Organization Active NPI

2050 Trevorton Road Opco LLC

  • Skilled Nursing Facility
  • Coal Township, PA
National Provider Identifier
1114641776
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Aug 7, 2025

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CtrCCN 395045
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
271185.3 residents per day on average
Chain
Allaire Health Services20 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $24,854

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Benjamin Kurland Individual 5% Or Greater Direct Ownership Interest Jan 1, 2025 99%
Operational/Managerial Control Jan 1, 2025
Managing Control - Governing BodyOwner Representative Jan 1, 2025
Trustee of the SNF Jan 1, 2025
Adp of the SNF Jan 1, 2025
2050 Trevorton Road Opco LLC Organization, Lakewood, NJ LLC Adp of the SNF Jan 1, 2025
Wayne R Miller Individual Operational/Managerial Control Jan 1, 2025
Managing Control - Governing BodyMedical Director Jan 1, 2025
Michele Brague Individual Operational/Managerial Control Jan 1, 2025
Managing Control - Governing BodyAdministrator Jan 1, 2025
Adp of the SNF Feb 28, 2025
GV Consulting Organization, Lakewood, NJ Corporation, Consulting firm Adp of the SNF Jan 1, 2025
Naomi Kurland Individual 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.

Practitioners & affiliated clinicians

Practitioners 3

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

Affiliated clinicians 3

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

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

Verify at the official NPI Registry.