Active NPI
Indian Creek Health Care Inc.
Doing business as Edison Manor Nursing and Rehabilitation
- Skilled Nursing Facility
- New Castle, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 025902
- 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, 2022
- Organization subpart
- Yes
- Parent organization
- SABER HEALTHCARE HOLDINGS, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1012046610001 | Medicaid | PA |
Other names 1
- Edison Manor Nursing and Rehabilitation
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jul 23, 1982
- Medicare certification status
- Active
- Certified beds
- 118
- Chain
- Saber Healthcare Group
- Penalties (3 years)
- 1
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 |
|---|---|---|---|
| 39D0704723 | Edison Manor Nursing & Rehab Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Saber Healthcare Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 31, 2023 | 100% |
| SHG Boa LLC | Adp of the SNF | Feb 3, 2026 | |
| Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020) | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 33% |
| Huntington National Bank | Adp of the SNF | Jul 19, 2019 | |
| Gregory Nicoluzakis | Corporate Officer | Mar 1, 2019 | |
| Adp of the SNF | Mar 1, 2019 | ||
| SHG Management LLC | Operational/Managerial Control | Sep 1, 2019 | |
| Adp of the SNF | Sep 1, 2019 | ||
| Saber Governance LLC | Adp of the SNF | Sep 1, 2019 | |
| BNV Dynasty LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 33% |
| Benjamin N Volpe | Corporate Officer | Mar 1, 2019 | |
| Corporate Director | Mar 1, 2019 | 50% | |
| Saber PA Holdings, LLC | 5% Or Greater Direct Ownership Interest | Dec 31, 2023 | 100% |
| Nicole Bobitski | Operational/Managerial Control | Jul 8, 2024 | |
| Adp of the SNF | Jul 8, 2024 | ||
| Amardeep Angroola | Adp of the SNF | Oct 31, 2025 | |
| Citrin Cooperman Advisors LLC | Adp of the SNF | Apr 1, 2005 | |
| Wiw Dynasty LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 67% |
| William I Weisberg | Corporate Officer | Mar 1, 2019 | |
| Corporate Director | Mar 1, 2019 | 50% | |
| RKL LLP | Adp of the SNF | Jan 26, 2023 | |
| Sara Delp | Operational/Managerial Control | Jul 29, 2024 | |
| Adp of the SNF | Jul 29, 2024 | ||
| Ohio Pennsyslvania Property LLC | 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 | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 67% |
| SHG Mt, 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.
-
dba Ambler Extended Care Center
- Skilled Nursing Facility
- Ambler, PA
- NPI 1063711786
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, SHG Management LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Frackville, PA
- NPI 1033619333
Saber PA Holdings, LLC, SHG Management LLC
-
dba Broomall Manor
- Skilled Nursing Facility
- Broomall, PA
- NPI 1821261710
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, SHG Management LLC, Wiw Dynasty LLC
-
dba Bryn Mawr Extended Care Center
- Skilled Nursing Facility
- Bryn Mawr, PA
- NPI 1801195524
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Harrisburg, PA
- NPI 1447961636
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, SHG Management LLC, Wiw Dynasty LLC
-
dba Twin Pines Health Care Center
- Skilled Nursing Facility
- Chatham, PA
- NPI 1568600849
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, SHG Management LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Fort Washington, PA
- NPI 1538676036
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, SHG Management LLC, Wiw Dynasty LLC
-
dba Dunmore Health Care Center
- Skilled Nursing Facility
- Dunmore, PA
- NPI 1942423454
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, SHG Management LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Pittsburgh, PA
- NPI 1720790769
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, SHG Management LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Elkins Park, PA
- NPI 1932609237
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, SHG Management LLC, Wiw Dynasty LLC
-
dba Green Ridge Care Center
- Skilled Nursing Facility
- Scranton, PA
- NPI 1194015784
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, SHG Management LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Greensburg, PA
- NPI 1245941442
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, SHG Management LLC, Wiw Dynasty LLC
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.
-
- Internal Medicine Physician
- New Castle, PA
- NPI 1003807546
-
- Pulmonary Disease Physician
- New Castle, PA
- NPI 1073563466
-
- Family Medicine Physician
- New Castle, PA
- NPI 1083620116
-
- Family Medicine Physician
- Beaver Falls, PA
- NPI 1235353848
-
- Hospitalist Physician
- Dublin, CA
- NPI 1821253568
-
- Internal Medicine Physician
- Boardman, OH
- NPI 1144647413
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.