Active NPI
60 Highland Road Operations LLC
Doing business as Bethel Park Skilled Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Bethel Park, PA
National Provider Identifier
1689384489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- 60 HIGHLAND ROAD OPERATIONS LLC
- Doing business as
- Bethel Park Skilled Nursing and Rehabilitation Center
- Practice address
- 60 Highland Rd
Bethel Park, PA 15102-1806 - Phone
- (412) 831-6050
- NPI assigned
- Dec 2, 2022
- Last updated
- Jan 6, 2023
- Organization subpart
- Yes
- Parent organization
- GENESIS PM PA OPERATIONS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michaeal T Berg, JD
- Title
- VP and Asst Secretary
- Phone
- (505) 468-4742
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
60 Highland Rd
Bethel Park, PA 15102-1806
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Phone (610) 444-6350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1020605390001 | Medicaid | PA |
Other names 1
- BETHEL PARK SKILLED NURSING AND REHABILITATION CENTER
National Provider Directory
National Provider DirectoryLocations
60 Highland Rd
#119B
Bethel Park, PA 15102
Phone (412) 831-6050
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.
-
- Internal Medicine Physician
- Pittsburgh, PA
- NPI 1275597619
-
- Family Medicine Physician
- Pittsburgh, PA
- NPI 1790777415
-
- Occupational Therapy Assistant
- Bethel Park, PA
- NPI 1962278358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669939200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672963200000",
"number": "1689384489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E STATE ST",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193483109",
"telephone_number": "610-444-6350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 HIGHLAND RD",
"city": "BETHEL PARK",
"state": "PA",
"postal_code": "151021806",
"telephone_number": "412-831-6050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "60 HIGHLAND ROAD OPERATIONS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GENESIS PM PA OPERATIONS LLC",
"enumeration_date": "2022-12-02",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A",
"authorized_official_last_name": "BERG",
"authorized_official_first_name": "MICHAEAL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "VP AND ASST SECRETARY",
"authorized_official_telephone_number": "505-468-4742",
"authorized_official_credential": "JD"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1020605390001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BETHEL PARK SKILLED NURSING AND REHABILITATION CENTER",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BETHEL PARK SKILLED NURSING AND REHABILITATION CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bethel Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.