Harrisville SNF Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HARRISVILLE SNF OPCO LLC

Doing business as

Autumn Grove Health Care Center

Practice address

555 S Main St
Harrisville, PA 16038-1623

Phone

(724) 735-4224

NPI assigned

Jul 21, 2026

Last updated

Jul 21, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicholas Destefane

Title

President

Phone

(314) 543-3800

Specialties & licenses 1

Addresses

Other names 1

• Autumn Grove Health Care Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1417878182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1869 CRAIG PARK CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464122",
            "telephone_number": "314-543-3800",
            "fax_number": "314-543-3800"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISVILLE SNF OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "DESTEFANE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-543-3800"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Grove Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bonetti Health Care Center, Inc (Autumn Grove Care Center)
• Elizabeth Clancey
• Erica Lee Cress, PA-C
• Jadine Leona Eafrati, PA-C
• Family Healthcare Partners, LLC
• Matthew John Johntony, CRNP
• Tawny Langseth, PA-C
• R Donald McAfee, MD
• Megan McCall, CRNP
• Donald W Rumbaugh, M.D.

• Skilled Nursing Facility in Harrisville, PA
• Providers in Harrisville, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.