Quality Life Services - Apollo, LLC
Organization Active NPI Skilled Nursing Facility · Apollo, PA
NPI 1962277822 · NPPES record last updated Nov 21, 2023
Key facts
- NPI
- 1962277822
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- QUALITY LIFE SERVICES - APOLLO, LLC
- Practice address
- 151 Goodview Dr
Apollo, PA 15613-8527 - Phone
- (724) 727-3451
- NPI assigned
- Nov 21, 2023
- Organization subpart
- No
Authorized official
- Name
- Steven D. Tack
- Title
- President/Ceo
- Phone
- (724) 431-0770
Owners & managing parties with NPI records 1
Facilities with the same owner 6
Practitioners 2
-
Andrew Curtis Adams, M.D.
Affiliated clinicians 2
-
Andrew Curtis Adams, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Quality Life Services - Apollo
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Dec 3, 1976
- Medicare certification status
- Active
- Certified beds
- 177 · 149.5 residents per day on average
- Chain
- Quality Life Services
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 2 · fines totaling $60,109
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0965135 | Quality Life SVCS - Apollo | Certificate of waiver | Sep 12, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Skilled nursing facility certification: CCN 395371
- Legal name
- QUALITY LIFE SERVICES - APOLLO, LLC
- Doing business as
- QUALITY LIFE SERVICES - APOLLO
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 3, 1976
- Last certification
- May 22, 2025
- Beds
- 177
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Quality Life Services
- Most recent change of ownership
- Mar 1, 2024
- Organization structure
- LLC · Proprietary
- Enrollment address
- 151 Goodview Drive
Apollo, PA 15613-8257 - Nursing home name
- QUALITY LIFE SERVICES - APOLLO
- Affiliated entity
- QUALITY LIFE SERVICES
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Tonia M Kania |
Adp of the SNF | Mar 1, 2024 | |
| Sugar Creek Rest, Inc |
5% Or Greater Direct Ownership Interest | Mar 1, 2024 | 1% |
| Kevin M Wong |
Adp of the SNF | Aug 29, 2025 | |
| Encova Mutual Insurance Group Inc |
Adp of the SNF | Aug 29, 2025 | |
| Merchants Bank of Indiana |
Adp of the SNF | Mar 1, 2024 | |
| First National Bank |
Adp of the SNF | Aug 29, 2025 | |
| PNC Bank NA |
Adp of the SNF | Aug 29, 2025 | |
| Nextier Bank |
Adp of the SNF | Aug 29, 2025 | |
| Christine Carter |
Adp of the SNF | Mar 1, 2024 | |
| Susan E Tack-Beardsley |
Operational/Managerial Control | Mar 1, 2024 | |
| Lisa Stafford |
Adp of the SNF | Mar 1, 2024 | |
| Mary S Tack-Yurek |
Operational/Managerial Control | Mar 1, 2024 | |
| Tack Family Ventures LLC |
5% Or Greater Direct Ownership Interest | Mar 1, 2024 | 99% |
| Richard Leonard |
Operational/Managerial Control | Mar 1, 2024 | |
| Adp of the SNF | Aug 29, 2025 | ||
| Steven D Tack |
5% Or Greater Indirect Ownership Interest | Mar 1, 2024 | 33.34% |
| Corporate Officer |
Mar 1, 2024 | ||
| Bonnie Lopiccolo |
Adp of the SNF | Mar 1, 2024 | |
| Michael Markivich |
Corporate Officer |
Mar 1, 2024 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240730002225 | PA | Part a Provider - Skilled Nursing Facility | 5890232656 | Practice locations: Apollo, PA |
National Provider Directory
Locations
151 Goodview Dr
Apollo, PA 15613
Phone (724) 472-7345
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
151 Goodview Dr
Apollo, PA 15613-8527
Mailing address
612 N Main St
Butler, PA 16001-4363
Phone (724) 431-0770
Other names
- Quality Life Services - Apollo
Other providers in Apollo, PA
- Mark Andrew Nigra
- Northwind Medical Equipment LLC
- Robert N Obradovich
- Joseph John Potocnik
- Pritchett Behavioral Health
- Colleen Rex
- Rite Aid of Pennsylvania LLC
- Robert N Obradovich DMD LLC
- Simply at Home, LLC
- Barbara Smeltzer
All providers in Apollo, PA · Skilled Nursing Facility in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.