Organization Active NPI

Indian Creek Health Care Inc.

Doing business as Edison Manor Nursing and Rehabilitation

  • Skilled Nursing Facility
  • New Castle, PA
National Provider Identifier
1346356805
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
025902 Issued in PA
Legal business name
INDIAN CREEK HEALTH CARE INC.
Doing business as
Edison Manor Nursing and Rehabilitation
Practice address
222 W Edison Ave
New Castle, PA 16101-2174
Phone
(724) 652-6340
Fax
(724) 656-1170
NPI assigned
Aug 21, 2006
Last updated
Jan 10, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SABER HEALTHCARE HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Authorized official

Name
William Weisberg
Title
President
Phone
(216) 292-5706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 025902 PA Primary

Addresses

Primary practice location

222 W Edison Ave
New Castle, PA 16101-2174

Mailing address

23700 Commerce Park
Beachwood, OH 44122-5827
Phone (216) 292-5706

Other identifiers 1

IdentifierTypeStateIssuer
1012046610001MedicaidPA

Other names 1

  • Edison Manor Nursing and Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050610000335 PA Part A Provider - Skilled Nursing Facility 9032153036 Practice locations: New Castle, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346356805. Details of each certification follow.

Skilled nursing facility certification: CCN 395536

Legal name
INDIAN CREEK HEALTH CARE INC.
Doing business as
EDISON MANOR NURSING & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 23, 1982
Last certification
Jan 9, 2025
Beds
118
Ownership / control type
Corporation
Multi-facility organization
Saber Healhcare
Organization structure
CorporationProprietary
Enrollment address
222 W Edison Ave
New Castle, PA 16101-2174
Nursing home name
EDISON MANOR NURSING & REHABILITATION CENTER
Affiliated entity
SABER HEALTHCARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Edison Manor Nursing & Rehabilitation CenterCCN 395536 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 23, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11894.9 residents per day on average
Chain
Saber Healthcare Group126 facilities in the chain
Penalties (3 years)
1Fines totaling $8,281

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
39D0704723Edison Manor Nursing & Rehab Center222 West Edison Avenue, New Castle, PA 16101Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Saber Healthcare Holdings LLC Organization, Beachwood, OH LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 31, 2023 100%
SHG Boa LLC Organization, Beachwood, OH LLC Adp of the SNF Feb 3, 2026
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020) Organization, Beachwood, OH 5% Or Greater Indirect Ownership Interest Jan 1, 2023 33%
Huntington National Bank Organization, Columbus, OH Financial institution Adp of the SNF Jul 19, 2019
Gregory Nicoluzakis Individual Corporate OfficerSecretary Mar 1, 2019
Adp of the SNF Mar 1, 2019
SHG Management LLC Organization, Beachwood, OH LLC Operational/Managerial Control Sep 1, 2019
Adp of the SNF Sep 1, 2019
Saber Governance LLC Organization, Beachwood, OH LLC Adp of the SNF Sep 1, 2019
BNV Dynasty LLC Organization, Beachwood, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 33%
Benjamin N Volpe Individual Corporate OfficerVice President & Treasurer Mar 1, 2019
Corporate DirectorVice President & Treasurer Mar 1, 2019 50%
Saber PA Holdings, LLC Organization, Beachwood, OH LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 31, 2023 100%
Nicole Bobitski Individual Operational/Managerial ControlRegional VP of Operations Jul 8, 2024
Adp of the SNF Jul 8, 2024
Amardeep Angroola Individual Adp of the SNF Oct 31, 2025
Citrin Cooperman Advisors LLC Organization, Woodmere, OH LLC Adp of the SNF Apr 1, 2005
Wiw Dynasty LLC Organization, Beachwood, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 67%
William I Weisberg Individual Corporate OfficerPresident Mar 1, 2019
Corporate DirectorPresident Mar 1, 2019 50%
RKL LLP Organization, Lancaster, PA Adp of the SNF Jan 26, 2023
Sara Delp Individual Operational/Managerial Control Jul 29, 2024
Adp of the SNF Jul 29, 2024
Ohio Pennsyslvania Property LLC Organization, Hunt Valley, MD LLC, Real estate investment trust (REIT), Owned by another organization or individual 5% Or Greater Mortgage Interest Mar 1, 2016 100%
Adp of the SNF Mar 1, 2016
Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020 Organization, Beachwood, OH Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 67%
SHG Mt, LLC Organization, Beachwood, OH LLC Adp of the SNF Feb 3, 2026

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 122

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 122

Practitioners & affiliated clinicians

Practitioners 6

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": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1346356805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23700 COMMERCE PARK",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225827",
            "telephone_number": "216-292-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W EDISON AVE",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161012174",
            "telephone_number": "724-652-6340",
            "fax_number": "724-656-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN CREEK HEALTH CARE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SABER HEALTHCARE HOLDINGS, LLC",
        "enumeration_date": "2006-08-21",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "WEISBERG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-292-5706"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "025902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012046610001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edison Manor Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Edison Manor Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Castle, PA

Sources for this page

Verify at the official NPI Registry.