WILLIAMSPORT HOME
NPI 1336149129
Skilled Nursing Facility in Williamsport, PA

Active since July 22, 2005CLIA 39D0678318 · Waiver
3/5
Overall Rating
1900 RAVINE RD, WILLIAMSPORT, PA 17701(570) 323-8781(570) 323-4858 Get Directions Write a Review

NPPES record last updated: November 4, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Williamsport Home NPPES

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

WILLIAMSPORT HOME (NPI 1336149129) is a healthcare organization registered as a skilled nursing facility in Williamsport, Pennsylvania and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Donald S. Pote, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1336149129
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWILLIAMSPORT HOME
Location Address1900 RAVINE RDWilliamsport, PA 17701-1799
Mailing Address1900 Ravine RdWilliamsport, PA 17701-1799 · (570) 323-8781 · Fax (570) 323-4858
Fax(570) 323-4858
Organization SubpartNo
Authorized OfficialDonald S. PoteExecutive Director · (570) 323-8781
Enumeration DateJuly 22, 2005
Last NPPES UpdateNovember 4, 2011
NPI 1336149129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in PA · 491902
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.
1900 RAVINE RD, Williamsport, PA 17701

Other Identifiers 3

Medicaid0007492980001PA
Other800632First Priority
Medicare ID-Type Unspecified395678

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 39D0678318

Williamsport Home · Williamsport, PA
Active · expires Aug 31, 2026
CLIA Number39D0678318
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorLee M. Ciccarelli
Laboratory Phone(717) 323-8781
Laboratory LocationWilliamsport Home1900 Ravine Road, Williamsport, PA 17701
CLIA data matches this NPI record on: Address Name
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 Williamsport Home, The (CMS certification number 395678), from CMS Care Compare.

Williamsport Home, The

Nursing home · Williamsport, PA
3/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number395678
Certified Beds129 beds117 residents per day on average
Medicare & Medicaid Participant SinceNovember 1, 1984
Resident & Family CouncilResident council
Continuing care retirement community Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
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.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
60
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 2.4 · LPN 1.12 · RN 0.62
4.13 hrs per resident per day
Weekend Nurse Staffing
3.67 hrs per resident per day
Physical Therapist Staffing
0.05 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
52.1%
Registered Nurse Turnover
36.8%
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
6
Infection-Control Citations
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
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.

Physical Therapy Assistant
1900 RAVINE RD
WILLIAMSPORT, PA 17701
Speech-Language Pathologist
1900 RAVINE RD
WILLIAMSPORT, PA 17701
Physical Therapy Assistant
1900 RAVINE RD
WILLIAMSPORT, PA 17701
Physical Therapy Assistant
1900 RAVINE RD
WILLIAMSPORT, PA 17701
Physical Therapist
1900 RAVINE RD
WILLIAMSPORT, PA 17701
Physical Therapy Assistant
1900 RAVINE RD
WILLIAMSPORT, PA 17701
Occupational Therapist
1900 RAVINE RD
WILLIAMSPORT, PA 17701
Physical Therapist
1900 RAVINE RD
WILLIAMSPORT, PA 17701

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 Williamsport Home's NPI number?

The NPI number for Williamsport Home is 1336149129. It was assigned to this organization in the NPPES registry on July 22, 2005.

Where is Williamsport Home located?

Williamsport Home is located at 1900 Ravine Rd, Williamsport, PA 17701. The listed phone number is (570) 323-8781.

What is Williamsport Home's specialty?

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

Does Williamsport Home hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0678318) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Williamsport Home a Medicare-certified nursing home?

Yes. Williamsport Home, The is a Medicare-certified nursing home with 129 certified beds.

What quality rating does Williamsport Home have?

CMS rates Williamsport Home, The 3 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 Williamsport Home was last updated on November 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.