Organization Active NPI

Jenner'S Pond Inc.

  • Assisted Living Facility
  • West Grove, PA
National Provider Identifier
1902895550
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
101500 Issued in PA
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 SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7972591OtherPAPPO
3975364OtherPAAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 ResidenceCCN 396090 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
Non profit - Corporation
Certified
May 19, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3827.5 residents per day on average

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
39D1023689Jenner'S Pond Inc200 Sycamore Drive, West Grove, PA 19390Certificate of waiverMar 22, 2028

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Georgine Tracy Individual Operational/Managerial Control Feb 13, 2023
Adp of the SNF Mar 18, 2025
Kenneth Franiak Individual Corporate OfficerCfo Aug 9, 2021
Operational/Managerial Control Aug 9, 2021
Jenner'S Pond Inc. Organization, West Grove, PA Corporation, Non-profit 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 Individual 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.

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": "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": []
}

Other providers in West Grove, PA

Sources for this page

Verify at the official NPI Registry.