Active NPI
Covington SNF Inc.
Doing business as Covington Skilled Nursing and Rehabilitation Center
- Skilled Nursing Facility
- East Palestine, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- COVINGTON SNF INC.
- Doing business as
- Covington Skilled Nursing and Rehabilitation Center
- Practice address
- 100 Covington Drive
East Palestine, OH 44413 - Phone
- (330) 426-2920
- NPI assigned
- Jul 23, 2009
- Last updated
- Jul 23, 2009
- 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
- Mr. Timothy A. Chesney
- Title
- Vice President
- Phone
- (330) 758-4232
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
100 Covington Drive
East Palestine, OH 44413
Mailing address
100 Covington Drive
East Palestine, OH 44413
Phone (330) 426-2920
Other names 1
- Covington Skilled Nursing and Rehabilitation 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 |
|---|---|---|---|---|
| O20090730000517 | OH | Part A Provider - Skilled Nursing Facility | 9638222110 | Practice locations: East Palestine, OH |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1033349147. Details of each certification follow.
Skilled nursing facility certification: CCN 366378
- Legal name
- COVINGTON SNF INC.
- Doing business as
- COVINGTON SKILLED NURSING AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 1, 2009
- Last certification
- May 1, 2025
- Beds
- 65
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Incorporated
- May 8, 2009 in OH
- Enrollment address
- 100 Covington Drive
East Palestine, OH 44413 - Nursing home name
- COVINGTON SKILLED NURSING & REHAB CENTER
- Affiliated entity
- MICHAEL SLYK
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Covington Skilled Nursing & Rehab Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Oct 1, 2009
- Medicare certification status
- Active
- Certified beds
- 65
- Chain
- Michael Slyk
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 |
|---|---|---|---|
| 36D1103774 | Covington Skilled Nursing and | Certificate of waiver | Aug 17, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 9
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 |
|---|---|---|---|
| MSTC Development Inc | Operational/Managerial Control | Oct 1, 2009 | |
| Timothy a Chesney | Managing Control - Governing Body | Oct 1, 2009 | |
| Adp of the SNF | Oct 1, 2009 | ||
| Gwynn Ryder | Corporate Officer | Jun 1, 2018 | |
| Adp of the SNF | Jun 1, 2018 | ||
| Daniel D'Amico | Corporate Officer | Apr 1, 2022 | |
| Operational/Managerial Control | May 18, 2018 | ||
| Timothy Lockso | Adp of the SNF | Sep 7, 2024 | |
| Michael Slyk | 5% Or Greater Indirect Ownership Interest | Oct 1, 2009 | 100% |
| Corporate Officer | Oct 1, 2009 | 100% | |
| Adp of the SNF | Oct 1, 2009 | ||
| Dina Crawford | Adp of the SNF | Mar 13, 2024 | |
| Adp of the SNF | Oct 1, 2009 | ||
| Michael P. Slyk Revocable Trust | 5% Or Greater Direct Ownership Interest | Dec 31, 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.
Facilities with the same owner 6
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Orrville, OH
- NPI 1528529435
MSTC Development Inc
-
dba Astoria Skilled Nursing and Rehabilitation
- Skilled Nursing Facility
- Canton, OH
- NPI 1720304538
MSTC Development Inc
-
dba Pleasant View North Retirement Center
- Skilled Nursing Facility
- Salem, OH
- NPI 1003980160
MSTC Development Inc
Practitioners & affiliated clinicians
Practitioners 2
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
- Boardman, OH
- NPI 1144647413
-
- Family Medicine Physician
- Columbiana, OH
- NPI 1043669476
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": "1248307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248307200000",
"number": "1033349147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 COVINGTON DRIVE",
"city": "EAST PALESTINE",
"state": "OH",
"postal_code": "44413",
"telephone_number": "330-426-2920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 COVINGTON DRIVE",
"city": "EAST PALESTINE",
"state": "OH",
"postal_code": "44413",
"telephone_number": "330-426-2920"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COVINGTON SNF INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-23",
"last_updated": "2009-07-23",
"status": "A",
"authorized_official_last_name": "CHESNEY",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "330-758-4232",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Covington Skilled Nursing and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in East Palestine, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.