Organization Active NPI

Bryn Mawr Healthcare Group, LLC

Doing business as Bryn Mawr Extended Care Center

  • Skilled Nursing Facility
  • Bryn Mawr, PA
National Provider Identifier
1801195524
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SABER HEALTHCARE HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1026043810001MedicaidPA

Other names 1

  • Bryn Mawr Extended Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CenterCCN 395311 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 28, 1974
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
160151.2 residents per day on average
Chain
Saber Healthcare Group126 facilities in the chain
Penalties (3 years)
2Fines totaling $35,925

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
39D0901088Bryn Mawr Extended Care Center956 Railroad Avenue, Bryn Mawr, PA 19010Certificate of waiverNov 10, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Saber Healthcare Holdings LLC Organization, Beachwood, OH LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 31, 2023 100%
Michelle Taliaferro Individual Operational/Managerial Control Apr 11, 2024
Adp of the SNF Apr 11, 2024
SHG Boa LLC Organization, Beachwood, OH LLC Adp of the SNF Mar 1, 2016
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020) Organization, Beachwood, OH 5% Or Greater Indirect Ownership Interest Jan 1, 2023 33%
BHG Aviv LLC Organization, Hunt Valley, MD LLC, Real estate investment trust (REIT), Owned by another organization or individual 5% Or Greater Security Interest Mar 1, 2016 100%
Gregory Nicoluzakis Individual Corporate OfficerSecretary Mar 1, 2019
Adp of the SNF Mar 1, 2019
SHG Management LLC Organization, Beachwood, OH LLC Adp of the SNF Mar 1, 2016
Saber Governance LLC Organization, Beachwood, OH LLC, For-profit Operational/Managerial Control Sep 1, 2019 100%
BNV Dynasty LLC Organization, Beachwood, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 33%
General Partnership Interest Jan 1, 2023 33%
Benjamin N Volpe Individual Corporate OfficerVice President & Treasurer Mar 1, 2019
Corporate DirectorVice President & Treasurer Mar 1, 2019 50%
Adp of the SNF Mar 1, 2019
Saber PA Holdings, LLC Organization, Beachwood, OH LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 31, 2023 100%
Citrin Cooperman Advisors LLC Organization, Woodmere, OH LLC Adp of the SNF Jun 1, 2011
Andrew Graf Individual Adp of the SNF Jan 1, 2018
Wiw Dynasty LLC Organization, Beachwood, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 67%
General Partnership Interest Jan 1, 2023 67%
TCF National Bank Organization, Columbus, OH Financial institution Adp of the SNF Jul 19, 2019
William I Weisberg Individual Corporate OfficerPresident Mar 1, 2019
Corporate DirectorPresident Mar 1, 2019
RKL LLP Organization, Lancaster, PA Adp of the SNF Jan 26, 2023
Michelle a Carroll Individual Operational/Managerial ControlRegional VP of Operations Aug 25, 2024
Adp of the SNF Aug 25, 2024
Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020 Organization, Beachwood, OH 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.

View all 117

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.

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

Sources for this page

Verify at the official NPI Registry.