Active NPI
Embassy Woodland Park, LLC
Doing business as Embassy of Woodland Park
- Skilled Nursing Facility
- Orbisonia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- EMBASSY WOODLAND PARK, LLC
- Doing business as
- Embassy of Woodland Park
- Practice address
- 18889 Croghan Pike
Orbisonia, PA 17243-9685 - Phone
- (814) 447-0300
- NPI assigned
- Sep 28, 2020
- Last updated
- Sep 28, 2020
- 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
- George Repchick
- Title
- President of Manager
- Phone
- (216) 378-2050
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
18889 Croghan Pike
Orbisonia, PA 17243-9685
Mailing address
25201 Chagrin Blvd
Beachwood, OH 44122-5600
Other names 1
- Embassy of Woodland Park
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201229000170 | PA | Part A Provider - Skilled Nursing Facility | 8729491360 | Practice locations: Orbisonia, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1982211538. Details of each certification follow.
Skilled nursing facility certification: CCN 395697
- Legal name
- EMBASSY WOODLAND PARK LLC
- Doing business as
- EMBASSY OF WOODLAND PARK
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 14, 1985
- Last certification
- Oct 3, 2024
- Beds
- 125
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Embassy Healthcare
- Organization structure
- LLC
- Incorporated
- Aug 6, 2020 in PA
- Enrollment address
- 18889 Croghan Pike
Orbisonia, PA 17243-9685 - Nursing home name
- EMBASSY OF WOODLAND PARK
- Affiliated entity
- EMBASSY HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Embassy of Woodland Park
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- May 14, 1985
- Medicare certification status
- Active
- Certified beds
- 125
- Chain
- Embassy Healthcare
- Penalties (3 years)
- 1
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 |
|---|---|---|---|
| 39D0187073 | Embassy of Woodland Park | Certificate of waiver | Sep 13, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 12
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 |
|---|---|---|---|
| Ah Dynasty LLC | 5% Or Greater Indirect Ownership Interest | Nov 9, 2022 | 50% |
| Heritage Employment Services, LLC | Operational/Managerial Control | Nov 10, 2020 | |
| Adp of the SNF | Apr 25, 2025 | ||
| Angela Newman | Operational/Managerial Control | Apr 29, 2022 | |
| Adp of the SNF | Apr 29, 2022 | ||
| George S. Repchick 2020 Family Dynasty Trust | 5% Or Greater Indirect Ownership Interest | Nov 9, 2022 | 50% |
| Aaron Handler Family Dynasty Trust | 5% Or Greater Indirect Ownership Interest | Nov 9, 2022 | 50% |
| Adp of the SNF | Jan 1, 2025 | ||
| Aaron B Handler | Operational/Managerial Control | Nov 10, 2020 | |
| Embassy PA Tenant 2 Holdings LLC | 5% Or Greater Direct Ownership Interest | Nov 10, 2020 | 100% |
| George S. Repchick | Corporate Officer | Nov 10, 2020 | 50% |
| Operational/Managerial Control | Nov 10, 2020 | ||
| Adp of the SNF | Nov 10, 2020 | ||
| Embassy Healthcare Management Inc | Operational/Managerial Control | Nov 10, 2020 | |
| Adp of the SNF | Apr 25, 2025 | ||
| 2020 GSR Dynasty LLC | 5% Or Greater Indirect Ownership Interest | Nov 9, 2022 | 50% |
| Embassy Healthcare Holdings Inc | 5% Or Greater Indirect Ownership Interest | Nov 10, 2020 | 100% |
Facilities with the same owner 36
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Delaware Valley Skilled Nursing & Rehabilitation Center
- Skilled Nursing Facility
- Matamoras, PA
- NPI 1043809577
2020 GSR Dynasty LLC, George S. Repchick 2020 Family Dynasty Trust
-
dba Embassy of Hearthside
- Skilled Nursing Facility
- State College, PA
- NPI 1467069005
2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, Embassy Healthcare Management Inc, Embassy PA Tenant 2 Holdings LLC, George S. Repchick 2020 Family Dynasty Trust, Heritage Employment Servic
-
dba Hermitage Nursing and Rehabilitation
- Skilled Nursing Facility
- Hermitage, PA
- NPI 1124648878
