Active NPI
Presbyterian Medical Center of Oakmont PA Inc
- Skilled Nursing Facility
- Oakmont, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 161502
- Legal business name
- PRESBYTERIAN MEDICAL CENTER OF OAKMONT PA INC
- Practice address
- 1215 Hulton Rd
Oakmont, PA 15139-1135 - Phone
- (412) 828-5600
- Fax
- (412) 826-6121
- NPI assigned
- Feb 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Andrew Mangene, CPA
- Title
- Senior Vice President of Finance
- Phone
- (412) 826-6081
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 161502 | PA | |
| Skilled Nursing Facility | 314000000X | 161502 | PA | Primary |
Addresses
Primary practice location
1215 Hulton Rd
Oakmont, PA 15139-1135
Mailing address
1215 Hulton Rd
Oakmont, PA 15139-1135
Phone (412) 828-5600
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0686 | Other | PA | BLUE CROSS |
| 15720 | Other | PA | ADVANTRA |
| 105 | Other | PA | UPMC |
| 0010338930002 | Medicaid | PA |
Other names 1
- The Willows of Presbyterian Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030717000009 | PA | Part A Provider - Skilled Nursing Facility | 8628989563 | Practice locations: Oakmont, PA |
Skilled nursing facility certification: CCN 395713
- Legal name
- PRESBYTERIAN MEDICAL CENTER OF OAKMONT PA INC
- Doing business as
- THE WILLOWS OF PRESBYTERIAN SENIOR CARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 7, 1986
- Last certification
- Nov 22, 2024
- Beds
- 193
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Presbyterian SeniorCare Network
- Organization structure
- Corporation
- Incorporated
- Apr 30, 1984 in PA
- Enrollment address
- 1205 Hulton Rd
Oakmont, PA 15139-1135 - Nursing home name
- WILLOWS OF PRESBYTERIAN SENIOR
- Affiliated entity
- PRESBYTERIAN SENIORCARE NETWORK
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Willows of Presbyterian Senior
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jan 7, 1986
- Medicare certification status
- Active
- Certified beds
- 193
- Chain
- Presbyterian Seniorcare Network
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 3
National Provider Directory
National Provider DirectoryLocations
1205 Hulton Rd
Oakmont, PA 15139
Phone (412) 826-6081
Ownership & related parties
All disclosed owners & managing parties 39
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Robert Frank | Corporate Director | Sep 27, 2024 | |
| Adp of the SNF | Jul 17, 2025 | ||
| Michael Lin | Corporate Director | May 14, 2021 | |
| Roberta Gray | Corporate Officer | Jan 1, 2017 | |
| Corporate Director | May 14, 2021 | ||
| Adp of the SNF | Jan 1, 2017 | ||
| Adp of the SNF | Apr 11, 2025 | ||
| Adp of the SNF | Jan 1, 2020 | ||
| Adp of the SNF | Sep 10, 1998 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Adp of the SNF | Jul 17, 2025 | ||
| Adp of the SNF | Aug 12, 2024 | ||
| Adp of the SNF | Jan 1, 2016 | ||
| Adp of the SNF | Jul 17, 2025 | ||
| Adp of the SNF | Jan 1, 2021 | ||
| Adp of the SNF | Jan 1, 2016 | ||
| Adp of the SNF | Jul 17, 2025 | ||
| Adp of the SNF | Jul 14, 2025 | ||
| Adp of the SNF | Jan 1, 2017 | ||
| Adp of the SNF | Jul 17, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Adp of the SNF | Jul 17, 2025 | ||
| Presbyterian Seniorcare | 5% Or Greater Direct Ownership Interest | Apr 1, 1984 | |
| Adp of the SNF | Apr 1, 1984 | ||
| Adp of the SNF | Aug 8, 2025 | ||
| Adp of the SNF | Apr 7, 2025 | ||
| Adp of the SNF | Jan 1, 2022 | ||
| Adp of the SNF | Apr 29, 2002 | ||
| J Malisky | Corporate Officer | May 14, 2021 | |
| Operational/Managerial Control | Jan 1, 2017 | ||
| John G Dorman | Corporate Director | May 14, 2021 | |
| Adp of the SNF | Apr 7, 2025 | ||
| Adp of the SNF | Mar 1, 2023 | ||
| Adp of the SNF | Jun 25, 2023 | ||
| Adp of the SNF | Aug 20, 2025 | ||
| Adp of the SNF | Apr 7, 2025 | ||
| James Pieffer | Corporate Director | May 14, 2021 | |
| Adp of the SNF | Sep 8, 2025 | ||
| Adp of the SNF | Apr 11, 2025 | ||
| Joan Massella | Corporate Director | May 14, 2021 | |
| Adp of the SNF | Jan 1, 2023 | ||
| Adp of the SNF | Mar 1, 2023 |
Facilities with the same owner 5
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Erie, PA
- NPI 1003923566
Presbyterian Seniorcare
-
- Skilled Nursing Facility
- Washington, PA
- NPI 1972599926
Presbyterian Seniorcare
-
- Home Health Agency
- Oakmont, PA
- NPI 1558771519
Presbyterian Seniorcare
-
- Nursing Facility/Intermediate Care Facility
- New Wilmington, PA
- NPI 1841288214
Presbyterian Seniorcare
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Family Medicine) Physician
- Pittsburgh, PA
- NPI 1821478751
-
- Internal Medicine Physician
- Pittsburgh, PA
- NPI 1508061698
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Pittsburgh, PA
- NPI 1821478751
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209427200000",
"number": "1003887415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 HULTON RD",
"city": "OAKMONT",
"state": "PA",
"postal_code": "151391135",
"telephone_number": "412-828-5600",
"fax_number": "412-826-6121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 HULTON RD",
"city": "OAKMONT",
"state": "PA",
"postal_code": "151391135",
"telephone_number": "412-828-5600",
"fax_number": "412-826-6121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESBYTERIAN MEDICAL CENTER OF OAKMONT PA INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-01",
"last_updated": "2008-04-29",
"status": "A",
"authorized_official_last_name": "MANGENE",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT OF FINANCE",
"authorized_official_telephone_number": "412-826-6081",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "PA",
"license": "161502",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "161502",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0686",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVANTRA",
"identifier": "15720",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "105",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010338930002",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Willows of Presbyterian Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oakmont, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.