Organization Active NPI

Monroeville SNF Healthcare LLC

  • Skilled Nursing Facility
  • Monroeville, PA
National Provider Identifier
1508601394
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MONROEVILLE SNF HEALTHCARE LLC
Practice address
885 Macbeth Dr
Monroeville, PA 15146-3332
Phone
(412) 856-7071
NPI assigned
Jun 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
John Mitchell
Title
Secretary
Phone
(385) 988-3319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

885 Macbeth Dr
Monroeville, PA 15146-3332

Mailing address

262 N University Ave
Farmington, UT 84025-2975

Other names 1

  • Monroeville Post Acute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250106000050 PA Part A Provider - Skilled Nursing Facility 5698203651 Practice locations: Monroeville, PA

Skilled nursing facility certification: CCN 396003

Legal name
MONROEVILLE SNF HEALTHCARE LLC
Doing business as
MONROEVILLE POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 13, 1996
Last certification
Dec 20, 2024
Beds
131
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
885 Macbeth Dr
Monroeville, PA 15146-3332
Nursing home name
MONROEVILLE POST ACUTE
Affiliated entity
PACS GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Monroeville Post AcuteCCN 396003
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 13, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
131105.9 residents per day on average
Chain
Pacs Group274 facilities in the chain
Penalties (3 years)
2Fines totaling $49,558

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2321476Monroeville Post Acute885 Macbeth Drive, Monroeville, PA 15146Certificate of waiverApr 3, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
PA Holdco 1 Monroeville LLC Organization, San Clemente, CA LLC, Holding company Adp of the SNF Nov 1, 2014
Jason H Murray Individual 5% Or Greater Indirect Ownership InterestOwner Nov 1, 2024 35.2%
Adp of the SNF Nov 1, 2024
John T Mitchell Individual Corporate OfficerSecretary Nov 1, 2024
Operational/Managerial Control Nov 1, 2024
Managing Control - Governing BodyPresident Nov 1, 2024
Organization, San Clemente, CA Adp of the SNF Nov 1, 2024
885 Macbeth Drive PA Owner LLC Organization, San Clemente, CA LLC Adp of the SNF Nov 1, 2024
Frederick G Apt Individual Corporate OfficerTreasurer Nov 1, 2024
Operational/Managerial Control Nov 1, 2024
Managing Control - Governing BodyTreasurer Nov 1, 2024
Caretrust GP LLC Organization, San Clemente, CA LLC Adp of the SNF Feb 20, 2025
Providence Group NH, LLC Organization, Farmington, UT LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 1, 2024 100%
Operational/Managerial Control Nov 1, 2024
PA Holdco 2 Monroeville LLC Organization, San Clemente, CA LLC, Holding company Adp of the SNF Nov 1, 2024
Pacs Holdings, LLC Organization, Farmington, UT LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 1, 2024 100%
Operational/Managerial Control Nov 1, 2024
Joshua O Jergensen Individual Corporate OfficerPresident Nov 1, 2024
Operational/Managerial Control Nov 1, 2024
Managing Control - Governing BodyPresident Jan 1, 2024
Organization, San Clemente, CA Corporation Adp of the SNF Nov 1, 2024
Pacs Group, Inc. Organization, Farmington, UT Corporation, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 1, 2024 100%
Operational/Managerial Control Nov 1, 2024
Raja M Chakrapani Individual Adp of the SNF Feb 20, 2025
Mark D Hancock Individual 5% Or Greater Indirect Ownership InterestOwner Nov 1, 2024 35.2%
Adp of the SNF Nov 1, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 186

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 186

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1508601394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 N UNIVERSITY AVE",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 MACBETH DR",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463332",
            "telephone_number": "412-856-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROEVILLE SNF HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "385-988-3319"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monroeville Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.