Active NPI
Statesman Health & Rehabilitation Center, LLC
- Skilled Nursing Facility
- Levittown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- STATESMAN HEALTH & REHABILITATION CENTER, LLC
- Practice address
- 2629 Trenton Rd
Levittown, PA 19056-1428 - Phone
- (215) 943-7777
- NPI assigned
- Feb 14, 2018
- Organization subpart
- Yes
- Parent organization
- SABER HEALTHCARE HOLDINGS, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Weisberg
- Title
- President
- Phone
- (216) 292-5706
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
2629 Trenton Rd
Levittown, PA 19056-1428
Mailing address
23700 Commerce Park
Beachwood, OH 44122-5827
Phone (216) 292-5706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180412000041 | PA | Part A Provider - Skilled Nursing Facility | 2769745314 | Practice locations: Levittown, PA |
Skilled nursing facility certification: CCN 395259
- Legal name
- STATESMAN HEALTH & REHABILITATION CENTER LLC
- Doing business as
- STATESMAN HEALTH & REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 1, 1977
- Last certification
- Nov 12, 2024
- Beds
- 101
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Saber Health Care
- Organization structure
- LLC
- Incorporated
- Sep 6, 2017 in PA
- Enrollment address
- 2629 Trenton Rd
Levittown, PA 19056-1428 - Nursing home name
- STATESMAN HEALTH & REHABILITATION CENTER
- Affiliated entity
- SABER HEALTHCARE GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Statesman Health & Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Apr 1, 1977
- Medicare certification status
- Active
- Certified beds
- 101
- Chain
- Saber Healthcare Group
National Provider Directory
National Provider DirectoryNetworks
- devoted network organization-34f14c1d-268c-4aac-9900-39ee1c9e5764
Ownership & related parties
All disclosed owners & managing parties 18
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 |
|---|---|---|---|
| SHG Recs, LLC | 5% Or Greater Direct Ownership Interest | May 2, 2022 | 100% |
| Saber Healthcare Holdings LLC | 5% Or Greater Indirect Ownership Interest | Apr 1, 2018 | 100% |
| WWBV Holdings LLC | 5% Or Greater Indirect Ownership Interest | Sep 30, 2019 | 100% |
| Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020) | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 33% |
| Cindy Woodward | W-2 Managing Employee | Apr 1, 2018 | 100% |
| Gregory Nicoluzakis | Corporate Officer | Mar 1, 2019 | |
| SHG Management LLC | Other | Sep 1, 2019 | |
| Saber Governance LLC | Operational/Managerial Control | Sep 1, 2019 | 100% |
| Saber Healthcare Group LLC | Other | Apr 1, 2018 | |
| BNV Dynasty LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 33% |
| Benjamin N Volpe | Corporate Officer | Mar 1, 2019 | |
| Corporate Director | Mar 1, 2019 | 50% | |
| Saber PA Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Dec 31, 2023 | 100% |
| Wiw Dynasty LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 67% |
| William I Weisberg | Corporate Officer | Mar 1, 2019 | |
| Corporate Director | Mar 1, 2019 | 50% | |
| Cody William Meenan | Operational/Managerial Control | Apr 1, 2018 | |
| Sanjay P Bhatia | Contracted Managing Employee | Nov 30, 2010 | |
| SHH Holdings LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2019 | 100% |
| Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020 | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 67% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Levittown, PA
- NPI 1942244405
Contracted Managing Employee
Facilities with the same owner 117
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Ambler, PA
- NPI 1063711786
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Frackville, PA
- NPI 1033619333
Saber PA Holdings, LLC
-
- Skilled Nursing Facility
- Broomall, PA
- NPI 1821261710
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Bryn Mawr, PA
- NPI 1801195524
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Harrisburg, PA
- NPI 1447961636
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Chatham, PA
- NPI 1568600849
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, Wiw Dynasty LLC ·
-
- Skilled Nursing Facility
- Fort Washington, PA
- NPI 1538676036
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, SHG Recs, LLC, S
-
- Skilled Nursing Facility
- Dunmore, PA
- NPI 1942423454
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Pittsburgh, PA
- NPI 1720790769
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Elkins Park, PA
- NPI 1932609237
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Scranton, PA
- NPI 1194015784
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Greensburg, PA
- NPI 1245941442
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, Wiw Dynasty LLC
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Plymouth Meeting, PA
- NPI 1316108269
-
- Internal Medicine Physician
- Levittown, PA
- NPI 1306885025
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1649769696
-
- Internal Medicine Physician
- Chester, PA
- NPI 1487611430
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642118400000",
"number": "1013417328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23700 COMMERCE PARK",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225827",
"telephone_number": "216-292-5706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2629 TRENTON RD",
"city": "LEVITTOWN",
"state": "PA",
"postal_code": "190561428",
"telephone_number": "215-943-7777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STATESMAN HEALTH & REHABILITATION CENTER, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SABER HEALTHCARE HOLDINGS, LLC",
"enumeration_date": "2018-02-14",
"last_updated": "2022-01-14",
"certification_date": "2022-01-14",
"status": "A",
"authorized_official_last_name": "WEISBERG",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "216-292-5706"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Levittown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.