NPIMap

Organization Active NPI

Scottdale Healthcare Operating LLC

  • Skilled Nursing Facility
  • Scottdale, PA
National Provider Identifier
1053041962
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SCOTTDALE HEALTHCARE OPERATING LLC
Practice address
900 Porter Ave
Scottdale, PA 15683-1147
Phone
(724) 887-0100
NPI assigned
Jun 14, 2022
Last updated
Jul 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
Mike Zidele
Title
Cfo
Phone
(716) 374-2526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

900 Porter Ave
Scottdale, PA 15683-1147

Mailing address

900 Porter Ave
Scottdale, PA 15683-1147

Other names 1

  • Bonamour Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220928002837 PA Part A Provider - Skilled Nursing Facility 8224414230 Practice locations: Scottdale, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053041962. Details of each certification follow.

Skilled nursing facility certification: CCN 396035

Legal name
SCOTTDALE HEALTHCARE OPERATING, LLC
Doing business as
SCOTTDALE HEALTHCARE & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 11, 1997
Last certification
Nov 19, 2024
Beds
35
Ownership / control type
Corporation
Multi-facility organization
Bonamore Health Group
Organization structure
LLCProprietary
Incorporated
May 13, 2022 in DE
Enrollment address
900 Porter Ave
Scottdale, PA 15683-1147
Nursing home name
AURORA NURSING AND REHAB CENTER
Affiliated entity
BONAMOUR HEALTH GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Aurora Nursing and Rehab CenterCCN 396035 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 11, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3526.7 residents per day on average
Chain
Bonamour Health Group5 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Yeshayahu Zidele Individual 5% Or Greater Direct Ownership Interest Jun 28, 2022 50%
W-2 Managing Employee Jun 28, 2022
Bonamour Health Group LLC Organization, Scottdale, PA LLC, For-profit Operational/Managerial Control Dec 9, 2024 100%
Mordechai Zidele Individual 5% Or Greater Direct Ownership Interest Jun 28, 2022 50%
W-2 Managing Employee Jun 28, 2022

Facilities with the same owner 3

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, 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": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1053041962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 PORTER AVE",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156831147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 PORTER AVE",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156831147",
            "telephone_number": "724-887-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTDALE HEALTHCARE OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "ZIDELE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "716-374-2526"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonamour",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Scottdale, PA

Sources for this page

Verify at the official NPI Registry.