Active NPI
Rebecca Residence
Doing business as Concordia at Rebecca residence
- Skilled Nursing Facility
- Allison Park, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 860102
- Legal business name
- REBECCA RESIDENCE
- Doing business as
- Concordia at Rebecca residence
- Practice address
- 3746 Cedar Ridge Rd
Allison Park, PA 15101-1048 - Phone
- (724) 444-0600
- Fax
- (724) 444-6621
- NPI assigned
- Jun 16, 2005
- Last updated
- May 2, 2017
- 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
- Michael Kaufman
- Title
- Nursing Home Administrator
- Phone
- (724) 444-0600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 860102 | PA | Primary |
Addresses
Primary practice location
3746 Cedar Ridge Rd
Allison Park, PA 15101-1048
Mailing address
3746 Cedar Ridge Rd
Allison Park, PA 15101-1048
Phone (724) 444-0600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1329 | Other | PA | SKILLED NURSING |
Other names 1
- Concordia at Rebecca residence
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050604000091 | PA | Part A Provider - Skilled Nursing Facility | 1850334426 | Practice locations: Allison Park, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1184629149. Details of each certification follow.
Skilled nursing facility certification: CCN 396067
- Legal name
- REBECCA RESIDENCE
- Doing business as
- CONCORDIA AT REBECCA RESIDENCE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Oct 25, 1999
- Last certification
- Mar 13, 2025
- Beds
- 60
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Concordia Lutheran Ministries
- Organization structure
- Corporation
- Incorporated
- Mar 25, 1871 in PA
- Enrollment address
- 3746 Cedar Ridge Rd
Concordia at Rebecca Residence
Allison Park, PA 15101-1048 - Nursing home name
- CONCORDIA AT REBECCA RESIDENCE
- Affiliated entity
- CONCORDIA LUTHERAN MINISTRIES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Concordia at Rebecca Residence
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- Non profit - Corporation
- Certified
- Oct 25, 1999
- Medicare certification status
- Active
- Certified beds
- 60
- Chain
- Concordia Lutheran Ministries
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0900062 | Concordia at Rebecca Residence | Certificate of waiver | Apr 16, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Rebecca Res for Protest
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Concordia at Arbutus Park
- Skilled Nursing Facility
- Johnstown, PA
- NPI 1184599748
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Skilled Nursing Facility
- Cabot, PA
- NPI 1588668107
Member Of
Ownership & related parties
All disclosed owners & managing parties 12
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 |
|---|---|---|---|
| Concordia Lutheran Health and Human Care | 5% Or Greater Direct Ownership Interest | May 9, 2004 | |
| Michael Joseph Falbo | Corporate Officer | Jan 1, 2019 | |
| Corporate Director | Jan 1, 2020 | ||
| Adp of the SNF | Jan 1, 2019 | ||
| Connor Hagey | Corporate Director | Jan 1, 2017 | |
| Rachelle Arnold | Corporate Director | Jul 1, 2022 | |
| Donna Heintz | Corporate Director | Jul 1, 2022 | |
| Susan Creighton | Corporate Director | Jul 1, 2022 | |
| Keith E Frndak | Corporate Officer | Jul 1, 2006 | |
| Corporate Director | Jun 4, 2005 | ||
| Adp of the SNF | Jul 1, 2006 | ||
| Karen Elizabeth Beilstein | Corporate Director | Jul 1, 2022 | |
| Phil Ricci | Corporate Director | Jan 27, 2021 | |
| Operational/Managerial Control | Jan 27, 2021 | ||
| Adp of the SNF | Jan 27, 2021 | ||
| James Limbaugh | Corporate Director | Jan 1, 2017 | |
| Daniel K Grob | Adp of the SNF | Oct 22, 1999 | |
| Brian Hortert | Corporate Officer | Apr 1, 2016 | |
| Corporate Director | Jun 4, 2005 | ||
| Adp of the SNF | Apr 1, 2016 |
Owners & managing parties with NPI records 4
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Harmony Physical Rehabilitation
- Skilled Nursing Facility
- Monroeville, PA
- NPI 1104239201
5% Or Greater Direct Ownership Interest
-
- Skilled Nursing Facility
- Cabot, PA
- NPI 1588668107
5% Or Greater Direct Ownership Interest
-
- Rehabilitation Clinic/Center
- Cabot, PA
- NPI 1982860375
5% Or Greater Direct Ownership Interest
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba Concordia at Arbutus Park
- Skilled Nursing Facility
- Johnstown, PA
- NPI 1184599748
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.
-
- Occupational Therapist
- Plymouth Meeting, PA
- NPI 1285822551
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": "1118880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1493683200000",
"number": "1184629149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3746 CEDAR RIDGE RD",
"city": "ALLISON PARK",
"state": "PA",
"postal_code": "151011048",
"telephone_number": "724-444-0600",
"fax_number": "724-444-6621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3746 CEDAR RIDGE RD",
"city": "ALLISON PARK",
"state": "PA",
"postal_code": "151011048",
"telephone_number": "724-444-0600",
"fax_number": "724-444-6621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REBECCA RESIDENCE",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-16",
"last_updated": "2017-05-02",
"status": "A",
"authorized_official_last_name": "KAUFMAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "NURSING HOME ADMINISTRATOR",
"authorized_official_telephone_number": "724-444-0600"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "860102",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SKILLED NURSING",
"identifier": "1329",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Concordia at Rebecca residence",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Allison Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.