Active NPI
Patriot Opco LLC
Doing business as Patriot Village
- Skilled Nursing Facility
- Somerset, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2024
- 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
- Abraham Smilow
- Title
- Manager
- Phone
- (917) 543-4391
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Village
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Sep 18, 1990
- Medicare certification status
- Active
- Certified beds
- 100
- Chain
- Abraham Smilow
- 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 |
|---|---|---|---|
| 39D0897258 | Patriot Village | Certificate of waiver | Jan 31, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Baruch Travitsky | 5% Or Greater Indirect Ownership Interest | Aug 1, 2024 | 1.39% |
| Adp of the SNF | Aug 1, 2024 | ||
| Patriot Propco Holdco LLC | 5% Or Greater Direct Ownership Interest | Aug 1, 2024 | 100% |
| 5% Or Greater Indirect Ownership Interest | Aug 1, 2024 | 100% | |
| Patriot Opco Holdco LLC | 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 | General Partnership Interest | Aug 1, 2024 | 4.99% |
| Patriot Propco LLC | Adp of the SNF | Aug 1, 2024 | |
| Hillel Tropper 2016 Irrevocable Trust | 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 | Operational/Managerial Control | Aug 1, 2024 | |
| Managing Control - Governing Body | Aug 1, 2024 | ||
| Adp of the SNF | Feb 28, 2025 | ||
| Patriot Consulting Company LLC | Adp of the SNF | Nov 5, 2024 | |
| Moshe Trooper 2016 Irrevocable Trust | 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 | 5% Or Greater Indirect Ownership Interest | Aug 1, 2024 | 55% |
| Adp of the SNF | Aug 1, 2024 | ||
| Lads Avenue Associates LLC | 5% Or Greater Indirect Ownership Interest | Aug 1, 2024 | 1.5% |
| Adp of the SNF | Aug 1, 2024 | ||
| Craig Harold Fockler | Operational/Managerial Control | Aug 1, 2024 | |
| Managing Control - Governing Body | Aug 1, 2024 | ||
| Adp of the SNF | Jan 3, 2025 | ||
| Abraham Smilow | 5% Or Greater Indirect Ownership Interest | Aug 1, 2024 | 95.01% |
| Operational/Managerial Control | Aug 1, 2024 | ||
| Managing Control - Governing Body | 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.
-
- Family Medicine Physician
- Johnstown, PA
- NPI 1104820687
Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control
Facilities with the same owner 4
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Crawford Care Center
- Skilled Nursing Facility
- Saegertown, PA
- NPI 1689452229
Hillel Tropper 2016 Irrevocable Trust, Lads Avenue Associates LLC, Moshe Trooper 2016 Irrevocable Trust
-
dba Casselman Healthcare and Rehabilitation Center
- Skilled Nursing Facility
- Meyersdale, PA
- NPI 1750090387
Hillel Tropper 2016 Irrevocable Trust, Lads Avenue Associates LLC, Moshe Trooper 2016 Irrevocable Trust
-
dba Oakwood Heights Village
- Skilled Nursing Facility
- Oil City, PA
- NPI 1780369637
Hillel Tropper 2016 Irrevocable Trust, Lads Avenue Associates LLC, Moshe Trooper 2016 Irrevocable Trust
-
dba Greenfield Healthcare and Rehabilitation Center
- Skilled Nursing Facility
- Erie, PA
- NPI 1568171106
Hillel Tropper 2016 Irrevocable Trust, Lads Avenue Associates LLC, Moshe Trooper 2016 Irrevocable Trust
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.
-
- Family Medicine Physician
- Johnstown, PA
- NPI 1104820687
-
- Family Medicine Physician
- Pittsburgh, PA
- NPI 1194729996
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.