Active NPI
Bryn Mawr Healthcare Group, LLC
Doing business as Bryn Mawr Extended Care Center
- Skilled Nursing Facility
- Bryn Mawr, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- BRYN MAWR HEALTHCARE GROUP, LLC
- Doing business as
- Bryn Mawr Extended Care Center
- Practice address
- 956 E Railroad Ave
Bryn Mawr, PA 19010-3831 - Phone
- (610) 525-8412
- Fax
- (610) 525-0537
- NPI assigned
- Mar 21, 2011
- Last updated
- Jan 10, 2022
- Organization subpart
- Yes
- Parent organization
- SABER HEALTHCARE HOLDINGS, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William I Weisberg
- Title
- President
- Phone
- (216) 292-5706
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
956 E Railroad Ave
Bryn Mawr, PA 19010-3831
Mailing address
23700 Commerce Park
Beachwood, OH 44122-5827
Phone (216) 292-5706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1026043810001 | Medicaid | PA |
Other names 1
- Bryn Mawr Extended Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110809000317 | PA | Part A Provider - Skilled Nursing Facility | 1557530565 | Practice locations: Bryn Mawr, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1801195524. Details of each certification follow.
Skilled nursing facility certification: CCN 395311
- Legal name
- BRYN MAWR HEALTHCARE GROUP, LLC
- Doing business as
- BRYN MAWR EXTENDED CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 28, 1974
- Last certification
- Apr 10, 2025
- Beds
- 160
- Ownership / control type
- Corporation
- Multi-facility organization
- Saber Healthcare
- Organization structure
- LLC
- Incorporated
- Feb 15, 2011 in OH
- Enrollment address
- 956 Railroad Avenue
Bryn Mawr, PA 19010-3831 - Nursing home name
- BRYN MAWR EXTENDED CARE CENTER
- Affiliated entity
- SABER HEALTHCARE GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Bryn Mawr Extended Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- May 28, 1974
- Medicare certification status
- Active
- Certified beds
- 160
- Chain
- Saber Healthcare Group
- Penalties (3 years)
- 2
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 |
|---|---|---|---|
| 39D0901088 | Bryn Mawr Extended Care Center | Certificate of waiver | Nov 10, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 19
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 |
|---|---|---|---|
| Saber Healthcare Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 31, 2023 | 100% |
| Michelle Taliaferro | Operational/Managerial Control | Apr 11, 2024 | |
| Adp of the SNF | Apr 11, 2024 | ||
| SHG Boa LLC | Adp of the SNF | Mar 1, 2016 | |
| Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020) | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 33% |
| BHG Aviv LLC | 5% Or Greater Security Interest | Mar 1, 2016 | 100% |
| Gregory Nicoluzakis | Corporate Officer | Mar 1, 2019 | |
| Adp of the SNF | Mar 1, 2019 | ||
| SHG Management LLC | Adp of the SNF | Mar 1, 2016 | |
| Saber Governance LLC | Operational/Managerial Control | Sep 1, 2019 | 100% |
| BNV Dynasty LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 33% |
| General Partnership Interest | Jan 1, 2023 | 33% | |
| Benjamin N Volpe | Corporate Officer | Mar 1, 2019 | |
| Corporate Director | Mar 1, 2019 | 50% | |
| Adp of the SNF | Mar 1, 2019 | ||
| Saber PA Holdings, LLC | 5% Or Greater Direct Ownership Interest | Dec 31, 2023 | 100% |
| Citrin Cooperman Advisors LLC | Adp of the SNF | Jun 1, 2011 | |
| Andrew Graf | Adp of the SNF | Jan 1, 2018 | |
| Wiw Dynasty LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 67% |
| General Partnership Interest | Jan 1, 2023 | 67% | |
| TCF National Bank | Adp of the SNF | Jul 19, 2019 | |
| William I Weisberg | Corporate Officer | Mar 1, 2019 | |
| Corporate Director | Mar 1, 2019 | ||
| RKL LLP | Adp of the SNF | Jan 26, 2023 | |
| Michelle a Carroll | Operational/Managerial Control | Aug 25, 2024 | |
| Adp of the SNF | Aug 25, 2024 | ||
| Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020 | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 67% |
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 117
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Ambler Extended Care Center
- Skilled Nursing Facility
- Ambler, PA
- NPI 1063711786
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Frackville, PA
- NPI 1033619333
Saber PA Holdings, LLC
-
dba Broomall Manor
- Skilled Nursing Facility
- Broomall, PA
- NPI 1821261710
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Harrisburg, PA
- NPI 1447961636
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, Wiw Dynasty LLC
-
dba Twin Pines Health Care Center
- Skilled Nursing Facility
- Chatham, PA
- NPI 1568600849
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Fort Washington, PA
- NPI 1538676036
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, Wiw Dynasty LLC
-
dba Dunmore Health Care Center
- Skilled Nursing Facility
- Dunmore, PA
- NPI 1942423454
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Pittsburgh, PA
- NPI 1720790769
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Elkins Park, PA
- NPI 1932609237
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, Wiw Dynasty LLC
-
dba Green Ridge Care Center
- Skilled Nursing Facility
- Scranton, PA
- NPI 1194015784
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Greensburg, PA
- NPI 1245941442
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Governance LLC, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Cheswick, PA
- NPI 1033820246
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020), BNV Dynasty LLC, Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020, Saber Healthcare Holdings LLC, Saber PA Holdings, LLC, Wiw Dynasty LLC
Practitioners & affiliated clinicians
Practitioners 4
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
- Plymouth Meeting, PA
- NPI 1316108269
-
- Internal Medicine Physician
- Plymouth Meeting, PA
- NPI 1063892255
-
- Internal Medicine Physician
- Wynnewood, PA
- NPI 1639100043
-
- Internal Medicine Physician
- Plymouth Meeting, PA
- NPI 1902395957
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": "1300665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641772800000",
"number": "1801195524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23700 COMMERCE PARK",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225827",
"telephone_number": "216-292-5706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "956 E RAILROAD AVE",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190103831",
"telephone_number": "610-525-8412",
"fax_number": "610-525-0537"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRYN MAWR HEALTHCARE GROUP, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SABER HEALTHCARE HOLDINGS, LLC",
"enumeration_date": "2011-03-21",
"last_updated": "2022-01-10",
"certification_date": "2022-01-10",
"status": "A",
"authorized_official_last_name": "WEISBERG",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "216-292-5706"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1026043810001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bryn Mawr Extended Care Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Bryn Mawr Extended Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bryn Mawr, PA
- Bryn Mawr College Health Center
- Bryn Mawr Dental Associates LTD
- Bryn Mawr Dental Health Group Inc
- Bryn Mawr Dental LLC
- Bryn Mawr Foot & Ankle Center, LLC
- Bryn Mawr Imaging
- Bryn Mawr Medical Specialists Association
- Bryn Mawr Medical Specialists Association
- Bryn Mawr Medical Specialists Association
- Bryn Mawr Medical Specialists Association
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.