Active NPI
400 McKinley Avenue Operations LLC
Doing business as Pine View Center
- Skilled Nursing Facility
- Harrisville, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- 400 MCKINLEY AVENUE OPERATIONS LLC
- Doing business as
- Pine View Center
- Practice address
- 400 McKinley Ave
Harrisville, WV 26362-1150 - Phone
- (304) 643-2712
- NPI assigned
- Oct 2, 2023
- Last updated
- Oct 2, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Berg
- Title
- Assistant Secretary
- Phone
- (610) 444-6350
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
400 McKinley Ave
Harrisville, WV 26362-1150
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Other names 1
- Pine View Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240213000785 | WV | Part A Provider - Skilled Nursing Facility | 3173966595 | Practice locations: Harrisville, WV |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1982484671. Details of each certification follow.
Skilled nursing facility certification: CCN 515184
- Legal name
- 400 MCKINLEY AVENUE OPERATIONS LLC
- Doing business as
- PINE VIEW CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 1, 2003
- Last certification
- Oct 30, 2024
- Beds
- 56
- Ownership / control type
- Corporation
- Multi-facility organization
- Genesis
- Organization structure
- LLC
- Incorporated
- Oct 3, 2023 in WV
- Enrollment address
- 400 McKinley Ave
Harrisville, WV 26362-1150 - Nursing home name
- PINE VIEW CENTER
- Affiliated entity
- GENESIS HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Pine View Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Aug 1, 2003
- Medicare certification status
- Active
- Certified beds
- 56
- Chain
- Genesis Healthcare
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 51D0236464 | 400 McKinley Avenue Operations LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 23
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 |
|---|---|---|---|
| Laura Bridgeford | Corporate Officer | Apr 1, 2024 | |
| Julie Brenneman | Operational/Managerial Control | Jun 1, 2024 | |
| Adp of the SNF | Jun 1, 2024 | ||
| HCCF Management Group XI LLC | 5% Or Greater Indirect Ownership Interest | Nov 1, 2023 | 10.8% |
| General Partnership Interest | Apr 1, 2024 | 10.8% | |
| Gen Operations I LLC | 5% Or Greater Indirect Ownership Interest | Nov 1, 2023 | 100% |
| Gen Operations II LLC | 5% Or Greater Indirect Ownership Interest | Nov 1, 2023 | 100% |
| Diane Louise Morris | Operational/Managerial Control | Dec 23, 2023 | |
| Adp of the SNF | Jun 1, 2024 | ||
| FC-Gen Operations Investment LLC | 5% Or Greater Indirect Ownership Interest | Nov 1, 2023 | 100% |
| Jacob Wayne Helsel | Operational/Managerial Control | Jun 1, 2024 | |
| Adp of the SNF | Jun 1, 2024 | ||
| Adp of the SNF | Apr 3, 2025 | ||
| Adp of the SNF | Apr 3, 2025 | ||
| Sundance Rehabilitation Holdco Inc | 5% Or Greater Indirect Ownership Interest | Nov 1, 2023 | 5.2% |
| General Partnership Interest | Apr 1, 2024 | 5.2% | |
| Genesis Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Nov 1, 2023 | 100% |
| Sun Healthcare Group Inc | 5% Or Greater Indirect Ownership Interest | Nov 1, 2023 | 65.3% |
| General Partnership Interest | Apr 1, 2024 | 65.3% | |
| Welltower Op, LLC | 5% Or Greater Indirect Ownership Interest | Jun 1, 2024 | 5.7% |
| General Partnership Interest | Nov 1, 2023 | 5.7% | |
| Adp of the SNF | Apr 2, 2025 | ||
| Arnold M Whitman | 5% Or Greater Indirect Ownership Interest | Nov 1, 2023 | 10.8% |
| Genesis Healthcare Inc | 5% Or Greater Indirect Ownership Interest | Nov 1, 2023 | 100% |
| Zac Properties XI LLC | 5% Or Greater Indirect Ownership Interest | Nov 1, 2023 | 7.6% |
| Indirect Ownership Interest | Apr 1, 2024 | 7.6% | |
| Steven E Fishman | 5% Or Greater Indirect Ownership Interest | Nov 1, 2023 | 5.7% |
| Indirect Ownership Interest | Apr 1, 2024 | 7.6% | |
| Avi Pinchas Mendelson | Corporate Officer | Apr 1, 2024 | |
| Michael T Berg | Corporate Officer | Nov 1, 2023 | 100% |
| GHC Holdings LLC | 5% Or Greater Direct Ownership Interest | Nov 1, 2023 | 100% |
| General Partnership Interest | Apr 1, 2024 | 100% | |
| Genesis Holdings LLC | 5% Or Greater Indirect Ownership Interest | Nov 1, 2023 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Morgantown, WV
- NPI 1568099513
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 178
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Marmet Center
- Skilled Nursing Facility
- Marmet, WV
- NPI 1538343710
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation
-
dba Valley Center
- Skilled Nursing Facility
- South Charleston, WV
- NPI 1558545749
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation
-
dba Heritage Center
- Skilled Nursing Facility
- Huntington, WV
- NPI 1912181223
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation
-
dba Ansted Center
- Skilled Nursing Facility
- Ansted, WV
- NPI 1639353816
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation
-
dba Tygart Center at Fairmount Campus
- Skilled Nursing Facility
- Fairmont, WV
- NPI 1578709341
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation
-
dba Pierpont Center at Fairmont Campus
- Skilled Nursing Facility
- Fairmont, WV
- NPI 1396981064
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Welltower Op, LLC, Zac
-
dba Madison Center
- Skilled Nursing Facility
- Morgantown, WV
- NPI 1073797387
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation
-
dba Raleigh Center
- Skilled Nursing Facility
- Daniels, WV
- NPI 1063696243
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation
-
dba Ravenswood Village
- Skilled Nursing Facility
- Ravenswood, WV
- NPI 1124202304
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation
-
dba Sistersville Center
- Skilled Nursing Facility
- Sistersville, WV
- NPI 1831373026
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation
-
dba Care Haven Center
- Skilled Nursing Facility
- Martinsburg, WV
- NPI 1053595355
Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Welltower Op, LLC, Z
-
dba Cedar Ridge Center
- Skilled Nursing Facility
- Sissonville, WV
- NPI 1689858987
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation
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.
-
- Internal Medicine Physician
- Morgantown, WV
- NPI 1568099513
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Psychiatric/Mental Health Nurse Practitioner
- Columbus, OH
- NPI 1811476914
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696204800000",
"number": "1982484671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E STATE ST",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193483109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 MCKINLEY AVE",
"city": "HARRISVILLE",
"state": "WV",
"postal_code": "263621150",
"telephone_number": "304-643-2712"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "400 MCKINLEY AVENUE OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-02",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A",
"authorized_official_last_name": "BERG",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "ASSISTANT SECRETARY",
"authorized_official_telephone_number": "610-444-6350"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pine View Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Harrisville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.