Active NPI
Broomall Healthcare Group, Inc.
Doing business as Broomall Manor
- Skilled Nursing Facility
- Broomall, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- BROOMALL HEALTHCARE GROUP, INC.
- Doing business as
- Broomall Manor
- Practice address
- 43 Church LN
Broomall, PA 19008-2503 - Phone
- (610) 356-3003
- NPI assigned
- Apr 11, 2008
- 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 | Primary |
Addresses
Primary practice location
43 Church LN
Broomall, PA 19008-2503
Mailing address
23700 Commerce Park
Beachwood, OH 44122-5827
Phone (216) 292-5706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102143201-0001 | Medicaid | PA |
Other names 1
- BROOMALL MANOR
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080528000713 | PA | Part A Provider - Skilled Nursing Facility | 4486724853 | Practice locations: Broomall, PA |
Skilled nursing facility certification: CCN 395202
- Legal name
- BROOMALL HEALTHCARE GROUP, INC.
- Doing business as
- BROOMALL MANOR
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 24, 1967
- Last certification
- Oct 31, 2024
- Beds
- 123 (114 certified)
- Ownership / control type
- Corporation
- Multi-facility organization
- Broomall Healthcare Group, Inc
- Organization structure
- Corporation
- Incorporated
- Apr 7, 2008 in OH
- Enrollment address
- 43 Church LN
Broomall, PA 19008-2503 - Nursing home name
- BROOMALL MANOR
- Affiliated entity
- SABER HEALTHCARE GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Broomall Manor
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- May 24, 1967
- Medicare certification status
- Active
- Certified beds
- 114
- Chain
- Saber Healthcare Group
National Provider Directory
National Provider Directory- Tax ID family
- Broomall Healthcare Group Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Ownership & related parties
All disclosed owners & managing parties 21
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% |
| SHG Boa LLC | Adp of the SNF | Oct 7, 2025 | |
| 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% |
| Adp of the SNF | Mar 1, 2016 | ||
| Gregory Nicoluzakis | Corporate Officer | Mar 1, 2019 | |
| Adp of the SNF | Mar 1, 2019 | ||
| SHG Management LLC | Operational/Managerial Control | Sep 1, 2019 | |
| Adp of the SNF | Sep 1, 2019 | ||
| Saber Governance LLC | Adp of the SNF | Sep 1, 2019 | |
| Saber Healthcare Group LLC | Adp of the SNF | Apr 12, 2008 | |
| BNV Dynasty LLC | 5% Or Greater Indirect Ownership 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 | Apr 12, 2008 | |
| Kristin Marie Debello | Operational/Managerial Control | Feb 27, 2019 | |
| Adp of the SNF | Feb 27, 2019 | ||
| Wiw Dynasty LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 67% |
| TCF National Bank | Adp of the SNF | Jul 19, 2019 | |
| William I Weisberg | Corporate Officer | Apr 12, 2008 | |
| Corporate Director | Apr 12, 2008 | 50% | |
| Adp of the SNF | Apr 12, 2008 | ||
| RKL LLP | Adp of the SNF | Jan 26, 2023 | |
| Daniel S Martin | Adp of the SNF | Apr 12, 2008 | |
| 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% |
| SHG Mt, LLC | Adp of the SNF | Oct 7, 2025 |
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 122
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 Healthcare Holdings LLC, Saber PA Holdings, LLC, SHG Management LLC, Wiw Dynasty LLC
-
- Skilled Nursing Facility
- Frackville, PA
- NPI 1033619333
Saber PA Holdings, LLC, SHG Management LLC
-
dba Bryn Mawr Extended Care Center
- Skilled Nursing Facility
- Bryn Mawr, PA
- NPI 1801195524
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, SHG Management 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 Healthcare Holdings LLC, Saber PA Holdings, LLC, SHG Management 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 Healthcare Holdings LLC, Saber PA Holdings, LLC, SHG Management 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 Healthcare Holdings LLC, Saber PA Holdings, LLC, SHG Management 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 Healthcare Holdings LLC, Saber PA Holdings, LLC, SHG Management 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 Healthcare Holdings LLC, Saber PA Holdings, LLC, SHG Management 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, SHG Management 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 Healthcare Holdings LLC, Saber PA Holdings, LLC, SHG Management 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, SHG Management LLC, Wiw Dynasty LLC
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Wynnewood, PA
- NPI 1568499473
-
- Family Medicine Physician
- Springfield, PA
- NPI 1598767816
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": "1207872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641772800000",
"number": "1821261710",
"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": "43 CHURCH LN",
"city": "BROOMALL",
"state": "PA",
"postal_code": "190082503",
"telephone_number": "610-356-3003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOMALL HEALTHCARE GROUP, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SABER HEALTHCARE HOLDINGS, LLC",
"enumeration_date": "2008-04-11",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102143201-0001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BROOMALL MANOR",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BROOMALL MANOR",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Broomall, PA
- David Christopher Brooks, M.D., PH.D.
- Laura Winsor Brooks, P.A.
- Broomall Care Center LLC (Marple Gardens Rehabilitation and Nursing Center)
- Broomall Dental Health PC
- Broomall Eye Care, P.C.
- Broomall Medical Group, PC
- Broomall Operating Company LP (Broomall Rehabilitation & Nursing Center)
- Broomall Radiology Associates PC (Main Line Open MRI)
- Broomall Rehab Services Inc.
- Timothy J Brosnan, D.M.D.
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.