Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Masonic Villages of the Grand Lodge of Pennsylvania

Organization Skilled Nursing Facility · NPI 1558615484

Masonic Villages of the Grand Lodge of Pennsylvania is a Skilled Nursing Facility in Sewickley, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2012.

Licensed in
PA
In the registry since
2012

Practice location Address checks out

1000 Masonic Dr
Sewickley, PA 15143-2328
Phone: (412) 741-1400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 221402 (PA)

Record details

NPI number1558615484
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pamela Formica — Chief Financial Officer · (717) 367-1121
Other names Masonic Village At Sewickley; Masonic Village At Sewickley
NPI enumeratedOctober 30, 2012
Last updated in NPPESMay 1, 2023
Certification dateMay 1, 2023
Mailing address1000 Masonic Dr, Sewickley, PA 15143-2328

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.