BROAD MOUNTAIN HEALTH & REHABILITATION CENTER, LLC
NPI 1033619333
Skilled Nursing Facility in Frackville, PA

Active since February 14, 2018CLIA 39D0189626 · Waiver
500 W LAUREL ST, FRACKVILLE, PA 17931(570) 874-0696 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 10, 2022, Feb 14, 2018 (2 updates tracked since 2018).

About Broad Mountain Health & Rehabilitation Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROAD MOUNTAIN HEALTH & REHABILITATION CENTER, LLC (NPI 1033619333) is a healthcare organization registered as a skilled nursing facility in Frackville, Pennsylvania and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists William Weisberg, President, as its authorized official.

NPPES Registry Identity

NPI1033619333
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBROAD MOUNTAIN HEALTH & REHABILITATION CENTER, LLC
Location Address500 W LAUREL STFrackville, PA 17931-2018
Mailing Address23700 Commerce ParkBeachwood, OH 44122-5827 · (216) 292-5706
Organization SubpartYesParent: Saber Healthcare Holdings, Llc
Authorized OfficialWilliam WeisbergPresident · (216) 292-5706
Enumeration DateFebruary 14, 2018
Last NPPES UpdateJanuary 10, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2022
NPI 1033619333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

500 W LAUREL ST, Frackville, PA 17931

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0189626

Broad Mountain Health & Rehab Ctr · Frackville, PA
Active · expires Aug 31, 2026
CLIA Number39D0189626
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorGubbi Ranganath MD
Laboratory Phone(570) 874-0696
Laboratory LocationBroad Mountain Health & Rehab Ctr500 W Laurel Ave, Frackville, PA 17931
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
500 W LAUREL ST
FRACKVILLE, PA 17931
Occupational Therapy Assistant
500 W LAUREL ST
FRACKVILLE, PA 17931
Physical Therapy Assistant
500 W LAUREL ST
FRACKVILLE, PA 17931
Occupational Therapy Assistant
500 W LAUREL ST
FRACKVILLE, PA 17931
Occupational Therapy Assistant
500 W LAUREL ST
FRACKVILLE, PA 17931
Skilled Nursing Facility
500 W LAUREL ST
FRACKVILLE, PA 17931
Speech-Language Pathologist
500 W LAUREL ST
FRACKVILLE, PA 17931
Speech-Language Pathologist
500 W LAUREL ST
FRACKVILLE, PA 17931

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Broad Mountain Health & Rehabilitation Center, LLC's NPI number?

The NPI number for Broad Mountain Health & Rehabilitation Center, LLC is 1033619333. It was assigned to this organization in the NPPES registry on February 14, 2018.

Where is Broad Mountain Health & Rehabilitation Center, LLC located?

Broad Mountain Health & Rehabilitation Center, LLC is located at 500 W Laurel St, Frackville, PA 17931. The listed phone number is (570) 874-0696.

What is Broad Mountain Health & Rehabilitation Center, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Broad Mountain Health & Rehabilitation Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0189626) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Broad Mountain Health & Rehabilitation Center, LLC was last updated on January 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.