MONTICELLO HOUSE
NPI 1679570196
Skilled Nursing Facility in Media, PA

Active since June 30, 2005CLIA 39D0903818 · Waiver
1048 W BALTIMORE PIKE, MEDIA, PA 19063(610) 891-3806(610) 891-3829 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 27, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Monticello House NPPES

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

MONTICELLO HOUSE (NPI 1679570196) is a healthcare organization registered as a skilled nursing facility in Media, Pennsylvania and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through July 30, 2027 and lists Kim Roguszeuski, Cfo/vice President, as its authorized official.

NPPES Registry Identity

NPI1679570196
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameRIDDLE VILLAGE
Location Address1048 W BALTIMORE PIKEMedia, PA 19063-5149
Mailing Address1048 W Baltimore PikeMedia, PA 19063-5149 · (610) 891-3806 · Fax (610) 891-3829
Fax(610) 891-3829
Organization SubpartNo
Authorized OfficialKim RoguszeuskiCfo/vice President · (610) 891-3783
Enumeration DateJune 30, 2005
Last NPPES UpdateOctober 27, 20232 updates tracked since enumeration
NPPES CertifiedOctober 27, 2023
NPI 1679570196 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 · 017302
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.
1048 W BALTIMORE PIKE, Media, PA 19063

Other Names 1

Other NameMonticello House

Other Identifiers 3

Other1451PA · Independence Blue Cross
Other576790PA · Aetna/us Healthcare
Other391335PA · Highmark Blue Cross

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 39D0903818

Monticello House · Media, PA
Active · expires Jul 30, 2027
CLIA Number39D0903818
Laboratory TypePhysician Office
Certificate Effective DateJuly 31, 2025
Certificate Expiration DateJuly 30, 2027
Laboratory DirectorDr. Joseph D. Hope
Laboratory Phone(610) 891-3777
Laboratory LocationMonticello House1048 West Baltimore Pike, Media, PA 19063
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

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

Speech-Language Pathologist
1048 W BALTIMORE PIKE
MEDIA, PA 19063
Nurse Practitioner (Primary Care)
1048 W BALTIMORE PIKE
MEDIA, PA 19063
Physical Medicine & Rehabilitation
1048 W BALTIMORE PIKE
MEDIA, PA 19063
Occupational Therapy Assistant
1048 W BALTIMORE PIKE
MEDIA, PA 19063
Occupational Therapist
1048 W BALTIMORE PIKE
MEDIA, PA 19063
Nurse Practitioner (Adult Health)
1048 W BALTIMORE PIKE
MEDIA, PA 19063
Occupational Therapist
1048 W BALTIMORE PIKE
MEDIA, PA 19063
Occupational Therapist
1048 W BALTIMORE PIKE
MEDIA, PA 19063

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 Riddle Village's NPI number?

The NPI number for Riddle Village is 1679570196. It was assigned to this organization in the NPPES registry on June 30, 2005. The provider is also known as Monticello House.

Where is Riddle Village located?

Riddle Village is located at 1048 W Baltimore Pike, Media, PA 19063. The listed phone number is (610) 891-3806.

What is Riddle Village's specialty?

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

Does Riddle Village hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0903818) is associated with this NPI, valid through July 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Riddle Village was last updated on October 27, 2023. 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.