Organization Active NPI

Bonetti Health Care Center, Inc

Doing business as Autumn Grove Care Center

  • Skilled Nursing Facility
  • Harrisville, PA
National Provider Identifier
1255323986
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
022102 Issued in PA
Legal business name
BONETTI HEALTH CARE CENTER, INC
Doing business as
Autumn Grove Care Center
Practice address
555 S Main St
Harrisville, PA 16038-1623
Phone
(724) 735-4224
Fax
(724) 735-0103
NPI assigned
Aug 18, 2005
Last updated
Oct 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

Name
Mr. Matthew R Maurano, NHA
Title
President
Phone
(724) 735-4224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 022102 PA Primary

Addresses

Primary practice location

555 S Main St
Harrisville, PA 16038-1623

Mailing address

555 S Main St
Harrisville, PA 16038-1623
Phone (724) 735-4224

Other identifiers 2

IdentifierTypeStateIssuer
0569OtherBLUE CROSS
0007573330003MedicaidPA

Other names 1

  • Autumn Grove Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111012000450 PA Part A Provider - Skilled Nursing Facility 5890967087 Practice locations: Harrisville, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255323986. Details of each certification follow.

Skilled nursing facility certification: CCN 395248

Legal name
BONETTI HEALTH CARE CENTER, INC
Doing business as
TRANSITIONS HEALTHCARE AUTUMN GROVE CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 23, 1968
Last certification
Aug 23, 2024
Beds
103
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Transitions Healthcare LLC.
Organization structure
CorporationProprietary
Incorporated
Jan 2, 1976 in PA
Enrollment address
555 S Main Street
Harrisville, PA 16038-1623
Nursing home name
TRANSITIONS HEALTHCARE AUTUMN GROVE CARE CENTER
Affiliated entity
TRANSITIONS HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Transitions Healthcare Autumn Grove Care CenterCCN 395248 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 23, 1968
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10398.4 residents per day on average
Chain
Transitions Healthcare6 facilities in the chain
Penalties (3 years)
1Fines totaling $179,218

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

531 Old Westminster Pike
Ste 206
Westminster, MD 21157

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.

NameRoleSinceShare
Matthew R Maurano Individual 5% Or Greater Indirect Ownership InterestMember Sep 1, 2011 33.33%
Corporate OfficerPresident Sep 1, 2011
Operational/Managerial Control Sep 1, 2011
Adp of the SNF Sep 1, 2011
Transitions Healthcare II LLC Organization, Westminster, MD LLC, Management services company Operational/Managerial Control Sep 1, 2011 100%
Adp of the SNF Sep 1, 2011
Betsy Huff Individual Operational/Managerial Control Jun 28, 2024
Adp of the SNF Jun 28, 2024
Organization, Harrisville, PA LLC Adp of the SNF Sep 1, 2011
Marc J Feldman Individual 5% Or Greater Indirect Ownership InterestMember Sep 1, 2011 33.33%
Corporate OfficerSecretary Sep 1, 2011
Operational/Managerial Control Sep 1, 2011
Adp of the SNF Sep 1, 2011
Individual Adp of the SNF Sep 1, 2011
Capital Funding Group, LLC Organization, Baltimore, MD Financial institution, Owned by another organization or individual 5% Or Greater Mortgage Interest Oct 20, 2012
Transitions Healthcare Autumn Grove LLC Organization, Westminster, MD LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 1, 2011 100%
Kevin V Williams Individual 5% Or Greater Indirect Ownership InterestMember Sep 1, 2011 33.33%
Corporate OfficerShareholder Sep 1, 2011
Operational/Managerial Control Sep 1, 2011
Adp of the SNF Sep 1, 2011
Organization, Baltimore, MD Adp of the SNF Sep 1, 2011
Individual Adp of the SNF Jan 1, 2023
Jarod P Stragand Individual Operational/Managerial Control Jan 5, 2022
Adp of the SNF Jan 5, 2022

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 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.

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": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1255323986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S MAIN ST",
            "city": "HARRISVILLE",
            "state": "PA",
            "postal_code": "160381623",
            "telephone_number": "724-735-4224",
            "fax_number": "724-735-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S MAIN ST",
            "city": "HARRISVILLE",
            "state": "PA",
            "postal_code": "160381623",
            "telephone_number": "724-735-4224",
            "fax_number": "724-735-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONETTI HEALTH CARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "MAURANO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-735-4224",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "022102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0569",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007573330003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Grove Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrisville, PA

Sources for this page

Verify at the official NPI Registry.