Masonic Villages of the Grand Lodge of Pennsylvania
NPI 1558615484 · Skilled Nursing Facility · Sewickley, PA
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Masonic Villages of the Grand Lodge of Pennsylvania is a Skilled Nursing Facility organization in Sewickley, PA (NPI 1558615484).
Provider details
- NPI number
- 1558615484
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Pamela Formica, Chief Financial Officer(717) 367-1121
- License
- 221402 (PA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Mailing address
Other names (DBA / former)
- Doing business as
- Masonic Village at Sewickley
- Doing business as
- Masonic Village at Sewickley
Registry dates
- Enumerated
- 2012-10-30
- Last updated
- 2023-05-01
- Certified
- 2023-05-01
Frequently asked questions
- What is Masonic Villages of the Grand Lodge of Pennsylvania's NPI number?
- Masonic Villages of the Grand Lodge of Pennsylvania's National Provider Identifier (NPI) is 1558615484, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Masonic Villages of the Grand Lodge of Pennsylvania?
- Masonic Villages of the Grand Lodge of Pennsylvania is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Masonic Villages of the Grand Lodge of Pennsylvania located?
- Masonic Villages of the Grand Lodge of Pennsylvania's practice location on file with NPPES is 1000 Masonic Dr, Sewickley, PA 15143-2328.
- What is Masonic Villages of the Grand Lodge of Pennsylvania's phone number?
- The practice phone number listed in the NPPES registry for Masonic Villages of the Grand Lodge of Pennsylvania is (412) 741-1400.
- Does Masonic Villages of the Grand Lodge of Pennsylvania accept Medicare?
- Masonic Villages of the Grand Lodge of Pennsylvania is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Masonic Villages of the Grand Lodge of Pennsylvania?
- The authorized official listed on Masonic Villages of the Grand Lodge of Pennsylvania's NPPES record is Pamela Formica, Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Masonic Villages of the Grand Lodge of Pennsylvania's NPI active?
- Yes — Masonic Villages of the Grand Lodge of Pennsylvania's NPI (1558615484) is active in the NPPES registry as of the last update on 2023-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.