Organization Active NPI

Julia Ribaudo Healthcare Group, LLC

  • Skilled Nursing Facility
  • Lake Ariel, PA
National Provider Identifier
1831498567
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
101802 Issued in PA
Legal business name
JULIA RIBAUDO HEALTHCARE GROUP, LLC
Practice address
1404 Golf Park Dr
Lake Ariel, PA 18436-4252
Phone
(570) 698-5647
Fax
(570) 698-7742
NPI assigned
Mar 21, 2011
Organization subpart
Yes
Parent organization
SABER HEALTHCARE HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 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 101802 PA Primary

Addresses

Primary practice location

1404 Golf Park Dr
Lake Ariel, PA 18436-4252

Mailing address

23700 Commerce Park
Beachwood, OH 44122-5827
Phone (216) 292-5706

Other identifiers 1

IdentifierTypeStateIssuer
102602636 0002MedicaidPA

Other names 1

  • Julia Ribaudo 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
O20110712000445 PA Part A Provider - Skilled Nursing Facility 8729256045 Practice locations: Lake Ariel, PA

Skilled nursing facility certification: CCN 395493

Legal name
JULIA RIBAUDO HEALTHCARE GROUP, LLC
Doing business as
JULIA RIBAUDO EXTENDED CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 27, 1981
Last certification
Oct 11, 2024
Beds
120 (119 certified)
Ownership / control type
Corporation
Multi-facility organization
Saber Healthcare Group
Organization structure
LLCProprietary
Enrollment address
1404 Golf Park Drive
Julia Ribaudo Extended Care Center
Lake Ariel, PA 18436-4252
Nursing home name
JULIA RIBAUDO EXTENDED CARE CENTER
Affiliated entity
SABER HEALTHCARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Julia Ribaudo Extended Care CenterCCN 395493
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 27, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11987.5 residents per day on average
Chain
Saber Healthcare Group126 facilities in the chain
Penalties (3 years)
1Fines totaling $0

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
39D0892557Julia Ribaudo Extended Care Center1404 Golf Park Drive, Lake Ariel, PA 18436Certificate of waiverJan 13, 2027

National Provider Directory

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.

NameRoleSinceShare
Saber Healthcare Holdings LLC Organization, Beachwood, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 31, 2023 100%
SHG Boa LLC Organization, Beachwood, OH LLC Adp of the SNF Dec 17, 2025
Deborah Drake Individual Operational/Managerial Control Aug 24, 2021
Adp of the SNF Aug 24, 2021
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020) Organization, Beachwood, OH Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 33%
BHG Aviv LLC Organization, Hunt Valley, MD LLC 5% Or Greater Security Interest Mar 1, 2016 100%
Adp of the SNF Mar 1, 2016
Huntington National Bank Organization, Columbus, OH Corporation Adp of the SNF Jul 19, 2019
Gregory Nicoluzakis Individual Corporate OfficerSecretary Mar 1, 2019
Adp of the SNF Mar 1, 2019
SHG Management LLC Organization, Beachwood, OH LLC Operational/Managerial Control Sep 1, 2019
Adp of the SNF Sep 1, 2019
Saber Governance LLC Organization, Beachwood, OH LLC Adp of the SNF Sep 1, 2019
Jamie a Hopkins Individual Adp of the SNF Oct 25, 2023
Saber Healthcare Group LLC Organization, Beachwood, OH LLC, Chain home office Adp of the SNF Jun 1, 2011
BNV Dynasty LLC Organization, Beachwood, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership 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, 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
Wiw Dynasty LLC Organization, Beachwood, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 67%
William I Weisberg Individual Corporate OfficerPresident Mar 1, 2019
Corporate DirectorPresident Mar 1, 2019 50%
Adp of the SNF Jun 1, 2011
RKL LLP Organization, Lancaster, PA Adp of the SNF Jan 26, 2023
Lori Sakalas Individual Operational/Managerial Control May 6, 2024
Adp of the SNF May 6, 2024
Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020 Organization, Beachwood, OH Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 67%
SHG Mt, LLC Organization, Beachwood, OH LLC Adp of the SNF Dec 17, 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.

View all 122

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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": "1642118400000",
    "number": "1831498567",
    "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": "1404 GOLF PARK DR",
            "city": "LAKE ARIEL",
            "state": "PA",
            "postal_code": "184364252",
            "telephone_number": "570-698-5647",
            "fax_number": "570-698-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIA RIBAUDO HEALTHCARE GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SABER HEALTHCARE HOLDINGS, LLC",
        "enumeration_date": "2011-03-21",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "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": "PA",
            "license": "101802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102602636 0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Julia Ribaudo Extended Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Julia Ribaudo Extended Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Ariel, PA

Sources for this page

Verify at the official NPI Registry.