Organization Active NPI

Ambler Healthcare Group, LLC

Doing business as Ambler Extended Care Center

  • Skilled Nursing Facility
  • Ambler, PA
National Provider Identifier
1063711786
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
AMBLER HEALTHCARE GROUP, LLC
Doing business as
Ambler Extended Care Center
Practice address
32 S Bethlehem Pike
Ambler, PA 19002-5801
Phone
(215) 646-7050
Fax
(215) 646-7644
NPI assigned
Mar 21, 2011
Last updated
Dec 14, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
SABER HEALTHCARE HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Authorized official

Name
William I Weisberg
Title
President
Phone
(216) 292-5706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

32 S Bethlehem Pike
Ambler, PA 19002-5801

Mailing address

23700 Commerce Park
Beachwood, OH 44122-5827
Phone (216) 292-5706

Other identifiers 1

IdentifierTypeStateIssuer
1026026090001MedicaidPA

Other names 1

  • Ambler Extended Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110714000486 PA Part A Provider - Skilled Nursing Facility 6800064056 Practice locations: Ambler, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063711786. Details of each certification follow.

Skilled nursing facility certification: CCN 395176A

Legal name
AMBLER HEALTHCARE GROUP, LLC
Doing business as
AMBLER EXTENDED CARE CENTER
Organization structure
LLCProprietary
Enrollment address
32 S Bethlehem Pike
Ambler, PA 19002-5801
Nursing home name
AMBLER EXTENDED CARE CENTER
Affiliated entity
SABER HEALTHCARE GROUP

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0713555Ambler Extended Care Center32 South Bethlehem Pike, Ambler, PA 19002Certificate of waiverAug 31, 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, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 31, 2023 100%
SHG Boa LLC Organization, Beachwood, OH LLC Adp of the SNF Sep 10, 2025
Tynisha Herder Individual Operational/Managerial Control Nov 1, 2022
Adp of the SNF Nov 1, 2022
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020) Organization, Beachwood, OH 5% Or Greater Indirect Ownership Interest Jan 1, 2023 33%
BHG Aviv LLC Organization, Hunt Valley, MD Real estate investment trust (REIT), Owned by another organization or individual 5% Or Greater Mortgage Interest Mar 16, 2016 100%
Adp of the SNF Mar 1, 2016
Gregory Nicoluzakis Individual Corporate OfficerSecretary Mar 1, 2019
Adp of the SNF Mar 1, 2019
SHG Management LLC Organization, Beachwood, OH LLC Operational/Managerial Control Sep 1, 2019
Adp of the SNF Sep 1, 2019
Saber Governance LLC Organization, Beachwood, OH LLC, For-profit Operational/Managerial Control Sep 1, 2019
Adp of the SNF Sep 1, 2019
Saber Healthcare Group LLC Organization, Beachwood, OH LLC, For-profit, Chain home office Adp of the SNF Jun 1, 2011
BNV Dynasty LLC Organization, Beachwood, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 33%
Benjamin N Volpe Individual Corporate OfficerVice President & Treasurer Mar 1, 2019
Corporate DirectorVice President & Treasurer Mar 1, 2019 50%
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 Dec 31, 2023 100%
Citrin Cooperman Advisors LLC Organization, Woodmere, OH LLC Adp of the SNF Jun 1, 2011
Wiw Dynasty LLC Organization, Beachwood, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 67%
TCF National Bank Organization, Columbus, OH Financial institution Adp of the SNF Jul 19, 2017
William I Weisberg Individual Corporate OfficerPresident Mar 1, 2019 50%
Corporate DirectorPresident Mar 1, 2019 50%
Adp of the SNF Jun 1, 2011
RKL LLP Organization, Lancaster, PA Adp of the SNF Jan 26, 2023
Michelle a Carroll Individual Adp of the SNF Nov 1, 2024
Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020 Organization, Beachwood, OH 5% Or Greater Indirect Ownership Interest Jan 1, 2023 67%
SHG Mt, LLC Organization, Beachwood, OH LLC Adp of the SNF Sep 10, 2025

Facilities with the same owner 122

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

View all 122

Practitioners & affiliated clinicians

Practitioners 2

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": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1063711786",
    "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": "32 S BETHLEHEM PIKE",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190025801",
            "telephone_number": "215-646-7050",
            "fax_number": "215-646-7644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBLER HEALTHCARE GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SABER HEALTHCARE HOLDINGS, LLC",
        "enumeration_date": "2011-03-21",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "WEISBERG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "I",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026026090001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ambler Extended Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ambler Extended Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ambler, PA

Sources for this page

Verify at the official NPI Registry.