QUALITY LIFE SERVICES - SUGAR CREEK, LLC
NPI 1659146355
Skilled Nursing Facility in Worthington, PA

Active since November 22, 2023CLIA 39D0884028 · Waiver
120 LAKESIDE DR, WORTHINGTON, PA 16262(724) 445-3000 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Quality Life Services - Sugar Creek, Llc NPPES

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

QUALITY LIFE SERVICES - SUGAR CREEK, LLC (NPI 1659146355), doing business as Quality Life Services - Sugar Creek, is a healthcare organization registered as a skilled nursing facility in Worthington, Pennsylvania and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through March 22, 2028 and lists Steven D. Tack, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1659146355
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameQUALITY LIFE SERVICES - SUGAR CREEK, LLC
Location Address120 LAKESIDE DRWorthington, PA 16262-5102
Mailing Address612 N Main StButler, PA 16001-4363 · (724) 431-0770
Organization SubpartNo
Authorized OfficialSteven D. TackPresident/ceo · (724) 431-0770
Enumeration DateNovember 22, 2023
NPPES CertifiedNovember 22, 2023
NPI 1659146355 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.

120 LAKESIDE DR, Worthington, PA 16262

Other Names 1

Doing Business AsQuality Life Services - Sugar Creek

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
39D0884028
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
March 23, 2026
Certificate Expiration Date
March 22, 2028
Laboratory Director
DR. RICHARD A. MERCURIO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Quality Life Services - Sugar Creek, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nursing Facility/Intermediate Care Facility
120 LAKESIDE DR
WORTHINGTON, PA 16262

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659146355, enumerated as an "organization" on November 22, 2023.

The provider is located at 120 LAKESIDE DR WORTHINGTON, PA 16262 and the phone number is (724) 445-3000.

Skilled Nursing Facility with taxonomy code 314000000X.