Bedford SNF Healthcare LLC
Organization Active NPI Skilled Nursing Facility · Bedford, PA
NPI 1821832775 · NPPES record last updated Aug 21, 2024
Key facts
- NPI
- 1821832775
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- BEDFORD SNF HEALTHCARE LLC
- Practice address
- 136 Donahue Manor Rd
Bedford, PA 15522-9728 - Phone
- (814) 623-9075
- NPI assigned
- Jun 24, 2024
- Organization subpart
- No
Authorized official
- Name
- John Mitchell
- Title
- Secretary
- Phone
- (385) 988-3319
Owners & managing parties with NPI records 1
Practitioners 1
Affiliated clinicians 2
Medicare Care Compare: Nursing home
- Listed as
- Bedford Post Acute
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Aug 1, 1968
- Medicare certification status
- Active
- Certified beds
- 72 · 63.9 residents per day on average
- Chain
- Pacs Group
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0668013 | Bedford Post Acute | Certificate of waiver | Oct 7, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Skilled nursing facility certification: CCN 395221
- Legal name
- BEDFORD SNF HEALTHCARE LLC
- Doing business as
- BEDFORD POST ACUTE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 1, 1968
- Last certification
- Aug 1, 2024
- Beds
- 72
- Ownership / control type
- Corporation
- Multi-facility organization
- PAC's
- Organization structure
- LLC · Proprietary
- Enrollment address
- 136 Donahue Manor Rd
Bedford, PA 15522-9728 - Nursing home name
- BEDFORD POST ACUTE
- Affiliated entity
- PACS GROUP
All disclosed owners & managing parties 7
| Name | Role | Since | Share |
|---|---|---|---|
| Maria Fisher |
Operational/Managerial Control | Nov 1, 2024 | |
| Adp of the SNF | Nov 1, 2024 | ||
| Jason H Murray |
5% Or Greater Indirect Ownership Interest | Nov 1, 2024 | 35.2% |
| Adp of the SNF | Nov 1, 2024 | ||
| John T Mitchell |
Operational/Managerial Control | Nov 1, 2024 | |
| Managing Control - Governing Body |
Nov 1, 2024 | ||
| George M Zubak |
Adp of the SNF | Nov 1, 2024 | |
| Frederick G Apt |
Operational/Managerial Control | Nov 1, 2024 | |
| Managing Control - Governing Body |
Nov 1, 2024 | ||
| Joshua O Jergensen |
Operational/Managerial Control | Nov 1, 2024 | |
| Managing Control - Governing Body |
Nov 1, 2024 | ||
| Mark D Hancock |
5% Or Greater Indirect Ownership Interest | Nov 1, 2024 | 35.2% |
| Adp of the SNF | Nov 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250205003503 | PA | Part a Provider - Skilled Nursing Facility | 7416487400 | Practice locations: Bedford, PA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
136 Donahue Manor Rd
Bedford, PA 15522-9728
Mailing address
262 N University Ave
Farmington, UT 84025-2975
Other names
- Bedford Post Acute
Other providers in Bedford, PA
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- Bedford Family Wellness LLC
- Bedford Medical Center
- Bedford Regional Foot & Ankle Care, LLC
- Bedford Somerset Developmental and Behavioral Health Services
- Bedford Wellness Center LLC
- Bedford-Somerset Developmental and Behavioral Health Services
- Bedford-Somerset Developmental and Behavioral Health Services
- Bedford-Somerset Developmental and Behavioral Health Services
All providers in Bedford, PA · Skilled Nursing Facility in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.