IVY PARK POST ACUTE
NPI 1720823511
Skilled Nursing Facility in Pittsburgh, PA

Active since June 25, 2024CLIA 39D0666960 · Waiver
5609 5TH AVE, PITTSBURGH, PA 15232(412) 362-3500 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2024, Aug 14, 2024, Jun 25, 2024 (3 updates tracked since 2024).

About Ivy Park Post Acute NPPES

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

IVY PARK POST ACUTE (NPI 1720823511) is a healthcare organization registered as a skilled nursing facility in Pittsburgh, Pennsylvania and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists John Mitchell, Secretary, as its authorized official.

NPPES Registry Identity

NPI1720823511
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSHADYSIDE SNF HEALTHCARE LLC
Location Address5609 5TH AVEPittsburgh, PA 15232-2601
Mailing Address262 N University AveFarmington, UT 84025-2975
Organization SubpartNo
Authorized OfficialJohn MitchellSecretary · (385) 988-3319
Enumeration DateJune 25, 2024
Last NPPES UpdateAugust 21, 20243 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
NPI 1720823511 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.
5609 5TH AVE, Pittsburgh, PA 15232

Other Names 1

Doing Business AsIvy Park Post Acute

Accepted Insurance

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 39D0666960

Ivy Park Post Acute · Pittsburgh, PA
Active · expires Aug 31, 2026
CLIA Number39D0666960
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Kaushik P. Patel
Laboratory Phone(412) 362-3500
Laboratory LocationIvy Park Post Acute5609 Fifth Avenue, Pittsburgh, PA 15232
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

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

Nurse Practitioner (Family)
5609 5TH AVE
PITTSBURGH, PA 15232
Occupational Therapy Assistant
5609 5TH AVE
PITTSBURGH, PA 15232
Occupational Therapy Assistant
5609 5TH AVE
PITTSBURGH, PA 15232
Skilled Nursing Facility
5609 5TH AVE
PITTSBURGH, PA 15232
Physical Therapist
5609 5TH AVE
PITTSBURGH, PA 15232
Physical Therapy Assistant
5609 5TH AVE
PITTSBURGH, PA 15232
Occupational Therapy Assistant
5609 5TH AVE
PITTSBURGH, PA 15232
Physical Therapy Assistant
5609 5TH AVE
PITTSBURGH, PA 15232

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 Shadyside Snf Healthcare LLC's NPI number?

The NPI number for Shadyside Snf Healthcare LLC is 1720823511. It was assigned to this organization in the NPPES registry on June 25, 2024. The provider is doing business as Ivy Park Post Acute.

Where is Shadyside Snf Healthcare LLC located?

Shadyside Snf Healthcare LLC is located at 5609 5th Ave, Pittsburgh, PA 15232. The listed phone number is (412) 362-3500.

What is Shadyside Snf Healthcare LLC's specialty?

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

Does Shadyside Snf Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0666960) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Shadyside Snf Healthcare LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Shadyside Snf Healthcare LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shadyside Snf Healthcare LLC was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.