WILLIAM PENN PA OPCO LLC
NPI 1619720836
Skilled Nursing Facility in Lewistown, PA

Active since April 08, 2024CLIA 39D0186138 · Waiver
163 SUMMIT DR, LEWISTOWN, PA 17044(717) 248-3941 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About William Penn Pa Opco Llc NPPES

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

WILLIAM PENN PA OPCO LLC (NPI 1619720836), doing business as William Penn Nursing And Rehab, is a healthcare organization registered as a skilled nursing facility in Lewistown, Pennsylvania and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Aharon Franco, Authorized Representative, as its authorized official.

NPPES Registry Identity

NPI1619720836
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWILLIAM PENN PA OPCO LLC
Location Address163 SUMMIT DRLewistown, PA 17044-1245
Mailing Address1815 Lakewood Road, Suite 255Toms River, NJ 08755
Organization SubpartNo
Authorized OfficialAharon FrancoAuthorized Representative · (646) 823-6464
Enumeration DateApril 8, 2024
NPPES CertifiedApril 4, 2024
NPI 1619720836 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.
163 SUMMIT DR, Lewistown, PA 17044

Other Names 1

Doing Business AsWilliam Penn Nursing And Rehab

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 39D0186138

William Penn Nursing & Rehab · Lewistown, PA
Active · expires Aug 31, 2026
CLIA Number39D0186138
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Brandon Roscoe
Laboratory Phone(717) 248-3941
Laboratory LocationWilliam Penn Nursing & Rehab163 Summit Drive, Lewistown, PA 17044
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

Occupational Therapist
163 SUMMIT DR
LEWISTOWN, PA 17044
Technician
163 SUMMIT DR
LEWISTOWN, PA 17044
Occupational Therapist
163 SUMMIT DR
LEWISTOWN, PA 17044
Speech-Language Pathologist
163 SUMMIT DR
LEWISTOWN, PA 17044
Occupational Therapist
163 SUMMIT DR
LEWISTOWN, PA 17044
Speech-Language Pathologist
163 SUMMIT DR
LEWISTOWN, PA 17044
Skilled Nursing Facility
163 SUMMIT DR
LEWISTOWN, PA 17044
Speech-Language Pathologist
163 SUMMIT DR
LEWISTOWN, PA 17044

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 William Penn PA Opco LLC's NPI number?

The NPI number for William Penn PA Opco LLC is 1619720836. It was assigned to this organization in the NPPES registry on April 8, 2024. The provider is doing business as William Penn Nursing and Rehab.

Where is William Penn PA Opco LLC located?

William Penn PA Opco LLC is located at 163 Summit Dr, Lewistown, PA 17044. The listed phone number is (717) 248-3941.

What is William Penn PA Opco LLC's specialty?

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

Does William Penn PA Opco LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0186138) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for William Penn PA Opco LLC was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.