Active NPI
County of Allegheny
Doing business as John J Kane Regional Center-Glen Hazel
- Skilled Nursing Facility
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 364802
- Legal business name
- COUNTY OF ALLEGHENY
- Doing business as
- John J Kane Regional Center-Glen Hazel
- Practice address
- 955 Rivermont Dr
Pittsburgh, PA 15207-1347 - Phone
- (412) 422-6050
- Fax
- (412) 422-6966
- NPI assigned
- Oct 24, 2005
- 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
- Mr. David C Polinak
- Title
- Cfo
- Phone
- (412) 422-6050
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 364802 | PA | Primary |
Addresses
Primary practice location
955 Rivermont Dr
Pittsburgh, PA 15207-1347
Mailing address
955 Rivermont Dr
Attn: Chief Fiscal Officer
Pittsburgh, PA 15207-1347
Phone (412) 422-6050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007411200006 | Medicaid | PA | |
| 1007463050047 | Medicaid | PA |
Other names 1
- JOHN J KANE REGIONAL CENTER-GLEN HAZEL
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120822000147 | PA | Part A Provider - Skilled Nursing Facility | 6507992161 | Practice locations: Pittsburgh, PA |
Skilled nursing facility certification: CCN 395643
- Legal name
- COUNTY OF ALLEGHENY
- Doing business as
- JOHN J KANE REGIONAL CENTER - GLEN HAZEL
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 15, 1984
- Last certification
- Jun 6, 2025
- Beds
- 255
- Ownership / control type
- County
- Multi-facility organization
- Allegheny County
- Organization structure
- Government
- Enrollment address
- 955 Rivermont Dr
Attn Chief Fiscal Officer
Pittsburgh, PA 15207-1347 - Nursing home name
- JOHN J KANE REGIONAL CENTER-GL
Other NPIs with the same Medicare PAC ID 4
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba John J Kane Regional Center-McKeesport
- Skilled Nursing Facility
- McKeesport, PA
- NPI 1356331235
6507992161
-
dba Allegheny County Health Department
- Public Health or Welfare Agency
- Pittsburgh, PA
- NPI 1447231410
6507992161
-
dba John J Kane Regional Center-Ross TWP
- Skilled Nursing Facility
- Pittsburgh, PA
- NPI 1518957497
6507992161
-
dba John J Kane Regional Center-Scott TWP
- Skilled Nursing Facility
- Pittsburgh, PA
- NPI 1639169501
6507992161
Care Compare: Nursing home
Medicare Care Compare- Listed as
- John J Kane Regional Center-Gl
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Government - County
- Certified
- Feb 15, 1984
- Medicare certification status
- Active
- Certified beds
- 255
- 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 |
|---|---|---|---|
| 39D0656990 | John J Kane RGNL CNTR Glen Hazel | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- County of Allegheny Dep
Other organizations with this tax ID 7
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Kane Regional Center Glen Hazel Pharmacy
- Long Term Care Pharmacy
- Pittsburgh, PA
- NPI 1659449619
-
dba John J Kane Regional Center-McKeesport
- Skilled Nursing Facility
- McKeesport, PA
- NPI 1356331235
-
dba Allegheny County Health Department
- Public Health or Welfare Agency
- Pittsburgh, PA
- NPI 1447231410
-
dba John J Kane Regional Center-Ross TWP
- Skilled Nursing Facility
- Pittsburgh, PA
- NPI 1518957497
-
- Public Health or Welfare Agency
- Pittsburgh, PA
- NPI 1548500143
-
dba John J Kane Regional Center-Scott TWP
- Skilled Nursing Facility
- Pittsburgh, PA
- NPI 1639169501
-
dba Area Agency on Aging
- Public Health or Welfare Agency
- Pittsburgh, PA
- NPI 1902312275
Ownership & related parties
All disclosed owners & managing parties 48
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 |
|---|---|---|---|
| Adp of the SNF | Jul 10, 2025 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Adp of the SNF | Jul 10, 2025 | ||
| Adp of the SNF | Sep 27, 2021 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Adp of the SNF | Jul 10, 2025 | ||
| Adp of the SNF | Jul 10, 2025 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Melanie D. Droppa | Corporate Officer | Oct 1, 2022 | |
| Operational/Managerial Control | Jan 6, 2020 | ||
| Adp of the SNF | Oct 1, 2022 | ||
| Adp of the SNF | Jul 10, 2025 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Ronda Hutter | Operational/Managerial Control | Sep 24, 2008 | |
| Adp of the SNF | Sep 24, 2008 | ||
| Adp of the SNF | Jul 10, 2025 | ||
| Adp of the SNF | Jan 1, 2021 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Adp of the SNF | Jul 10, 2025 | ||
| Adp of the SNF | Jan 1, 2023 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Melissa Barcic | Operational/Managerial Control | Apr 30, 2018 | 75% |
| Adp of the SNF | Apr 30, 2018 | ||
| Adp of the SNF | Jun 1, 2011 | ||
| Adp of the SNF | Jul 10, 2025 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Adp of the SNF | Jul 1, 2025 | ||
| Adp of the SNF | Jul 10, 2025 | ||
| William McKain | Corporate Officer | Aug 1, 2012 | 100% |
| Rasonia Herring | Corporate Director | Aug 4, 2025 | |
| Operational/Managerial Control | Aug 4, 2025 | ||
| Adp of the SNF | Aug 4, 2025 | ||
| Adp of the SNF | Jun 1, 2011 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Adp of the SNF | Jul 10, 2025 | ||
| Adp of the SNF | Jul 10, 2025 | ||
| Adp of the SNF | Jul 10, 2025 | ||
| Adp of the SNF | Jul 10, 2025 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Adp of the SNF | Jan 1, 2020 |
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| John J Kane Regional Center - McKeesport | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jan 20, 1984 Jan 20, 1984 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba John J Kane Regional Center-McKeesport
- Skilled Nursing Facility
- McKeesport, PA
- NPI 1356331235
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Pittsburgh, PA
- NPI 1871567222
-
- Internal Medicine Physician
- Pittsburgh, PA
- NPI 1730105503
-
- Geriatric Medicine (Internal Medicine) Physician
- McKeesport, PA
- NPI 1871514802
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": "1130112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576627200000",
"number": "1669462537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 RIVERMONT DR",
"address_2": "ATTN: CHIEF FISCAL OFFICER",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152071347",
"telephone_number": "412-422-6050",
"fax_number": "412-422-6966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 RIVERMONT DR",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152071347",
"telephone_number": "412-422-6050",
"fax_number": "412-422-6966"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF ALLEGHENY",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-24",
"last_updated": "2019-12-18",
"certification_date": "2019-12-18",
"status": "A",
"authorized_official_last_name": "POLINAK",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "412-422-6050",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "364802",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007411200006",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007463050047",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "JOHN J KANE REGIONAL CENTER-GLEN HAZEL",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "JOHN J KANE REGIONAL CENTER-GLEN HAZEL",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pittsburgh, PA
- Malamo Countouris
- County of Allegheny (Allegheny County Health Department)
- County of Allegheny (John J Kane Regional Center-Ross TWP)
- County of Allegheny
- County of Allegheny (John J Kane Regional Center-Scott TWP)
- County of Allegheny (Area Agency on Aging)
- Caitlin Delee Couper, MD
- Anita Courcoulas
- Richard Courson
- Keri Courtnage
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.