2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, Embassy Healthcare Management Inc, George S. Repchick 2020 Family Dynasty Trust, Heritage Employment Services, LLC
-
dba Embassy of Hillsdale Park
- Skilled Nursing Facility
- Hillsdale, PA
- NPI 1831796036
2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, Embassy Healthcare Management Inc, Embassy PA Tenant 2 Holdings LLC, George S. Repchick 2020 Family Dynasty Trust, Heritage Employment Servic
-
dba Embassy of Huntingdon Park
- Skilled Nursing Facility
- Huntingdon, PA
- NPI 1629685276
2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, Embassy Healthcare Management Inc, Embassy PA Tenant 2 Holdings LLC, George S. Repchick 2020 Family Dynasty Trust, Heritage Employment Servic
-
dba Embassy of East Mountain
- Skilled Nursing Facility
- Wilkes Barre, PA
- NPI 1407608128
2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, George S. Repchick 2020 Family Dynasty Trust
-
dba Embassy of Scranton
- Skilled Nursing Facility
- Scranton, PA
- NPI 1932951654
2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, George S. Repchick 2020 Family Dynasty Trust
-
dba Embassy of Tunkhannock
- Skilled Nursing Facility
- Tunkhannock, PA
- NPI 1780436410
2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, George S. Repchick 2020 Family Dynasty Trust
-
dba Embassy of Wyoming Valley
- Skilled Nursing Facility
- Wilkes Barre, PA
- NPI 1730931478
2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, George S. Repchick 2020 Family Dynasty Trust
-
dba Embassy of Park Avenue
- Skilled Nursing Facility
- Meadville, PA
- NPI 1760099311
2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, Embassy Healthcare Management Inc, Embassy PA Tenant 2 Holdings LLC, George S. Repchick 2020 Family Dynasty Trust, Heritage Employment Servic
-
dba Embassy of Saxonburg
- Skilled Nursing Facility
- Saxonburg, PA
- NPI 1205596061
2020 GSR Dynasty LLC, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, Embassy Healthcare Management Inc, Heritage Employment Services, LLC
-
dba Clepper Manor
- Skilled Nursing Facility
- Sharon, PA
- NPI 1205456704
2020 GSR Dynasty LLC, Aaron Handler Family Dynasty Trust, Ah Dynasty LLC, Embassy Healthcare Holdings Inc, Embassy Healthcare Management Inc, George S. Repchick 2020 Family Dynasty Trust, Heritage Employment Services, LLC
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Huntingdon, PA
- NPI 1972818540
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Huntingdon, PA
- NPI 1972818540
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601251200000",
"number": "1982211538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25201 CHAGRIN BLVD",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18889 CROGHAN PIKE",
"city": "ORBISONIA",
"state": "PA",
"postal_code": "172439685",
"telephone_number": "814-447-0300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMBASSY WOODLAND PARK, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-28",
"last_updated": "2020-09-28",
"certification_date": "2020-09-28",
"status": "A",
"authorized_official_last_name": "REPCHICK",
"authorized_official_first_name": "GEORGE",
"authorized_official_title_or_position": "PRESIDENT OF MANAGER",
"authorized_official_telephone_number": "216-378-2050"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Embassy of Woodland Park",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Orbisonia, PA
- Broad Top Area Medical Center Inc (BTAMC Inc SHCMC Dental Clinic)
- Broad Top Area Medical Center Inc (BTAMC Southern Huntingdon Medical Center)
- Brandy Colleen Buckley, OTR/L
- Carrie Claycomb, PA-C
- Seth R Davis, PT
- Fulton County Medical Center (Southern Huntingdon County Medical Center)
- Fulton County Medical Center
- Fulton County Medical Center (FCMC Rehabilitation Services of Huntingdon County)
- Marybeth Harrington, P.T.
- Christopher Hartman, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.