MASONIC VILLAGE AT ELIZABETHTOWN
NPI 1720332653
Skilled Nursing Facility in Elizabethtown, PA

Active since October 30, 2012
581 FREEMASON DR, ELIZABETHTOWN, PA 17022(717) 367-1121(717) 367-5813 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Masonic Village At Elizabethtown NPPES

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

MASONIC VILLAGE AT ELIZABETHTOWN (NPI 1720332653) is a healthcare organization registered as a skilled nursing facility in Elizabethtown, Pennsylvania and active in the NPI registry since October 2012. The organization lists Pamela Formica, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1720332653
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMASONIC VILLAGES OF THE GRAND LODGE OF PENNSYLVANIA
Location Address581 FREEMASON DRElizabethtown, PA 17022-3187
Mailing Address1 Masonic DrElizabethtown, PA 17022-2199 · (717) 367-1121 · Fax (717) 367-5813
Fax(717) 367-5813
Organization SubpartNo
Authorized OfficialPamela FormicaChief Financial Officer · (717) 367-1121
Enumeration DateOctober 30, 2012
Last NPPES UpdateMay 1, 2023
NPPES CertifiedMay 1, 2023
NPI 1720332653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in PA · 131502
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 ListedPsychologistTaxonomy 103T00000X
Also ListedDentistTaxonomy 122300000X
Also ListedOptometristTaxonomy 152W00000X
Also ListedOphthalmologyTaxonomy 207W00000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedPodiatristTaxonomy 213E00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
581 FREEMASON DR, Elizabethtown, PA 17022

Other Names 1

Doing Business AsMasonic Village At Elizabethtown

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Day Training, Developmentally Disabled Services
581 FREEMASON DR
ELIZABETHTOWN, PA 17022
Hospice, Inpatient
581 FREEMASON DR
ELIZABETHTOWN, PA 17022
Clinical Medical Laboratory
581 FREEMASON DR
ELIZABETHTOWN, PA 17022

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 Masonic Villages Of The Grand Lodge Of Pennsylvania's NPI number?

The NPI number for Masonic Villages Of The Grand Lodge Of Pennsylvania is 1720332653. It was assigned to this organization in the NPPES registry on October 30, 2012. The provider is doing business as Masonic Village At Elizabethtown.

Where is Masonic Villages Of The Grand Lodge Of Pennsylvania located?

Masonic Villages Of The Grand Lodge Of Pennsylvania is located at 581 Freemason Dr, Elizabethtown, PA 17022. The listed phone number is (717) 367-1121.

What is Masonic Villages Of The Grand Lodge Of Pennsylvania's specialty?

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

When was this NPI record last updated?

The NPPES record for Masonic Villages Of The Grand Lodge Of Pennsylvania was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.