OrganizationActive
Locust Grove Facility Operations, LLC
NPI 1265448690 · Skilled Nursing Facility · Mifflin, PA
Provider details
- NPI number
- 1265448690
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Tim Lehner, Manager(770) 698-9040
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
69 Cottage Rd
Mifflin, PA 17058-7030
Phone: (717) 436-8921
Fax: (717) 436-9165
Street-level locationGet directions
Mailing address
69 Cottage Rd
Mifflin, PA 17058-7030
Other names (DBA / former)
- Doing business as
- Locust Grove Retirement Village
- Doing business as
- Locust Grove Retirement Village
Registry dates
- Enumerated
- 2006-07-31
- Last updated
- 2024-09-13
- Certified
- 2024-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.