Active NPI
1412 Lansdowne Operating, LLC
Doing business as St. Francis Center for Rehabilitation & Healthcare
- Skilled Nursing Facility
- Darby, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- 1412 LANSDOWNE OPERATING, LLC
- Doing business as
- St. Francis Center for Rehabilitation & Healthcare
- Practice address
- 1412 Lansdowne Ave
Darby, PA 19023-1218 - Phone
- (610) 461-6510
- NPI assigned
- Jul 31, 2014
- Last updated
- Jul 31, 2014
- 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
- Charles-Edouard Gros
- Title
- Manager
- Phone
- (718) 360-8083
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
1412 Lansdowne Ave
Darby, PA 19023-1218
Mailing address
701 Lansdale Ave
Lansdale, PA 19446-2958
Other names 1
- St. Francis Center for Rehabilitation & Healthcare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141112002075 | PA | Part A Provider - Skilled Nursing Facility | 5991927659 | Practice locations: Darby, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1922416270. Details of each certification follow.
Skilled nursing facility certification: CCN 395282
- Legal name
- 1412 LANSDOWNE OPERATING LLC
- Doing business as
- ST. FRANCIS CENTER FOR REHABILITATION & HEALTHCARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 1, 1976
- Last certification
- Sep 26, 2024
- Beds
- 273
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- May 7, 2014 in PA
- Enrollment address
- 1412 Lansdowne Avenue
Darby, PA 19023-1218 - Nursing home name
- ST FRANCIS CENTER FOR REHABILITATION & HEALTHCARE
- Affiliated entity
- CENTER MANAGEMENT GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- St Francis Center for Rehabilitation & Healthcare
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Nov 1, 1976
- Medicare certification status
- Active
- Certified beds
- 273
- Chain
- Center Management Group
National Provider Directory
National Provider Directory- Tax ID family
- 1412 Lansdowne Operating LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Darby, PA
- NPI 1619951993
Ownership & related parties
All disclosed owners & managing parties 17
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 |
|---|---|---|---|
| Adp of the SNF | Nov 28, 2023 | ||
| Elizabeth Marasco-Kennedy | Operational/Managerial Control | Nov 18, 2019 | |
| Adp of the SNF | Nov 18, 2019 | ||
| Caroline G Boehm | 5% Or Greater Direct Ownership Interest | Nov 28, 2023 | 14.29% |
| Adp of the SNF | Nov 28, 2023 | ||
| Direct Ownership Interest | Nov 28, 2023 | 14.29% | |
| Adp of the SNF | Jul 3, 2025 | ||
| Robert J Pearlstein | Operational/Managerial Control | Dec 18, 2016 | |
| Adp of the SNF | Dec 18, 2016 | ||
| Daniel Allen | Operational/Managerial Control | Nov 3, 2014 | |
| Managing Control - Governing Body | Nov 3, 2014 | ||
| Adp of the SNF | Nov 3, 2014 | ||
| Shlomo Levi | Operational/Managerial Control | Jan 1, 2024 | |
| Adp of the SNF | Jan 1, 2024 | ||
| Edward Petroski | Operational/Managerial Control | Aug 8, 2018 | |
| Managing Control - Governing Body | Aug 8, 2018 | ||
| Adp of the SNF | Aug 8, 2018 | ||
| Adp of the SNF | Jul 3, 2025 | ||
| John Bauer | Operational/Managerial Control | Jul 15, 2019 | |
| Managing Control - Governing Body | Jul 15, 2019 | ||
| Adp of the SNF | Jul 15, 2019 | ||
| Adp of the SNF | Nov 28, 2023 | ||
| Adp of the SNF | Nov 3, 2014 | ||
| Adp of the SNF | Nov 28, 2023 | ||
| Charles-Edouard Gros | 5% Or Greater Direct Ownership Interest | Nov 28, 2023 | 85.71% |
| Adp of the SNF | Nov 28, 2023 | ||
| Direct Ownership Interest | Nov 28, 2023 | 85.71% | |
| Greystone Funding Company LLC | 5% Or Greater Mortgage Interest | Jul 30, 2024 | 100% |
| Baruch Klein | Operational/Managerial Control | Nov 3, 2014 | |
| Adp of the SNF | Nov 3, 2014 | ||
| Adp of the SNF | Nov 28, 2023 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Internal Medicine) Physician
- Plymouth Meeting, PA
- NPI 1598788689
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Geriatric Medicine (Internal Medicine) Physician
- Plymouth Meeting, PA
- NPI 1598788689
-
- Geriatric Medicine (Internal Medicine) Physician
- Lansdowne, PA
- NPI 1801386453
-
- Internal Medicine Physician
- Glen Mills, PA
- NPI 1669704607
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Plymouth Meeting, PA
- NPI 1598788689
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- Lansdowne, PA
- NPI 1801386453
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1406764800000",
"number": "1922416270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 LANSDALE AVE",
"city": "LANSDALE",
"state": "PA",
"postal_code": "194462958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 LANSDOWNE AVE",
"city": "DARBY",
"state": "PA",
"postal_code": "190231218",
"telephone_number": "610-461-6510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "1412 LANSDOWNE OPERATING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-31",
"last_updated": "2014-07-31",
"status": "A",
"authorized_official_last_name": "GROS",
"authorized_official_first_name": "CHARLES-EDOUARD",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "718-360-8083"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "St. Francis Center for Rehabilitation & Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Darby, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.