NPIMap

Organization Active NPI

Broad Mountain Health & Rehabilitation Center, LLC

  • Skilled Nursing Facility
  • Frackville, PA
National Provider Identifier
1033619333
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BROAD MOUNTAIN HEALTH & REHABILITATION CENTER, LLC
Practice address
500 W Laurel St
Frackville, PA 17931-2018
Phone
(570) 874-0696
NPI assigned
Feb 14, 2018
Last updated
Jan 10, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SABER HEALTHCARE HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

500 W Laurel St
Frackville, PA 17931-2018

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 IDStateProvider typePAC IDDetails
O20180411000043 PA Part A Provider - Skilled Nursing Facility 6204199987 Practice locations: Frackville, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033619333. Details of each certification follow.

Skilled nursing facility certification: CCN 395286

Legal name
BROAD MOUNTAIN HEALTH & REHABILITATION CENTER LLC
Doing business as
BROAD MOUNTAIN HEALTH & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 29, 1970
Last certification
Apr 11, 2025
Beds
129 (117 certified)
Ownership / control type
Corporation
Multi-facility organization
Saber Healthcare
Organization structure
LLCProprietary
Enrollment address
500 W Laurel St
Frackville, PA 17931-2018
Nursing home name
BROAD MOUNTAIN HEALTH AND REHABILITATION CENTER
Affiliated entity
SABER HEALTHCARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Broad Mountain Health and Rehabilitation CenterCCN 395286 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 29, 1970
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
117104.1 residents per day on average
Chain
Saber Healthcare Group126 facilities in the chain
Penalties (3 years)
2Fines totaling $45,678

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Saber Healthcare Holdings LLC Organization, Beachwood, OH LLC, Holding company Adp of the SNF Apr 1, 2018
Indirect Ownership Interest Apr 1, 2018 100%
SHG Boa LLC Organization, Beachwood, OH LLC Adp of the SNF Mar 31, 2026
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020) Organization, Beachwood, OH Indirect Ownership Interest Jan 1, 2023 33%
Gregory Nicoluzakis Individual Adp of the SNF Mar 1, 2019
Jennifer D Thompson Individual Operational/Managerial Control Sep 9, 2024
Adp of the SNF Sep 9, 2024
SHG Management LLC Organization, Beachwood, OH Operational/Managerial Control Sep 1, 2019
Adp of the SNF Sep 1, 2019
Saber Governance LLC Organization, Beachwood, OH LLC Adp of the SNF Sep 12, 2019
Saber Healthcare Group LLC Organization, Beachwood, OH LLC, Chain home office Adp of the SNF Apr 1, 2018
BNV Dynasty LLC Organization, Beachwood, OH LLC, Owned by another organization or individual Indirect Ownership Interest Jan 1, 2023 33%
Benjamin N Volpe Individual Corporate OfficerVice President & Treasurer Mar 1, 2019
Adp of the SNF Mar 1, 2019
Saber PA Holdings, LLC Organization, Beachwood, OH LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 1, 2025 100%
Ohi Asset (PA) Frackville LLC Organization, Hunt Valley, MD LLC, Real estate investment trust (REIT), Owned by another organization or individual 5% Or Greater Security Interest Dec 1, 2022 100%
Adp of the SNF Dec 1, 2022
Robert J Pearlstein Individual Operational/Managerial Control Mar 3, 2025
Adp of the SNF Mar 3, 2025
Citrin Cooperman Advisors LLC Organization, Woodmere, OH LLC Adp of the SNF Apr 1, 2018
Wiw Dynasty LLC Organization, Beachwood, OH LLC, Owned by another organization or individual Indirect Ownership Interest Jan 1, 2023 67%
William I Weisberg Individual Operational/Managerial Control Apr 1, 2018
Adp of the SNF Apr 1, 2018
RKL LLP Organization, Lancaster, PA Adp of the SNF Jan 26, 2023
Lori Sakalas Individual Operational/Managerial ControlRegional VP of Operations May 6, 2024
Adp of the SNF May 6, 2024
Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020 Organization, Beachwood, OH Indirect Ownership Interest Jan 1, 2023 67%
SHG Mt, LLC Organization, Beachwood, OH LLC Adp of the SNF Mar 31, 2026

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 98

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

View all 98

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1641772800000",
    "number": "1033619333",
    "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": "500 W LAUREL ST",
            "city": "FRACKVILLE",
            "state": "PA",
            "postal_code": "179312018",
            "telephone_number": "570-874-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROAD MOUNTAIN HEALTH & REHABILITATION CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SABER HEALTHCARE HOLDINGS, LLC",
        "enumeration_date": "2018-02-14",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frackville, PA

Sources for this page

Verify at the official NPI Registry.