Providence Operator LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PROVIDENCE OPERATOR LLC

Practice address

600 S Wycombe Ave
Lansdowne, PA 19050-2835

Phone

(610) 626-8065

NPI assigned

Nov 1, 2017

Organization subpart

No

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

Authorized official

Name

Mindee Drillman, CPA

Title

Controller

Phone

(732) 903-1958

Specialties & licenses 1

Addresses

Other names 1

• Providence Rehabilitation and Healthcare Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Skilled nursing facility certification: CCN 395989

Legal name

PROVIDENCE OPERATOR LLC

Doing business as

PROVIDENCE REHABILITATION AND HEALTHCARE CENTER AT MERCY FITZGERALD

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 13, 1996

Last certification

Jan 15, 2025

Beds

129

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Sep 18, 2017 in PA

Enrollment address

600 S Wycombe Ave
Yeadon, PA 19050-2835

Nursing home name

PROVIDENCE REHAB AND HLTHCARE CTRATMERCYFITZGERALD

Affiliated entity

MARQUIS HEALTH SERVICES

Listed as

Providence Rehab and Hlthcare CtratmercyfitzgeraldCCN 395989

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

Jun 13, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

129120.1 residents per day on average

Chain

Marquis Health Services87 facilities in the chain

Abuse citation

Cited for abuse (Care Compare abuse icon)

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 24

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

Owners & managing parties with NPI records 1

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

• Sammy Hamid, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1225077985

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 89

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

• Alpine Valley Operator LLC

  • Skilled Nursing Facility
  • Lebanon, PA
  • NPI 1063240596

  NFR 2020 Irrv TR, Reliant Pro Rehab LLC, Rsbrmk Holdings LLC, Uak 2020 Irrv TR

  CMS ownership
• Capitol Operator LLC

  • Skilled Nursing Facility
  • Harrisburg, PA
  • NPI 1891456760

  Marquis Limited LLC, NFR 2020 Irrv TR, Reliant Pro Rehab LLC, Rsbrmk Holdings LLC, Uak 2020 Irrv TR

  CMS ownership
• Cedar Crest Operator LLC

  • Skilled Nursing Facility
  • Allentown, PA
  • NPI 1437860558

  Marquis Limited LLC, NFR 2020 Irrv TR, Reliant Pro Rehab LLC, Rsbrmk Holdings LLC, Uak 2020 Irrv TR

  CMS ownership
• Exton Operator LLC

  • Skilled Nursing Facility
  • Exton, PA
  • NPI 1396565719

  Marquis Limited LLC, NFR 2020 Irrv TR, Reliant Pro Rehab LLC, Rsbrmk Holdings LLC, Uak 2020 Irrv TR

  CMS ownership
• Graduate Operator LLC

  • Skilled Nursing Facility
  • Philadelphia, PA
  • NPI 1245050376

  Marquis Limited LLC, NFR 2020 Irrv TR, Reliant Pro Rehab LLC, Rsbrmk Holdings LLC, Uak 2020 Irrv TR

  CMS ownership
• Kearsley Operator LP

  • Skilled Nursing Facility
  • Philadelphia, PA
  • NPI 1609167154

  Marquis Limited LLC, NFR 2020 Irrv TR, Nutraco LLC, Quinto Holdings LLC, Reliant Pro Rehab LLC, Rsbrmk Holdings LLC, SK 2013 Delta Trust, Sora Kohn Fam TR Uad 120120, Tryko Holdings, LLC

  CMS ownership
• Logan Operator LLC

  • Skilled Nursing Facility
  • Philadelphia, PA
  • NPI 1144956384

  Marquis Limited LLC, NFR 2020 Irrv TR, Nutraco LLC, Reliant Pro Rehab LLC, Rsbrmk Holdings LLC, Uak 2020 Irrv TR

  CMS ownership
• Markley Operator, LLC

  • Skilled Nursing Facility
  • Norristown, PA
  • NPI 1033721410

  Marquis Limited LLC, NFR 2020 Irrv TR, Nutraco LLC, Reliant Pro Rehab LLC, Rsbrmk Holdings LLC, Uak 2020 Irrv TR

  CMS ownership
• Mayfair Operator LLC

  • Skilled Nursing Facility
  • Philadelphia, PA
  • NPI 1134774946

  Marquis Limited LLC, NFR 2020 Irrv TR, Nutraco LLC, Reliant Pro Rehab LLC, Rsbrmk Holdings LLC, SK 2013 Delta Trust, Sora Kohn Fam TR Uad 120120, Tryko Holdings, LLC, Uak 2020 Irrv TR, Ukr Consulting LLC, Yr 2013 Delta TR Ua 03252013

  CMS ownership
• Montgomery SNF Operator LLC

  • Skilled Nursing Facility
  • Plymouth Meeting, PA
  • NPI 1952029126

  Marquis Limited LLC, NFR 2020 Irrv TR, Nutraco LLC, Reliant Pro Rehab LLC, Rsbrmk Holdings LLC, Uak 2020 Irrv TR

  CMS ownership
• New Eastwood Operator LP

  • Skilled Nursing Facility
  • Easton, PA
  • NPI 1194064683

  Marquis Limited LLC, NFR 2020 Irrv TR, Nutraco LLC, Reliant Pro Rehab LLC, Rsbrmk Holdings LLC, Uak 2020 Irrv TR, Ukr Consulting LLC

  CMS ownership
• Northampton Operator LLC

  • Skilled Nursing Facility
  • Easton, PA
  • NPI 1053022939

  Marquis Limited LLC, NFR 2020 Irrv TR, Nutraco LLC, Reliant Pro Rehab LLC, Rsbrmk Holdings LLC, Uak 2020 Irrv TR

  CMS ownership

Practitioners 5

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

• Sammy Hamid, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1225077985
  NPD (past)
• Carver A Hills, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1831123025
  NPD (past)
• Mary Usha Musuku, M.D

  • Geriatric Medicine (Internal Medicine) Physician
  • Philadelphia, PA
  • NPI 1760619795
  NPD (past)
• Rida Ezehra Shah, M.D

  • Internal Medicine Physician
  • Plymouth Meeting, PA
  • NPI 1063892255
  NPD (past)
• Mrunal Sharma

  • Internal Medicine Physician
  • Darby, PA
  • NPI 1598172066
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Bezarel M Banadda, MD

  • Internal Medicine Physician
  • Aldan, PA
  • NPI 1265443584

  Nursing home

  Care Compare affiliation
• Sammy Hamid, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1225077985

  Nursing home

  Care Compare affiliation
• Rida Ezehra Shah, M.D

  • Internal Medicine Physician
  • Plymouth Meeting, PA
  • NPI 1063892255

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1043722960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1030",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087230090",
            "telephone_number": "732-903-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S WYCOMBE AVE",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190502835",
            "telephone_number": "610-626-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-01",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "DRILLMAN",
        "authorized_official_first_name": "MINDEE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "732-903-1958",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Providence Rehabilitation and Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.

Verify at the official NPI Registry.