Organization Active NPI

Vincentian Home

  • Skilled Nursing Facility
  • Pittsburgh, PA
National Provider Identifier
1629074935
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1007499890003MedicaidPA
0647OtherPAHIGHMARK PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 HomeCCN 395034 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10687.9 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)

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
39D0179505Vincentian Home111 Perrymont Road, Pittsburgh, PA 15237Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Christopher Azzara Individual Corporate DirectorBoard Member May 1, 2016
Amy Strano Individual Corporate DirectorBoard Member Jun 3, 2020
Craig Ball Individual Corporate OfficerBoard Member Sep 28, 2023
Vincentian Collaborative System Organization, Pittsburgh, PA Non-profit Operational/Managerial Control Feb 17, 1995
Debra Wolf Individual Corporate DirectorBoard Member Jun 17, 2020
Elaine Bellin Individual Corporate DirectorBoard Member Apr 1, 2018
Kathleen English Individual Corporate DirectorBoard Member May 1, 2019
Christopher G Koman Individual Adp of the SNF Feb 26, 2025
Rachel Wall Individual Corporate DirectorBoard Member Feb 27, 2020
Antoinette Severin Individual Corporate DirectorBoard Member Nov 1, 2018
Terence Hart Individual Corporate DirectorBoard Member Nov 1, 2011
Thomas Baker Individual Corporate OfficerBoard Member Sep 7, 2023
Christine Beckett Individual Corporate DirectorBoard Member Sep 1, 2017
Dean Owrey Individual Corporate OfficerPresident & Ceo Nov 1, 2021
Operational/Managerial Control Nov 1, 2021
Samantha Romito Individual 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.

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.

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

Sources for this page

Verify at the official NPI Registry.