Active NPI
Vincentian Home
- Skilled Nursing Facility
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- VINCENTIAN HOME
- Practice address
- 111 Perrymont Rd
Pittsburgh, PA 15237-5239 - Phone
- (412) 366-5600
- Fax
- (412) 366-1408
- NPI assigned
- Jun 22, 2005
- Last updated
- Oct 31, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sister Anne Kull, NHA
- Title
- Administrator
- Phone
- (412) 366-5600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
111 Perrymont Rd
Pittsburgh, PA 15237-5239
Mailing address
8250 Babcock Blvd
Pittsburgh, PA 15237-5825
Phone (412) 548-4073
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007499890003 | Medicaid | PA | |
| 0647 | Other | PA | HIGHMARK PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120508000078 | PA | Part A Provider - Skilled Nursing Facility | 6002078193 | Practice locations: Pittsburgh, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1629074935. Details of each certification follow.
Skilled nursing facility certification: CCN 395034
- Legal name
- VINCENTIAN HOME
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1967
- Last certification
- May 2, 2025
- Beds
- 106
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Vincentian Collaberative System
- Organization structure
- Corporation
- Incorporated
- Jul 5, 1983 in PA
- Enrollment address
- 111 Perrymont Rd
Pittsburgh, PA 15237-5246 - Nursing home name
- VINCENTIAN HOME
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Vincentian Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 106
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0179505 | Vincentian Home | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
111 Perrymont Rd
Pittsburgh, PA 15237
Phone (412) 348-1593
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Christopher Azzara | Corporate Director | May 1, 2016 | |
| Amy Strano | Corporate Director | Jun 3, 2020 | |
| Craig Ball | Corporate Officer | Sep 28, 2023 | |
| Vincentian Collaborative System | Operational/Managerial Control | Feb 17, 1995 | |
| Debra Wolf | Corporate Director | Jun 17, 2020 | |
| Elaine Bellin | Corporate Director | Apr 1, 2018 | |
| Kathleen English | Corporate Director | May 1, 2019 | |
| Christopher G Koman | Adp of the SNF | Feb 26, 2025 | |
| Rachel Wall | Corporate Director | Feb 27, 2020 | |
| Antoinette Severin | Corporate Director | Nov 1, 2018 | |
| Terence Hart | Corporate Director | Nov 1, 2011 | |
| Thomas Baker | Corporate Officer | Sep 7, 2023 | |
| Christine Beckett | Corporate Director | Sep 1, 2017 | |
| Dean Owrey | Corporate Officer | Nov 1, 2021 | |
| Operational/Managerial Control | Nov 1, 2021 | ||
| Samantha Romito | Operational/Managerial Control | Oct 15, 2023 | |
| Adp of the SNF | Feb 26, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Pittsburgh, PA
- NPI 1437149002
Adp of the SNF
Practitioners & affiliated clinicians
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.
-
- Family Medicine Physician
- Pittsburgh, PA
- NPI 1437149002
-
- Internal Medicine Physician
- Pittsburgh, PA
- NPI 1417910704
-
- Internal Medicine Physician
- Bellevue, PA
- NPI 1851361315
Affiliated clinicians 3
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": "1119398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320019200000",
"number": "1629074935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8250 BABCOCK BLVD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152375825",
"telephone_number": "412-548-4073",
"fax_number": "412-348-0186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 PERRYMONT RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152375239",
"telephone_number": "412-366-5600",
"fax_number": "412-366-1408"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VINCENTIAN HOME",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-22",
"last_updated": "2011-10-31",
"status": "A",
"authorized_official_last_name": "KULL",
"authorized_official_first_name": "SISTER ANNE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "412-366-5600",
"authorized_official_credential": "NHA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007499890003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK PROVIDER NUMBER",
"identifier": "0647",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
- Angela Marie Vincent, MS, LPC
- Molly Gildea Vincent, PA-C
- Rochanne L Vincent, LCSW
- Vincentian Collaborative System Rehabilitation Services (Vincentian Rehabilitation Services)
- Vincentian de Marillac
- Vincett Eye Care Associates LTD
- William K Vincett Jr., O.D.
- Michaela Ruth Vindel, TRAINED BIRTH DOULA
- Carey Thomas Vinson, M.D.
- Victoria Viola
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.