SOUTH MOUNTAIN RESTORATION CENTER
NPI 1295718039
Skilled Nursing Facility in South Mountain, PA

Active since November 25, 2005CLIA 39D0716423 · Microscopy
10058 S MOUNTAIN RD, SOUTH MOUNTAIN, PA 17261(717) 749-4000(717) 749-4071 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 4, 2021, Sep 29, 2015 (2 updates tracked since 2015).

About South Mountain Restoration Center NPPES

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

SOUTH MOUNTAIN RESTORATION CENTER (NPI 1295718039) is a healthcare organization registered as a skilled nursing facility in South Mountain, Pennsylvania and active in the NPI registry since November 2005. The organization holds a CLIA Microscopy certificate valid through August 31, 2028 and lists Kathy Light, Administrator, as its authorized official.

NPPES Registry Identity

NPI1295718039
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePENNSYLVANIA DEPARTMENT OF HUMAN SERVICES
Location Address10058 S MOUNTAIN RDSouth Mountain, PA 17261-0900
Mailing Address10058 S Mountain RdSouth Mountain, PA 17261-0900 · (717) 749-4000 · Fax (717) 749-4071
Fax(717) 749-4071
Organization SubpartNo
Authorized OfficialKathy LightAdministrator · (717) 772-2518
Enumeration DateNovember 25, 2005
Last NPPES UpdateOctober 4, 20212 updates tracked since enumeration
NPPES CertifiedOctober 4, 2021
✔ NPI 1295718039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X
10058 S MOUNTAIN RD, South Mountain, PA 17261

Other Names 1

Doing Business AsSouth Mountain Restoration Center

Other Identifiers 1

Medicaid100308518PA

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Mountain Restoration Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to South Mountain Restoration Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Family Practice
NPI 1972582575
10058 S MOUNTAIN RD
South Mountain, PA 17261
(717) 749-3121
✔ PECOS✔ Accepts MedicareSame address
General Practice
NPI 1093818619
10058 S MOUNTAIN RD
South Mountain, PA 17261
(717) 749-3121
✔ PECOS✔ Accepts Medicare0.3 mi
Podiatry
NPI 1710944921
810 WAYNE AVE
Chambersburg, PA 17201
(717) 267-2892
✔ PECOS✔ Accepts Medicare9.9 mi
Nephrology
NPI 1053411561
500 UNIVERSITY DR
Hershey, PA 17033
(717) 531-8156
✔ PECOS✔ Accepts Medicare52 mi
Psychiatry
NPI 1083687172
13000 STAGE COACH RD
Bumpass, VA 23024
(540) 634-0867
✔ PECOS✔ Accepts Medicare123 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 for Provider-Performed Microscopy Procedures (PPMP) 39D0716423

South Mountain Restoration Center · South Mountain, PA
Active · expires Aug 31, 2028
CLIA Number39D0716423
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorMartin Hudzinski MD
Laboratory Phone(717) 749-3121
Laboratory LocationSouth Mountain Restoration Center10058 South Mountain Road, South Mountain, PA 17261
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Pennsylvania Department Of Human Services's NPI number?

The NPI number for Pennsylvania Department Of Human Services is 1295718039. It was assigned to this organization in the NPPES registry on November 25, 2005. The provider is doing business as South Mountain Restoration Center.

Where is Pennsylvania Department Of Human Services located?

Pennsylvania Department Of Human Services is located at 10058 S Mountain Rd, South Mountain, PA 17261. The listed phone number is (717) 749-4000.

What is Pennsylvania Department Of Human Services's specialty?

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

Is Pennsylvania Department Of Human Services enrolled in Medicare?

Yes. Pennsylvania Department Of Human Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pennsylvania Department Of Human Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Pennsylvania Department Of Human Services, in Family Practice, General Practice, Nephrology, Podiatry and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pennsylvania Department Of Human Services hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 39D0716423) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pennsylvania Department Of Human Services was last updated on October 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.