Active NPI
2050 Trevorton Road Opco LLC
- Skilled Nursing Facility
- Coal Township, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- 2050 TREVORTON ROAD OPCO LLC
- Practice address
- 2050 Trevorton Rd
Coal Township, PA 17866-9405 - Phone
- (570) 644-4400
- NPI assigned
- Sep 28, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Blimi Aviv
- Title
- Director of Ar
- Phone
- (973) 285-2893
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
2050 Trevorton Rd
Coal Township, PA 17866-9405
Mailing address
1105 E County Line Rd Ste 201
Lakewood, NJ 08701-2122
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250228000510 | PA | Part A Provider - Skilled Nursing Facility | 7012437460 | Practice locations: Coal Township, PA |
Skilled nursing facility certification: CCN 395045
- Legal name
- 2050 TREVORTON ROAD OPCO LLC
- Doing business as
- MOUNTAIN VIEW REHABILITATION AND SENIOR LIVING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1967
- Last certification
- May 2, 2025
- Beds
- 271
- Ownership / control type
- Corporation
- Multi-facility organization
- Allaire Health
- Organization structure
- LLC
- Enrollment address
- 2050 Trevorton Rd
Coal Township, PA 17866-9405 - Nursing home name
- MOUNTAIN VIEW REHABILITATION AND SENIOR LIVING CTR
- Affiliated entity
- ALLAIRE HEALTH SERVICES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Mountain View Rehabilitation and Senior Living Ctr
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 271
- Chain
- Allaire Health Services
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 2
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 6
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Benjamin Kurland | 5% Or Greater Direct Ownership Interest | Jan 1, 2025 | 99% |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Managing Control - Governing Body | Jan 1, 2025 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| 2050 Trevorton Road Opco LLC | Adp of the SNF | Jan 1, 2025 | |
| Wayne R Miller | Operational/Managerial Control | Jan 1, 2025 | |
| Managing Control - Governing Body | Jan 1, 2025 | ||
| Michele Brague | Operational/Managerial Control | Jan 1, 2025 | |
| Managing Control - Governing Body | Jan 1, 2025 | ||
| Adp of the SNF | Feb 28, 2025 | ||
| GV Consulting | Adp of the SNF | Jan 1, 2025 | |
| Naomi Kurland | 5% Or Greater Direct Ownership Interest | Jan 1, 2025 | 1% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Shamokin, PA
- NPI 1629039995
Managing Control - Governing Body, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Coal Township, PA
- NPI 1205808151
-
- Internal Medicine Physician
- Shamokin, PA
- NPI 1629039995
-
- Family Medicine Physician
- Du Bois, PA
- NPI 1639394034
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Coal Township, PA
- NPI 1205808151
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754524800000",
"number": "1114641776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 E COUNTY LINE RD STE 201",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087012122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 TREVORTON RD",
"city": "COAL TOWNSHIP",
"state": "PA",
"postal_code": "178669405",
"telephone_number": "570-644-4400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "2050 TREVORTON ROAD OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-28",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A",
"authorized_official_last_name": "AVIV",
"authorized_official_first_name": "BLIMI",
"authorized_official_title_or_position": "DIRECTOR OF AR",
"authorized_official_telephone_number": "973-285-2893"
},
"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": []
}
Other providers in Coal Township, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.