PENDLETON MANOR INC.
NPI 1750364139
Skilled Nursing Facility in Franklin, WV

Active since November 21, 2005CLIA 51D0676594 · Waiver
68 GOOD SAMARITAN DRIVE, FRANKLIN, WV 26807(304) 358-2322(304) 358-2334 Get Directions Write a Review

NPPES record last updated: March 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pendleton Manor Inc. NPPES

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

PENDLETON MANOR INC. (NPI 1750364139), doing business as Pendleton Nursing Home, Inc., is a healthcare organization registered as a skilled nursing facility in Franklin, West Virginia and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Randall Kropp, Administrator, as its authorized official.

NPPES Registry Identity

NPI1750364139
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePENDLETON MANOR INC.
Location Address68 GOOD SAMARITAN DRIVEFranklin, WV 26807-0700
Mailing AddressPo Box 700, 68 Good Samarian DriveFranklin, WV 26807-0700 · (304) 358-2322 · Fax (304) 358-2334
Fax(304) 358-2334
Organization SubpartNo
Authorized OfficialRandall KroppAdministrator · (304) 358-2322
Enumeration DateNovember 21, 2005
Last NPPES UpdateMarch 15, 2022
NPPES CertifiedMarch 15, 2022
NPI 1750364139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in WV · 66
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.
68 GOOD SAMARITAN DRIVE, Franklin, WV 26807

Other Names 1

Former Legal Business NamePendleton Nursing Home, Inc.

Other Identifiers 1

Medicaid0003817000WV

Accepted Insurance

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 51D0676594

Pendleton Nursing Home · Franklin, WV
Active · expires Aug 31, 2026
CLIA Number51D0676594
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorCarmen Rexrode MD
Laboratory Phone(304) 358-2322
Laboratory LocationPendleton Nursing Home141 Maple Avenue, Franklin, WV 26807
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Physical Therapy)
68 GOOD SAMARITAN DRIVE
FRANKLIN, WV 26807
Home Health
68 GOOD SAMARITAN DRIVE
FRANKLIN, WV 26807

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 Pendleton Manor Inc.'s NPI number?

The NPI number for Pendleton Manor Inc. is 1750364139. It was assigned to this organization in the NPPES registry on November 21, 2005. The provider was formerly known as Pendleton Nursing Home, Inc..

Where is Pendleton Manor Inc. located?

Pendleton Manor Inc. is located at 68 Good Samaritan Drive, Franklin, WV 26807. The listed phone number is (304) 358-2322.

What is Pendleton Manor Inc.'s specialty?

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

Does Pendleton Manor Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D0676594) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pendleton Manor Inc. accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Pendleton Manor Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pendleton Manor Inc. was last updated on March 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.