2029 Westgate Drive Operations LLC
Organization Active NPI Skilled Nursing Facility · Bethlehem, PA
NPI 1497465116 · NPPES record last updated Jan 6, 2023
Key facts
- NPI
- 1497465116
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- 2029 WESTGATE DRIVE OPERATIONS LLC
- Practice address
- 2029 Westgate Dr
Bethlehem, PA 18017-7412 - Phone
- (610) 444-6350
- NPI assigned
- Dec 5, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- GENESIS PM PA OPERATIONS LLC
Authorized official
- Name
- Michael T Berg
- Title
- Asst Secretary
- Phone
- (505) 468-4742
Facilities with the same owner 178
Practitioners 5
-
Shawna Murphy, DO
-
Sunitha Potluri, MD
Affiliated clinicians 8
-
Rahaf Balani, ARNP
-
McKenzie Means, CRNP
-
Sunitha Potluri, MD
-
Tharon B. Holmberg, CRNP
-
Bernadette Marturano, CRNP
-
Monique Jennifer Stage, FNP-BC
Medicare Care Compare: Nursing home
- Listed as
- Bethlehem North Skilled Nursing and Rehabilitation
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- May 22, 1982
- Medicare certification status
- Active
- Certified beds
- 217 · 202.1 residents per day on average
- Chain
- Genesis Healthcare
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Skilled nursing facility certification: CCN 395527
- Legal name
- 2029 WESTGATE DRIVE OPERATIONS LLC
- Doing business as
- BETHLEHEM NORTH SKILLED NURSING AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 22, 1982
- Last certification
- Mar 6, 2025
- Beds
- 217
- Ownership / control type
- Corporation
- Multi-facility organization
- Genesis Health Care
- Organization structure
- LLC · Proprietary
- Incorporated
- Nov 15, 2022 in PA
- Enrollment address
- 2029 Westgate Dr
Bethlehem, PA 18017-7412 - Nursing home name
- BETHLEHEM NORTH SKILLED NURSING AND REHABILITATION
- Affiliated entity
- GENESIS HEALTHCARE
All disclosed owners & managing parties 22
| Name | Role | Since | Share |
|---|---|---|---|
| |
Adp of the SNF | Feb 14, 2025 | |
| Laura Bridgeford |
Corporate Officer |
Apr 1, 2024 | |
| HCCF Management Group XI LLC |
5% Or Greater Indirect Ownership Interest | Nov 15, 2022 | 10.8% |
| Gen Operations I LLC |
5% Or Greater Indirect Ownership Interest | Nov 15, 2022 | 100% |
| Nancy Callazo |
Operational/Managerial Control | Jan 29, 2024 | |
| Adp of the SNF | Jan 29, 2024 | ||
| |
Adp of the SNF | Nov 15, 2022 | |
| Gen Operations II LLC |
5% Or Greater Indirect Ownership Interest | Nov 15, 2022 | 100% |
| |
Adp of the SNF | Oct 14, 2024 | |
| |
Adp of the SNF | Feb 14, 2025 | |
| FC-Gen Operations Investment LLC |
5% Or Greater Indirect Ownership Interest | Nov 15, 2022 | 100% |
| |
Adp of the SNF | Feb 14, 2025 | |
| Sundance Rehabilitation Holdco Inc |
5% Or Greater Indirect Ownership Interest | Nov 15, 2022 | 5.2% |
| Genesis Healthcare LLC |
5% Or Greater Indirect Ownership Interest | Nov 15, 2022 | 100% |
| Sun Healthcare Group Inc |
5% Or Greater Indirect Ownership Interest | Nov 15, 2022 | 65.3% |
| Welltower Op, LLC |
5% Or Greater Indirect Ownership Interest | Nov 15, 2022 | 5.7% |
| Genesis Healthcare Inc |
5% Or Greater Indirect Ownership Interest | Nov 15, 2022 | 100% |
| Zac Properties XI LLC |
5% Or Greater Indirect Ownership Interest | Nov 15, 2022 | 7.6% |
| Avi Pinchas Mendelson |
Corporate Officer |
Apr 1, 2024 | |
| Michael T Berg |
Corporate Officer |
Nov 15, 2022 | 100% |
| Genesis PM PA Operations LLC |
5% Or Greater Direct Ownership Interest | Nov 15, 2022 | 100% |
| GHC Holdings LLC |
5% Or Greater Indirect Ownership Interest | Nov 15, 2022 | 100% |
| Genesis Holdings LLC |
5% Or Greater Indirect Ownership Interest | Nov 15, 2022 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230224002436 | PA | Part a Provider - Skilled Nursing Facility | 6002289881 | Practice locations: Bethlehem, PA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
2029 Westgate Dr
Bethlehem, PA 18017-7412
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Other names
- BETHLEHEM NORTH SKILLED NURSING AND REHABILITATION CENTER
Other providers in Bethlehem, PA
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- 2021 Westgate Drive Opco LLC
- 2021 Westgate Drive Operations LLC
- 2029 Westgate Dr. Opco, LLC
- 2029 Westgate Drive Opco LLC
- 4Directions Counseling, LLC
- A Better You, LLC
- A M a Counseling Services
- A New Dawn Psychotherapy Associates LLC
- A Rise Above Occupational Therapy Services, LLC
All providers in Bethlehem, PA · Skilled Nursing Facility in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.