Active NPI
CPSR Associates LLC
Doing business as Mon Valley Care Center
- Skilled Nursing Facility
- Monongahela, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 11790201
- Legal business name
- CPSR ASSOCIATES LLC
- Doing business as
- Mon Valley Care Center
- Practice address
- 200 Stoops Drive
Monongahela, PA 15063 - Phone
- (724) 310-1111
- Fax
- (724) 310-1195
- NPI assigned
- Aug 2, 2005
- 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
- Mr. Philip M. Ripepi, NHA
- Title
- Nursing Home Administrator
- Phone
- (724) 310-1111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 11790201 | PA | Primary |
Addresses
Primary practice location
200 Stoops Drive
Monongahela, PA 15063
Mailing address
200 Stoops Drive
Monongahela, PA 15063
Phone (724) 310-1111
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019291830001 | Medicaid | PA | |
| 1818 | Other | PA | HIGHMARK BCBS |
| 319068 | Other | PA | UPMC |
| 1818 | Other | PA | HIGHMARK BC/BS |
Other names 1
- Mon Valley Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030211000013 | PA | Part A Provider - Skilled Nursing Facility | 8729997309 | Practice locations: Monongahela, PA |
Skilled nursing facility certification: CCN 396085
- Legal name
- CPSR ASSOCIATES LLC
- Doing business as
- MON VALLEY CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 6, 2003
- Last certification
- Jun 17, 2024
- Beds
- 60
- Ownership / control type
- Partnership
- Organization structure
- LLC
- Enrollment address
- 200 Stoops Drive
Monongahela, PA 15063-3552 - Nursing home name
- MON VALLEY CARE CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Mon Valley Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Partnership
- Certified
- Jan 6, 2003
- Medicare certification status
- Active
- Certified beds
- 60
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 |
|---|---|---|---|
| 39D1010103 | Mon Valley Care Center | Certificate of waiver | Mar 5, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Mon Vale Non Acute Care | 5% Or Greater Direct Ownership Interest | Dec 19, 2016 | 25% |
| Cynthia L Long | Operational/Managerial Control | Dec 19, 2016 | 5% |
| Michael J Cushman | Corporate Director | Dec 19, 2016 | 25% |
| W-2 Managing Employee | Dec 19, 2016 | 25% | |
| Thomas M Persico | Corporate Director | Dec 19, 2016 | 25% |
| Christina M Yakich | Corporate Director | Nov 10, 2023 | 100% |
| Operational/Managerial Control | Nov 10, 2023 | 100% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Pittsburgh, PA
- NPI 1538325873
Affiliated clinicians 2
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": "1122940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398643200000",
"number": "1245231208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 STOOPS DRIVE",
"city": "MONONGAHELA",
"state": "PA",
"postal_code": "15063",
"telephone_number": "724-310-1111",
"fax_number": "724-310-1195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 STOOPS DRIVE",
"city": "MONONGAHELA",
"state": "PA",
"postal_code": "15063",
"telephone_number": "724-310-1111",
"fax_number": "724-310-1195"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CPSR ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-02",
"last_updated": "2014-04-28",
"status": "A",
"authorized_official_last_name": "RIPEPI",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "NURSING HOME ADMINISTRATOR",
"authorized_official_telephone_number": "724-310-1111",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "NHA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "11790201",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019291830001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BCBS",
"identifier": "1818",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "319068",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BC/BS",
"identifier": "1818",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mon Valley Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Monongahela, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.