1105 Perry Highway Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

1105 PERRY HIGHWAY OPERATIONS LLC

Doing business as

North Hills Skilled Nursing and Rehabilitation Center

Practice address

1105 Perry Hwy
Pittsburgh, PA 15237-2114

Phone

(610) 444-6350

NPI assigned

Dec 5, 2022

Last updated

Jan 6, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

GENESIS PM PA OPERATIONS LLCAs reported in NPPES

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

Authorized official

Name

Michael T Berg

Title

Asst Secretary

Phone

(505) 468-4742

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NORTH HILLS SKILLED NURSING AND REHABILITATION CENTER Doing business as

Practitioners 3

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.

• Syed Tahir Ali, MD

  • Internal Medicine Physician
  • McKees Rocks, PA
  • NPI 1144210766
  NPD (past)
• Umesh Golani

  • Geriatric Medicine (Internal Medicine) Physician
  • Pittsburgh, PA
  • NPI 1033150412
  NPD (past)
• Mark Abraham Woodburn, MD

  • Family Medicine Physician
  • Pittsburgh, PA
  • NPI 1750566956
  NPD (past)

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1457061160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 PERRY HWY",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152372114",
            "telephone_number": "610-444-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1105 PERRY HIGHWAY OPERATIONS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENESIS PM PA OPERATIONS LLC",
        "enumeration_date": "2022-12-05",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ASST SECRETARY",
        "authorized_official_telephone_number": "505-468-4742"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR",
            "identifier": "39-5826",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH HILLS SKILLED NURSING AND REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NORTH HILLS SKILLED NURSING AND REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather (Wimbish) Brown, LMT, MTPT
• 1 Person at a Time
• 180 Medical, Inc.
• 1848 Greentree Road Operations LLC (Greentree Skilled Nursing and Rehabilitation Center)
• 1977 Mesk
• 1St Prestige Home Care Agency
• 2020 Vision Care LLC

• Skilled Nursing Facility in Pittsburgh, PA
• Providers in Pittsburgh, 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 Jan 6, 2023; 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.