Jefferson Hills Manor LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

JEFFERSON HILLS MANOR LLC

Doing business as

Jefferson Hills Healthcare and Rehabilitation Center

Practice address

448 Old Clairton Rd
Jefferson Hills, PA 15025-3034

Phone

(412) 653-1128

NPI assigned

May 5, 2006

Organization subpart

No

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

Authorized official

Name

Michael Eperesi

Title

Cfo

Phone

(814) 265-1164

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Jefferson Hills Healthcare and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1467400960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8796 ROUTE 219",
            "city": "BROCKWAY",
            "state": "PA",
            "postal_code": "158246010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 OLD CLAIRTON RD",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253034",
            "telephone_number": "412-653-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON HILLS MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "EPERESI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "814-265-1164"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "100202",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100534401-0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson Hills Healthcare and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jefferson Hills Healthcare and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ziad Ismael, MD
• Olivia Jakubik, PA-C
• Hardik Jani, MD
• Jefferson Cardiology Assocation (Greater Pittsburgh Vascular Associates)
• Jefferson Cardiology Assocation (Greater Pittsburgh Vascular)
• Jefferson Hills Rehabilitation and Wellness Center LLC
• Jefferson Hills Surgical Associates
• Jefferson Hills Surgical Specialists
• Jefferson Medical Optical
• Jefferson Regional Medical Center

• Skilled Nursing Facility in Jefferson Hills, PA
• Providers in Jefferson Hills, 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 Aug 25, 2020; 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.