Eldercrest Opco, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ELDERCREST OPCO, LLC

Doing business as

Eldercrest Healthcare and Rehabilitation Center

Practice address

2600 W Run Rd
Munhall, PA 15120-2869

Phone

(412) 462-8002

NPI assigned

Mar 19, 2024

Last updated

Mar 19, 2024By 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

Elie Pollak

Title

MGR of Eldercrest Opco Manager, LLC

Phone

(718) 440-7784

Specialties & licenses 1

Addresses

Other names 1

• Eldercrest Healthcare and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1477313559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 BROADWAY",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981235",
            "telephone_number": "516-869-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 W RUN RD",
            "city": "MUNHALL",
            "state": "PA",
            "postal_code": "151202869",
            "telephone_number": "412-462-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERCREST OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "POLLAK",
        "authorized_official_first_name": "ELIE",
        "authorized_official_title_or_position": "MGR OF ELDERCREST OPCO MANAGER, LLC",
        "authorized_official_telephone_number": "718-440-7784"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eldercrest Healthcare and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dan Edward Swain (The Medicine Shoppe)
• Daniel J. Spellman DMD PC
• Jessica Regina Davis, MS CCC/SLP
• Joel N Diamond, MD
• Edward Tirpak DDS PC
• Eldercrest Rehabilitation & Healthcare Center LLC
• Extendicare Health Facilities, Inc. (Eldercrest Nursing Center)
• Jennifer Koehler Fandray, L.P.C.
• Kelly Ferchak, PHARM D
• Tameka Garland

• Skilled Nursing Facility in Munhall, PA
• Providers in Munhall, 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 Mar 19, 2024; 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.