navneet Sharma | Adp of the SNF | Jan 1, 2022 |
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 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapy Assistant
- West Grove, PA
- NPI 1508364357
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- West Grove, PA
- NPI 1740249697
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327536000000",
"number": "1902895550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 GREENBRIAR LN",
"city": "WEST GROVE",
"state": "PA",
"postal_code": "193909485",
"telephone_number": "610-869-6770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 GREENBRIAR LN",
"city": "WEST GROVE",
"state": "PA",
"postal_code": "193909485",
"telephone_number": "610-869-6770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNER'S POND INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SIMPSON SENIOR SERVICES",
"enumeration_date": "2005-10-17",
"last_updated": "2012-01-26",
"status": "A",
"authorized_official_last_name": "MCCLAY",
"authorized_official_first_name": "TONI",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "610-869-6802"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "PA",
"license": "101500",
"primary": true
},
{
"code": "3140N1450X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
"state": "PA",
"license": "15700201",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPO",
"identifier": "7972591",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3975364",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
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- Sharon Jarrett, C.R.F.N.P.
- Jennersville Family Dentistry
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- Jennersville Hospital, LLC
- Jennersville Hospital, LLC
- Jennersville Hospital, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.