Organization Active NPI

Patriot Opco LLC

Doing business as Patriot Village

  • Skilled Nursing Facility
  • Somerset, PA
National Provider Identifier
1366281818
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PATRIOT OPCO LLC
Doing business as
Patriot Village
Practice address
495 W Patriot St
Somerset, PA 15501-1503
Phone
(814) 445-4549
NPI assigned
May 23, 2024
Last updated
May 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Authorized official

Name
Abraham Smilow
Title
Manager
Phone
(917) 543-4391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

495 W Patriot St
Somerset, PA 15501-1503

Mailing address

495 W Patriot St
Somerset, PA 15501-1503

Other names 1

  • Patriot Village Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241104001944 PA Part A Provider - Skilled Nursing Facility 4789117300 Practice locations: Somerset, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366281818. Details of each certification follow.

Skilled nursing facility certification: CCN 395840

Legal name
PATRIOT OPCO LLC
Doing business as
PATRIOT VILLAGE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 18, 1990
Last certification
Jan 9, 2025
Beds
100
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Pointe Healthcare
Organization structure
LLCProprietary
Enrollment address
498 West Patriot St
Somerset, PA 15501-1526
Nursing home name
PATRIOT VILLAGE
Affiliated entity
ABRAHAM SMILOW

Care Compare: Nursing home

Medicare Care Compare
Listed as
Patriot VillageCCN 395840 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 18, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10085.1 residents per day on average
Chain
Abraham Smilow7 facilities in the chain
Penalties (3 years)
1Fines totaling $132,561

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
39D0897258Patriot Village495 West Patriot Street, Somerset, PA 15501Certificate of waiverJan 31, 2027

National Provider Directory

National Provider Directory

Locations

495 W Patriot St
Somerset, PA 15501
Phone (814) 443-2631

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Baruch Travitsky Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2024 1.39%
Adp of the SNF Aug 1, 2024
Patriot Propco Holdco LLC Organization, Somerset, PA LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 1, 2024 100%
5% Or Greater Indirect Ownership Interest Aug 1, 2024 100%
Patriot Opco Holdco LLC Organization, Somerset, PA LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 1, 2024 100%
5% Or Greater Indirect Ownership Interest Aug 1, 2024 100%
Adp of the SNF Aug 1, 2024
T3 Initiatives LLC Organization, Clifton, NJ LLC, Owned by another organization or individual General Partnership Interest Aug 1, 2024 4.99%
Patriot Propco LLC Organization, Somerset, PA LLC Adp of the SNF Aug 1, 2024
Hillel Tropper 2016 Irrevocable Trust Organization, Brooklyn, NY 5% Or Greater Indirect Ownership Interest Aug 1, 2024 19.8%
General Partnership Interest Aug 1, 2024 1.8%
Adp of the SNF Dec 18, 2024
Bryan G Hagerich Individual Operational/Managerial Control Aug 1, 2024
Managing Control - Governing BodyAdministrator Aug 1, 2024
Adp of the SNF Feb 28, 2025
Patriot Consulting Company LLC Organization, Somerset, PA LLC, Consulting firm Adp of the SNF Nov 5, 2024
Moshe Trooper 2016 Irrevocable Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Aug 1, 2024 1.8%
General Partnership Interest Aug 1, 2021 1.8%
Adp of the SNF Dec 5, 2024
T3 Real Estate Initiatives LLC Organization, Clifton, NJ LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 1, 2024 55%
Adp of the SNF Aug 1, 2024
Lads Avenue Associates LLC Organization, Brooklyn, NY LLC, Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 1, 2024 1.5%
Adp of the SNF Aug 1, 2024
Craig Harold Fockler Individual Operational/Managerial Control Aug 1, 2024
Managing Control - Governing BodyMedical Director Aug 1, 2024
Adp of the SNF Jan 3, 2025
Abraham Smilow Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2024 95.01%
Operational/Managerial Control Aug 1, 2024
Managing Control - Governing BodyOwner Representative Aug 1, 2024
Adp of the SNF Aug 1, 2024

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 4

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

Practitioners & affiliated clinicians

Practitioners 2

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 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": "1716422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1366281818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 W PATRIOT ST",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155011503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 W PATRIOT ST",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155011503",
            "telephone_number": "814-445-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "SMILOW",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "917-543-4391"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patriot Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerset, PA

Sources for this page

Verify at the official NPI Registry.