Organization Active NPI

Eldercrest Rehabilitation & Healthcare Center LLC

  • Skilled Nursing Facility
  • Munhall, PA
National Provider Identifier
1013724145
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ELDERCREST REHABILITATION & HEALTHCARE CENTER LLC
Practice address
2600 W Run Rd
Munhall, PA 15120-2869
Phone
(412) 462-8002
NPI assigned
Dec 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joshua Eisen
Title
Authorized Representative
Phone
(412) 462-8002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2600 W Run Rd
Munhall, PA 15120-2869

Mailing address

229 Route 70 FL 2
Toms River, NJ 08755-1026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250203002528 PA Part A Provider - Skilled Nursing Facility 2365972569 Practice locations: Munhall, PA

Skilled nursing facility certification: CCN 395013

Legal name
ELDERCREST REHABILITATION & HEALTHCARE CENTER LLC
Doing business as
ELDERCREST REHABILITATION & HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Nov 27, 2024
Beds
48
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Core Healthcare
Organization structure
LLCProprietary
Enrollment address
2600 W Run Rd
Munhall, PA 15120-2869
Nursing home name
ELDERCREST REHABILITATION & HEALTHCARE CENTER
Affiliated entity
CORE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Eldercrest Rehabilitation & Healthcare CenterCCN 395013
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4841.3 residents per day on average
Chain
Core Healthcare7 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $18,962

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 38

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Organization, Toms River, NJ Adp of the SNF Dec 13, 2024
Organization, Toms River, NJ Adp of the SNF Dec 13, 2024
Individual Indirect Ownership Interest Dec 13, 2024 1.45%
Organization, Toms River, NJ Indirect Ownership Interest Dec 13, 2024 0.73%
Individual Trustee of the SNF Dec 13, 2024
Individual Indirect Ownership Interest Dec 13, 2024 0.73%
Shai Berdugo Individual 5% Or Greater Indirect Ownership Interest Dec 13, 2024 29.35%
Individual Indirect Ownership Interest Dec 13, 2024 1.45%
Raintree Consulting Group LLC Organization, Toms River, NJ LLC, Holding company Operational/Managerial Control Dec 13, 2024
Organization, Toms River, NJ LLC Adp of the SNF Dec 13, 2024
Core TBD Holdco LLC Organization, Toms River, NJ LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 13, 2024 100%
Organization, Toms River, NJ Adp of the SNF Dec 13, 2024
Individual Trustee of the SNF Dec 13, 2024
Individual Trustee of the SNF Dec 13, 2024
Organization, Toms River, NJ LLC Adp of the SNF Dec 13, 2024
Individual Indirect Ownership Interest Dec 13, 2024 4.99%
Organization, Toms River, NJ Adp of the SNF Dec 13, 2024
Individual Indirect Ownership Interest Dec 13, 2024 1.45%
Individual Indirect Ownership Interest Dec 13, 2024 4.99%
Core Pennsylvania Holdco LLC Organization, Toms River, NJ LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 13, 2024 100%
Organization, Toms River, NJ Indirect Ownership Interest Dec 13, 2024 4.99%
Organization, Toms River, NJ Indirect Ownership Interest Dec 13, 2024 4.99%
Organization, Toms River, NJ Indirect Ownership Interest Dec 13, 2024 2.91%
James E Devlin Individual Operational/Managerial Control Dec 13, 2024
Adp of the SNF Dec 13, 2024
Individual Trustee of the SNF Dec 13, 2024
Organization, Toms River, NJ Adp of the SNF Dec 13, 2024
Individual Indirect Ownership Interest Dec 13, 2024 1.45%
Individual Indirect Ownership Interest Dec 13, 2024 0.73%
Joseph Garrison Individual Operational/Managerial Control Dec 13, 2024
Adp of the SNF Dec 13, 2024
Individual Trustee of the SNF Dec 13, 2024
Organization, Toms River, NJ LLC Adp of the SNF Dec 13, 2024
Organization, Toms River, NJ Adp of the SNF Dec 13, 2024
Individual Indirect Ownership Interest Dec 13, 2024 0.73%
Organization, Toms River, NJ Indirect Ownership Interest Dec 13, 2024 4.99%
Organization, Toms River, NJ Adp of the SNF Dec 13, 2024
Individual Trustee of the SNF Dec 13, 2024
Organization, Toms River, NJ Indirect Ownership Interest Dec 13, 2024 4.99%
Joshua Eisen Individual 5% Or Greater Indirect Ownership Interest Dec 13, 2024 29.08%
Operational/Managerial Control Dec 13, 2024
Managing Control - Governing BodyManager of the Manager and Ao Dec 13, 2024
Adp of the SNF Dec 13, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1013724145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 ROUTE 70 FL 2",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 W RUN RD",
            "city": "MUNHALL",
            "state": "PA",
            "postal_code": "151202869",
            "telephone_number": "412-462-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERCREST REHABILITATION & HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "EISEN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "412-462-8002"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munhall, PA

Sources for this page

Verify at the official NPI Registry.