NPIMap

Organization Active NPI

Shannondell, Inc.

  • Skilled Nursing Facility
  • Audubon, PA
National Provider Identifier
1922056076
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
17580201 Issued in PA
Legal business name
SHANNONDELL, INC.
Practice address
5000 Shannondell Dr
Audubon, PA 19403-5684
Phone
(610) 728-5400
Fax
(610) 382-6835
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Authorized official

Name
Mr. David S. Rittenhouse
Title
President
Phone
(610) 631-1100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X A00010 PA
Skilled Nursing Facility 314000000X 17580201 PA Primary

Addresses

Primary practice location

5000 Shannondell Dr
Audubon, PA 19403-5684

Mailing address

5000 Shannondell Dr
Audubon, PA 19403-5684
Phone (610) 728-5400

Other names 1

  • Rehab at Shannondell Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050909000137 PA Part A Provider - Skilled Nursing Facility 9032141189 Practice locations: Audubon, PA
O20130627000670 PA Part B Supplier - Clinic/Group Practice 9032141189 Receives reassigned benefits from 22 practitioners
3 other NPIs on this enrollment
Practice locations: Audubon, PA

Skilled nursing facility certification: CCN 396101

Legal name
SHANNONDELL, INC.
Doing business as
REHAB AT SHANNONDELL
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Jan 31, 2006
Last certification
May 1, 2025
Beds
120
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
Feb 4, 1999 in PA
Enrollment address
5000 Shannondell Dr
Audubon, PA 19403-5684
Nursing home name
REHAB AT SHANNONDELL

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Rehab at ShannondellCCN 396101
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare
Ownership
For profit - Corporation
Certified
Jan 31, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120115.2 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
39D1045543Rehab at Shannondell5000 Shannondell Drive, Audubon, PA 19403Certificate of waiverSep 15, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ronald Frank Individual Operational/Managerial Control Aug 8, 2016
Dorothy Scott Individual Operational/Managerial Control Jan 29, 2024
Jim a Sorom Individual Corporate OfficerCeo May 6, 2002
Operational/Managerial Control May 6, 2002
Adp of the SNF May 6, 2002
Builders Acceptance Corp Organization, Norristown, PA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2007 100%
Payce J Handler Haley Individual Operational/Managerial Control Jan 4, 2016
Adp of the SNF Jan 4, 2016
Gregory Wethey Individual Operational/Managerial Control Apr 6, 1970
Adp of the SNF Apr 6, 1970
Wendy Kim Individual Operational/Managerial Control Sep 2, 2016
Adp of the SNF Sep 2, 2016
Daniel Freed Individual Operational/Managerial Control Apr 13, 2007
Adp of the SNF Apr 13, 2007
Jenn a Joyce Individual Operational/Managerial Control Jul 5, 2012
Adp of the SNF Jul 5, 2012
Organization, King of Prussia, PA For-profit Adp of the SNF Apr 7, 2025
David Rittenhouse Individual 5% Or Greater Direct Ownership InterestPresident/Owner Feb 4, 1999 100%
Corporate OfficerPresident/Owner Sep 9, 2005
Managing Control - Governing BodyPresident/Owner Sep 9, 2005
Adp of the SNF Feb 4, 1999
Direct Ownership Interest Sep 9, 2005 100%
Organization, Audubon, PA Corporation, Management services company Adp of the SNF Apr 7, 2025
Kelly O Moore Individual Operational/Managerial Control Jul 9, 2007
Adp of the SNF Jul 9, 2007
Victoria L Williamson Individual Operational/Managerial Control Nov 1, 2013
Adp of the SNF Nov 1, 2013
Scott R Darrenkamp Individual Operational/Managerial Control May 27, 2003
Adp of the SNF May 27, 2003
Organization, York, PA Corporation, Financial institution, For-profit Adp of the SNF Apr 7, 2025

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 23

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

View all 23

Affiliated clinicians 3

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": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1922056076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 SHANNONDELL DR",
            "city": "AUDUBON",
            "state": "PA",
            "postal_code": "194035684",
            "telephone_number": "610-728-5400",
            "fax_number": "610-382-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 SHANNONDELL DR",
            "city": "AUDUBON",
            "state": "PA",
            "postal_code": "194035684",
            "telephone_number": "610-728-5400",
            "fax_number": "610-382-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNONDELL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "RITTENHOUSE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-631-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "PA",
            "license": "A00010",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "17580201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehab at Shannondell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Audubon, PA

Sources for this page

Verify at the official NPI Registry.