NPIMap

Organization Active NPI

Loyalsock Operating LLC

  • Skilled Nursing Facility
  • Montoursville, PA
National Provider Identifier
1912629296
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LOYALSOCK OPERATING LLC
Practice address
1445 Sycamore Rd
Montoursville, PA 17754-9519
Phone
(570) 601-8100
NPI assigned
Sep 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gedaliah Wielgus
Title
Authorized Officail
Phone
(570) 601-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1445 Sycamore Rd
Montoursville, PA 17754-9519

Mailing address

395 Pearsall Ave Ste K
Cedarhurst, NY 11516-1828

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230814000302 PA Part A Provider - Skilled Nursing Facility 0648632372 Practice locations: Montoursville, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912629296. Details of each certification follow.

Skilled nursing facility certification: CCN 395379

Legal name
LOYALSOCK OPERATING LLC
Doing business as
WECARE AT LOYALSOCK REHABILITATION AND NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 1978
Last certification
Feb 21, 2025
Beds
133
Ownership / control type
Limited Liability Corporation
Multi-facility organization
WeCare HCC
Organization structure
LLCProprietary
Enrollment address
1445 Sycamore Rd
Montoursville, PA 17754-9519
Nursing home name
WECARE AT SYCAMORE REHABILITATION AND NURSING CENT
Affiliated entity
WECARE CENTERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Wecare at Sycamore Rehabilitation and Nursing CentCCN 395379 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
133119.9 residents per day on average
Chain
Wecare Centers13 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Loyalsock Operating LLC Organization, Cedarhurst, NY LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Nov 17, 2022 100%
Operational/Managerial Control Nov 17, 2022
Crestview 360 Holdings LLC Organization, Hewlett, NY LLC, Holding company Adp of the SNF Nov 17, 2022
Virginia Creveling Individual Operational/Managerial Control Feb 17, 2025
Managing Control - Governing BodyAdministrator Feb 17, 2025
Adp of the SNF Feb 17, 2025
Eli Korn Individual 5% Or Greater Indirect Ownership Interest Nov 17, 2022 20%
Gedaliah Wielgus Individual 5% Or Greater Indirect Ownership Interest Nov 17, 2022 40%
Corporate OfficerAo 1 Nov 17, 2022
Operational/Managerial Control Nov 17, 2022
Managing Control - Governing BodyManaging Member of SNF Nov 17, 2022
Adp of the SNF Nov 17, 2022
1445 Sycamore Realty LLC Organization, Lakewood, NJ LLC, Investment firm Adp of the SNF Nov 17, 2022
Wecare HCC LLC Organization, Cedarhurst, NY LLC, Management services company, Consulting firm Operational/Managerial Control Nov 17, 2022
Adp of the SNF Nov 17, 2022
Crestview 720 Trust Organization, Hewlett, NY Adp of the SNF Nov 17, 2022
Boris Goralnik Individual Operational/Managerial Control Oct 26, 2023
Adp of the SNF Oct 26, 2023
Aryeh Grinspan Individual 5% Or Greater Indirect Ownership Interest Nov 17, 2022 40%
Corporate OfficerAo 2 Nov 17, 2022
Operational/Managerial Control Nov 17, 2022
Managing Control - Governing BodyMember Nov 17, 2022
Adp of the SNF Nov 17, 2022

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Boris Goralnik, MD
    • Geriatric Medicine (Internal Medicine) Physician
    • Williamsport, PA
    • NPI 1366776742

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

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": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1912629296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 PEARSALL AVE STE K",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 SYCAMORE RD",
            "city": "MONTOURSVILLE",
            "state": "PA",
            "postal_code": "177549519",
            "telephone_number": "570-601-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOYALSOCK OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A",
        "authorized_official_last_name": "WIELGUS",
        "authorized_official_first_name": "GEDALIAH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICAIL",
        "authorized_official_telephone_number": "570-601-8100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montoursville, PA

Sources for this page

Verify at the official NPI Registry.