THE MANOR AT ST. LUKE VILLAGE
NPI 1275547036
Skilled Nursing Facility in Hazleton, PA

Active since July 28, 2006CLIA 39D0902562 · Waiver
1/5
Overall Rating
1711 E BROAD ST, HAZLETON, PA 18201(570) 453-5100(570) 453-5138 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 13, 2024, May 18, 2020, May 10, 2019 (3 updates tracked since 2019).

About The Manor At St. Luke Village NPPES

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

THE MANOR AT ST. LUKE VILLAGE (NPI 1275547036) is a healthcare organization registered as a skilled nursing facility in Hazleton, Pennsylvania and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through June 22, 2027 and lists Tim Lehner, Manager, as its authorized official.

NPPES Registry Identity

NPI1275547036
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMANOR AT ST. LUKE VILLAGE FACILITY OPERATIONS, LLC
Location Address1711 E BROAD STHazleton, PA 18201-5691
Mailing Address1711 E Broad StHazleton, PA 18201-5691 · (570) 453-5100 · Fax (570) 453-5138
Fax(570) 453-5138
Organization SubpartNo
Authorized OfficialTim LehnerManager · (770) 698-9040
Enumeration DateJuly 28, 2006
Last NPPES UpdateSeptember 13, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2024
NPI 1275547036 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.
1711 E BROAD ST, Hazleton, PA 18201

Other Names 1

Doing Business AsThe Manor At St. Luke Village

Other Identifiers 1

Medicaid1018125210001PA

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 39D0902562

Manor At St Luke Village, The · Hazleton, PA
Active · expires Jun 22, 2027
CLIA Number39D0902562
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 23, 2025
Certificate Expiration DateJune 22, 2027
Laboratory DirectorDr. Mark Lobitz
Laboratory Phone(570) 453-5100
Laboratory LocationManor At St Luke Village, The1711 East Broad Street, Hazleton, PA 18201
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Manor At St Luke Village,the (CMS certification number 395636), from CMS Care Compare.

Manor At St Luke Village,the

Nursing home · Hazleton, PA
1/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number395636
Certified Beds104 beds96 residents per day on average
Medicare & Medicaid Participant SinceApril 2, 1984
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
99.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.47 · LPN 1 · RN 0.42
2.89 hrs per resident per day
Weekend Nurse Staffing
2.5 hrs per resident per day
Physical Therapist Staffing
0.08 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
42.5%
Registered Nurse Turnover
58.3%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
23
Infection-Control Citations
2
Fines
2 totaling $32,701.50
Medicare Payment Denials
0
Total Penalties
2
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
1711 E BROAD ST
HAZLETON, PA 18201
Physical Therapy Assistant
1711 E BROAD ST
HAZLETON, PA 18201
Occupational Therapy Assistant
1711 E BROAD ST
HAZLETON, PA 18201
Skilled Nursing Facility
1711 E BROAD ST
HAZLETON, PA 18201
Physical Therapy Assistant
1711 E BROAD ST
HAZLETON, PA 18201
Occupational Therapist
1711 E BROAD ST
HAZLETON, PA 18201
Physical Therapy Assistant
1711 E BROAD ST
HAZLETON, PA 18201
Physical Therapist
1711 E BROAD ST
HAZLETON, PA 18201

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 Manor At St. Luke Village Facility Operations, LLC's NPI number?

The NPI number for Manor At St. Luke Village Facility Operations, LLC is 1275547036. It was assigned to this organization in the NPPES registry on July 28, 2006. The provider is doing business as The Manor At St. Luke Village.

Where is Manor At St. Luke Village Facility Operations, LLC located?

Manor At St. Luke Village Facility Operations, LLC is located at 1711 E Broad St, Hazleton, PA 18201. The listed phone number is (570) 453-5100.

What is Manor At St. Luke Village Facility Operations, LLC's specialty?

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

Does Manor At St. Luke Village Facility Operations, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0902562) is associated with this NPI, valid through June 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Manor At St. Luke Village Facility Operations, LLC a Medicare-certified nursing home?

Yes. Manor At St Luke Village,the is a Medicare-certified nursing home with 104 certified beds.

What quality rating does Manor At St. Luke Village Facility Operations, LLC have?

CMS rates Manor At St Luke Village,the 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Manor At St. Luke Village Facility Operations, LLC was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.