Organization Active NPI

Waynesburg PA Opco LLC

  • Skilled Nursing Facility
  • Waynesburg, PA
National Provider Identifier
1174376396
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WAYNESBURG PA OPCO LLC
Practice address
300 Center Ave
Waynesburg, PA 15370-8243
Phone
(724) 852-2020
NPI assigned
Apr 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Aharon Franco
Title
Authorized Representative
Phone
(646) 823-6464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

300 Center Ave
Waynesburg, PA 15370-8243

Mailing address

1815 Lakewood Road
Suite 255
Toms River, NJ 08755

Other names 1

  • Waynesburg Nursing and Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241218002995 PA Part A Provider - Skilled Nursing Facility 5890222657 Practice locations: Waynesburg, PA

Skilled nursing facility certification: CCN 395675

Legal name
WAYNESBURG PA OPCO LLC
Doing business as
WAYNESBURG NURSING AND REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 16, 1984
Last certification
Mar 21, 2025
Beds
111
Ownership / control type
Corporation
Multi-facility organization
valley west health
Organization structure
LLCProprietary
Enrollment address
300 Center Ave
Waynesburg, PA 15370-8243
Nursing home name
WAYNESBURG NURSING AND REHAB
Affiliated entity
VALLEY WEST HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Waynesburg Nursing and RehabCCN 395675
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 16, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
111103.5 residents per day on average
Chain
Valley West Health12 facilities in the chain
Penalties (3 years)
1Fines totaling $8,190

Processed by Care Compare on Aug 1, 2026.

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
39D0701835Waynesburg Nursing & Rehab300 Center Avenue, Waynesburg, PA 15370Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 27

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

NameRoleSinceShare
Valley West Health LLC Organization, Toms River, NJ LLC, For-profit Operational/Managerial Control Nov 15, 2024
Adp of the SNF Dec 19, 2024
Fillmore Strategic Investors LLC Organization, Chicago, IL LLC, For-profit Adp of the SNF Dec 19, 2024
William Harding Individual Adp of the SNF Dec 18, 2024
Washington State Investment Board Organization, Olympia, WA Non-profit Adp of the SNF Dec 19, 2024
King Hamazongo Matulula Individual Adp of the SNF Dec 18, 2024
Isaac Rami Individual Operational/Managerial Control Oct 29, 2024
Adp of the SNF Oct 29, 2024
Surety Compliance Organization, Southlake, TX Consulting firm Adp of the SNF Oct 29, 2024
Iskeb 2024 Trust Organization, Toms River, NJ Created for acquisition, For-profit 5% Or Greater Indirect Ownership Interest Oct 29, 2024 95%
Heather Andrews Individual Managing Control - Governing BodySecretary Sep 3, 2021
Drumm Merger Co Organization, Frisco, TX Corporation, For-profit Adp of the SNF Dec 19, 2024
Holly a Rasmussen-Jones Individual Managing Control - Governing BodyVice Spresident Sep 26, 2016
Pearl Senior Care, LLC. Organization, Frisco, TX LLC, For-profit Adp of the SNF Dec 19, 2024
Drumm Intermediary Sub Co LLC Organization, Frisco, TX LLC, For-profit Adp of the SNF Dec 19, 2024
GPH Waynesburg LP Organization, Frisco, TX For-profit Adp of the SNF Dec 19, 2024
Iskeb Western PA LLC Organization, Toms River, NJ Created for acquisition, LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 29, 2024 95%
Adp of the SNF Dec 18, 2024
Beverly Enterprises LLC Organization, Frisco, TX LLC, For-profit Adp of the SNF Dec 19, 2024
Drumm Merger Co Sub LLC Organization, San Francisco, CA LLC, For-profit Adp of the SNF Dec 19, 2024
Beverly Enterprises - Pennsylvania, Inc. Organization, Frisco, TX LLC, For-profit Adp of the SNF Dec 19, 2024
Beverly Health and Rehabilitiation Services, Inc Organization, Frisco, TX LLC, For-profit Adp of the SNF Dec 19, 2024
Geary Property Holdings LLC Organization, Frisco, TX LLC, For-profit Adp of the SNF Dec 19, 2024
Kim Linam Individual Managing Control - Governing BodySenior Vice President Sep 27, 2023
Aharon Franco Individual 5% Or Greater Indirect Ownership Interest Oct 29, 2024 5%
Operational/Managerial Control Oct 29, 2024
Adp of the SNF Oct 29, 2024
Jean Miller Individual Adp of the SNF Nov 15, 2024
Keystone Ventures LLC Organization, Toms River, NJ Created for acquisition, LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 29, 2024 5%
Adp of the SNF Dec 18, 2024
Western PA Opco Holdings I LLC Organization, Toms River, NJ Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Oct 29, 2024 100%
Adp of the SNF Dec 18, 2024
Sarah Karity Individual Trustee of the SNF Oct 29, 2024
Nicholas R Finn Individual Managing Control - Governing BodyDirector and President Jan 3, 2018
Adp of the SNF Dec 19, 2024

Owners & managing parties with NPI records 1

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

Facilities with the same owner 11

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.

Affiliated clinicians 1

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": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1174376396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 LAKEWOOD ROAD",
            "address_2": "SUITE 255",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CENTER AVE",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153708243",
            "telephone_number": "724-852-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNESBURG PA OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "FRANCO",
        "authorized_official_first_name": "AHARON",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "646-823-6464"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waynesburg Nursing and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waynesburg, PA

Sources for this page

Verify at the official NPI Registry.