Active NPI
McKinley Nursing
- Skilled Nursing Facility
- Canton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- MCKINLEY NURSING
- Practice address
- 800 Market Ave N
Canton, OH 44702-1083 - Phone
- (330) 456-1014
- NPI assigned
- May 21, 2024
- 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
- Jacob Birns
- Title
- Namer
- Phone
- (330) 356-1014
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
800 Market Ave N
Canton, OH 44702-1083
Mailing address
800 Market Ave N
Canton, OH 44702-1083
Other names 1
- Mckinley health care center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241112002581 | OH | Part A Provider - Skilled Nursing Facility | 4082148168 | Practice locations: Canton, OH |
Skilled nursing facility certification: CCN 365655
- Legal name
- MCKINLEY NURSING
- Doing business as
- MCKINLEY HEALTH CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 4, 1985
- Last certification
- May 1, 2023
- Beds
- 176
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- May 21, 2024 in OH
- Enrollment address
- 800 Market Ave N
Ste 1560
Canton, OH 44702-2303 - Nursing home name
- MCKINLEY NURSING
Care Compare: Nursing home
Medicare Care Compare- Listed as
- McKinley Nursing
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Apr 4, 1985
- Medicare certification status
- Active
- Certified beds
- 176
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 6
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 |
|---|---|---|---|
| Lekovo Dior Barkings | Operational/Managerial Control | Jun 30, 2024 | |
| McKinley Opco | 5% Or Greater Indirect Ownership Interest | Jun 30, 2024 | 93% |
| Adp of the SNF | Nov 12, 2024 | ||
| Jacob Zimberg | 5% Or Greater Indirect Ownership Interest | Jun 30, 2024 | 7% |
| Corporate Officer | Jun 30, 2024 | 7% | |
| Operational/Managerial Control | Jun 30, 2024 | ||
| McKinley Holdco | 5% Or Greater Direct Ownership Interest | Jun 30, 2024 | 100% |
| Brian McClain | Adp of the SNF | Jun 30, 2024 | |
| Robert Knapp | Adp of the SNF | Jun 30, 2024 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Westerville, OH
- NPI 1497750137
-
- Internal Medicine Physician
- Canton, OH
- NPI 1821038043
Affiliated clinicians 1
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": "1716249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723075200000",
"number": "1023857992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 MARKET AVE N",
"city": "CANTON",
"state": "OH",
"postal_code": "447021083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 MARKET AVE N",
"city": "CANTON",
"state": "OH",
"postal_code": "447021083",
"telephone_number": "330-456-1014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCKINLEY NURSING",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-21",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A",
"authorized_official_last_name": "BIRNS",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "NAMER",
"authorized_official_telephone_number": "330-356-1014"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mckinley health care center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mckinley health care center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.