MINERVA CONVALESCENT CENTER LLC (NPI# 1578511077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578511077 |
| Entity Type | Organization |
| Organization Name | MINERVA CONVALESCENT CENTER LLC |
| Other Organization Name | MINERVA HEALTHCARE AND REHABILITATION CENTER |
| Practice Address |
1035 East Lincolnway Minerva OH 44657 |
| Mailing Address |
8796 Route 219 Brockway PA 15824-6010 |
| Practice Telephone | 3308684147 |
| Practice Fax Number | 3308684148 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-08-21 |
| Authorized Official Name | MICHAEL EPERESI (CFO) |
| Authorized Official Telephone | 8142651164 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2515399 | 05 |
| Other Name | Type Code |
|---|---|
| Minerva Healthcare and Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
1035 EAST LINCOLNWAY |
| City | MINERVA |
| State | OH |
| Zip Code | 44657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235670563 | Melody Lynn Katich | Home Health Aide | 16600 Georgetown Street, Minerva, OH 44657 | 2017-03-20 |
| 1275926743 | Ellen Doney | Technician | 1200 Valley St., Apt B84, Minerva, OH 44657 | 2015-03-09 |
| 1720312119 | Lolly Ann Brown | Licensed Practical Nurse | 305 High St, Minerva, OH 44657 | 2009-10-01 |
| 1922332394 | Bobbi Jo Lovejoy | Registered Nurse | 22847 Ellsworth Ave., Minerva, OH 44657 | 2009-10-01 |
| 1962624130 | Robert Kenneth Nichols | Chiropractor | 15245 Lincolnway Se, Minerva, OH 44657 | 2007-05-03 |
| 1871647230 | Ted A Rath | Optometrist | 1174 Alliance Road, Minerva, OH 44657 | 2007-01-23 |
| 1801901681 | Marjorie Ann Versiackas | Licensed Practical Nurse | 3695 Fox Ave Ne, Minerva, OH 44657 | 2006-08-20 |
| 1629399639 | Cheryl A. Gilson | Licensed Practical Nurse | 16464 Delmar Dr Se, Minerva, OH 44657-1006 | 2010-06-14 |
| 1932120979 | Premier Health Associates Inc | Internal Medicine | 625 N Market St, Minerva, OH 44657-1027 | 2006-07-23 |
| 1225594377 | Amber Leanne Carson | Massage Therapist | 4240 Surrey Dr Se, Minerva, OH 44657-1037 | 2019-02-13 |
| Find all providers in zip 44657 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609957901 | Great Trail Care Center | Skilled Nursing Facility | 400 Carolyn Ct, Minerva, OH 44657-8703 | 2006-10-17 |
| 1740688688 | Minerva Opco, LLC | Skilled Nursing Facility | 400 Carolyn Ct, Minerva, OH 44657-8703 | 2014-12-09 |
| 1437212628 | Great Trail Care, LLC | Skilled Nursing Facility | 400 Carolyn Ct, Minerva, OH 44657-8703 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694229 | The Laurels of West Columbus, LLC | Skilled Nursing Facility | 441 Norton Rd, Columbus, OH 43228 | 2020-06-19 |
| 1508492174 | Majestic Care of Paulding LLC | Skilled Nursing Facility | 199 Road 103, Paulding, OH 45879-8776 | 2020-03-16 |
| 1548890338 | Trilogy Healthcare of Gahanna, LLC | Skilled Nursing Facility | 748 Taylor Rd, Gahanna, OH 43230-3203 | 2020-01-21 |
| 1396384194 | Progressive North Ridgeville LLC | Skilled Nursing Facility | 6200 Lear Nagle Rd, North Ridgeville, OH 44039-3224 | 2019-12-27 |
| 1154962835 | Sycamorespring Health Care and Rehabilitation LLC | Skilled Nursing Facility | 2175 Leiter Rd, Miamisburg, OH 45342-3659 | 2019-10-03 |
| 1255980876 | Ehcs Oakhill Properties, LLC | Skilled Nursing Facility | 4466 Lynnhaven Ave, Louisville, OH 44641-9513 | 2019-09-06 |
| 1083260988 | Trilogy Healthcare of Tiffin, LLC | Skilled Nursing Facility | 410 Fair Lane, Tiffin, OH 44883 | 2019-08-15 |
| 1427604321 | Trilogy Healthcare of Pickerington, LLC | Skilled Nursing Facility | 603 Diley Road, Pickerington, OH 43147 | 2019-08-15 |
| 1205482189 | Trilogy Healthcare of Franklin IIi, LLC | Skilled Nursing Facility | 7320 Smith's Mill Road, New Albany, OH 43054 | 2019-08-15 |
| 1972164713 | Cardinal Delaware, Inc. | Skilled Nursing Facility | 6975 Graphics Way, Lewis Center, OH 43035 | 2019-06-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.