Active NPI
Providence Health & Rehab Center, LLC
- Skilled Nursing Facility
- Beaver Falls, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- PROVIDENCE HEALTH & REHAB CENTER, LLC
- Practice address
- 900 3Rd Ave
Beaver Falls, PA 15010-4613 - Phone
- (724) 846-8504
- NPI assigned
- Dec 21, 2022
- Last updated
- Dec 21, 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 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
900 3Rd Ave
Beaver Falls, PA 15010-4613
Mailing address
23700 Commerce Park
Beachwood, OH 44122-5827
Phone (216) 292-5706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230717002601 | PA | Part A Provider - Skilled Nursing Facility | 7719347194 | Practice locations: Beaver Falls, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1912619966. Details of each certification follow.
Skilled nursing facility certification: CCN 395682
- Legal name
- PROVIDENCE HEALTH & REHAB CENTER, LLC
- Doing business as
- PROVIDENCE HEALTH & REHAB CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 16, 1984
- Last certification
- Sep 13, 2024
- Beds
- 180
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Saber Healthcare
- Organization structure
- LLC
- Incorporated
- Sep 29, 2022 in PA
- Enrollment address
- 900 3Rd Ave
Beaver Falls, PA 15010-4613 - Nursing home name
- PROVIDENCE HEALTH & REHAB CENTER
- Affiliated entity
- SABER HEALTHCARE GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Providence Health & Rehab Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Nov 16, 1984
- Medicare certification status
- Active
- Certified beds
- 180
- Chain
- Saber Healthcare Group
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 12
National Provider Directory
National Provider DirectoryLocations
900 3rd Ave
Beaver Falls, PA 15010
Phone 412963915010149
Ownership & related parties
All disclosed owners & managing parties 20
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 | Jul 1, 2023 | 100% |
| Adp of the SNF | Jul 1, 2023 | ||
| Western PA Mt LLC | Adp of the SNF | Oct 6, 2025 | |
| Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020) | 5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 33% |
| Adp of the SNF | Jul 1, 2023 | ||
| Gregory Nicoluzakis | Corporate Officer | Jul 1, 2023 | |
| Adp of the SNF | Jul 1, 2023 | ||
| SHG Management LLC | Operational/Managerial Control | Jul 1, 2023 | |
| Adp of the SNF | Jul 1, 2023 | ||
| Saber Governance LLC | Adp of the SNF | Jul 1, 2023 | |
| Saber Healthcare Group LLC | Adp of the SNF | Jul 1, 2023 | |
| BNV Dynasty LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 33% |
| Adp of the SNF | Jul 1, 2023 | ||
| Benjamin N Volpe | Corporate Officer | Jul 1, 2023 | |
| Corporate Director | Jul 1, 2023 | 50% | |
| Adp of the SNF | Jul 1, 2023 | ||
| Saber PA Holdings, LLC | 5% Or Greater Direct Ownership Interest | Jul 1, 2023 | 100% |
| Nicole Bobitski | Operational/Managerial Control | Jul 8, 2024 | |
| Adp of the SNF | Jul 8, 2024 | ||
| Chris M Gehrlein | Adp of the SNF | Jun 1, 2024 | |
| Citrin Cooperman Advisors LLC | Adp of the SNF | Jul 1, 2023 | |
| Wiw Dynasty LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 67% |
| Adp of the SNF | Jul 1, 2023 | ||
| Providence Re Group, LLC | Adp of the SNF | Jun 30, 2023 | |
| William I Weisberg | Corporate Officer | Jul 1, 2023 | |
| Corporate Director | Jul 1, 2023 | 50% | |
| Adp of the SNF | Jul 1, 2023 | ||
| RKL LLP | Adp of the SNF | Jul 1, 2023 | |
| Thomas Parsons | Operational/Managerial Control | Oct 21, 2024 | |
| Adp of the SNF | Oct 21, 2024 | ||
| Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020 | 5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 67% |
| Adp of the SNF | Jul 1, 2023 |
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 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, SHG Management LLC, Wiw Dynasty 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
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Aliquippa, PA
- NPI 1952368730
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": "1671580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671580800000",
"number": "1912619966",
"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": "900 3RD AVE",
"city": "BEAVER FALLS",
"state": "PA",
"postal_code": "150104613",
"telephone_number": "724-846-8504"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROVIDENCE HEALTH & REHAB CENTER, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SABER HEALTHCARE HOLDINGS, LLC",
"enumeration_date": "2022-12-21",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A",
"authorized_official_last_name": "WEISBERG",
"authorized_official_first_name": "WILLIAM",
"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": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaver Falls, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.