PENN STATE HERSHEY REHABILITATION LLC
NPI 1033530878
Skilled Nursing Facility in Hummelstown, PA

Active since December 20, 2013CLIA 39D1071710 · Waiver
1135 WEST CHOCOLATE AVE, 2ND FLOOR, HUMMELSTOWN, PA 17036(717) 972-1100 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Penn State Hershey Rehabilitation Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENN STATE HERSHEY REHABILITATION LLC (NPI 1033530878) is a healthcare organization registered as a skilled nursing facility in Hummelstown, Pennsylvania and active in the NPI registry since December 2013. The organization holds a CLIA Waiver certificate valid through July 30, 2027 and lists John Duggan, Vice President, as its authorized official.

NPPES Registry Identity

NPI1033530878
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePENN STATE HERSHEY REHABILITATION LLC
Location Address1135 WEST CHOCOLATE AVE, 2ND FLOORHummelstown, PA 17036
Mailing Address4714 Gettysburg Rd, Legal DeptMechanicsburg, PA 17055-4325 · (717) 972-1100
Organization SubpartNo
Authorized OfficialJohn DugganVice President · (717) 972-1100
Enumeration DateDecember 20, 2013
Last NPPES UpdateSeptember 10, 2025
NPPES CertifiedSeptember 10, 2025
NPI 1033530878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
1135 WEST CHOCOLATE AVE, Hummelstown, PA 17036

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D1071710

Penn State Hershey Rehabilitation LLC · Hummelstown, PA
Active · expires Jul 30, 2027
CLIA Number39D1071710
Laboratory TypeHospital
Certificate Effective DateJuly 31, 2025
Certificate Expiration DateJuly 30, 2027
Laboratory DirectorDr. Michael A. Kryger
Laboratory Phone(717) 975-4503
Laboratory LocationPenn State Hershey Rehabilitation LLC1135 Old West Chocolate Avenue, Hummelstown, PA 17036
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Penn State Hershey Rehabilitation LLC's NPI number?

The NPI number for Penn State Hershey Rehabilitation LLC is 1033530878. It was assigned to this organization in the NPPES registry on December 20, 2013.

Where is Penn State Hershey Rehabilitation LLC located?

Penn State Hershey Rehabilitation LLC is located at 1135 West Chocolate Ave 2nd Floor, Hummelstown, PA 17036. The listed phone number is (717) 972-1100.

What is Penn State Hershey Rehabilitation LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Penn State Hershey Rehabilitation LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D1071710) is associated with this NPI, valid through July 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Penn State Hershey Rehabilitation LLC was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.