Active NPI
Athens LTC, Inc
Doing business as The Laurels of Athens
- Skilled Nursing Facility
- Athens, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ATHENS LTC, INC
- Doing business as
- The Laurels of Athens
- Practice address
- 70 Circle Drive
Athens, OH 45701 - Phone
- (614) 794-8800
- NPI assigned
- Jun 28, 2011
- Last updated
- Nov 16, 2016
- 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
- Anis Khan
- Title
- Cfo
- Phone
- (614) 794-8800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
70 Circle Drive
Athens, OH 45701
Mailing address
70 Columbus Circle
Athens, OH 45701-1312
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OH05025 | Other | OH | NURSING HOME LICENSE |
| 0050912 | Medicaid | OH |
Other names 1
- The Laurels of Athens
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110720000389 | OH | Part A Provider - Skilled Nursing Facility | 0840468740 | Practice locations: Athens, OH |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1033405170. Details of each certification follow.
Skilled nursing facility certification: CCN 366396
- Legal name
- ATHENS LTC, INC
- Doing business as
- THE LAURELS OF ATHENS
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 6, 2011
- Last certification
- Dec 16, 2024
- Beds
- 111
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Ciena Healthcare Management, Inc.
- Organization structure
- Corporation
- Incorporated
- Aug 27, 2007 in OH
- Enrollment address
- 70 Columbus Circle Dr
Athens, OH 45701 - Nursing home name
- LAURELS OF ATHENS, THE
- Affiliated entity
- CIENA HEALTHCARE/LAUREL HEALTH CARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Laurels of Athens, the
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Dec 6, 2011
- Medicare certification status
- Active
- Certified beds
- 111
- Chain
- Ciena Healthcare/Laurel Health Care
- Penalties (3 years)
- 1
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 |
|---|---|---|---|
| 36D2026709 | Laurels of Athens, the | Certificate of waiver | Jul 7, 2027 |
National Provider Directory
National Provider DirectoryLocations
70 Cir Dr
Athens, OH 45701
Phone (614) 794-8800
70 Columbus Cir
Athens, OH 45701
Phone (740) 592-1000
Ownership & related parties
All disclosed owners & managing parties 11
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 |
|---|---|---|---|
| Stephanie Cleland | Operational/Managerial Control | Oct 19, 2022 | |
| Adp of the SNF | Oct 19, 2022 | ||
| David Stobb | Corporate Officer | Feb 1, 2016 | 100% |
| Adp of the SNF | Jun 1, 2016 | ||
| Anis Khan | Corporate Officer | Feb 1, 2016 | |
| Operational/Managerial Control | Feb 1, 2016 | ||
| Adp of the SNF | Feb 1, 2016 | ||
| Laurel Acquisition Holding Corporation | 5% Or Greater Indirect Ownership Interest | Feb 1, 2016 | 100% |
| Mohammad a. Qazi | 5% Or Greater Indirect Ownership Interest | Feb 1, 2016 | 100% |
| Corporate Officer | Feb 1, 2016 | 100% | |
| Corporate Director | Feb 1, 2016 | 100% | |
| Operational/Managerial Control | Feb 1, 2016 | ||
| Mohammad a Qazi Living Trust Dated 09/26/97 | 5% Or Greater Indirect Ownership Interest | Feb 1, 2016 | 100% |
| Laurel Health Care Company | Operational/Managerial Control | Feb 1, 2016 | |
| Adp of the SNF | May 27, 2025 | ||
| Laurel Health Care Holdings, Inc. | 5% Or Greater Direct Ownership Interest | Feb 1, 2016 | 100% |
| Adp of the SNF | Apr 1, 2025 | ||
| Adp of the SNF | Apr 1, 2025 | ||
| John Edward Lloyd | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Lancaster, OH
- NPI 1740252923
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 67
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba The Laurels of Massillon
- Skilled Nursing Facility
- Massillon, OH
- NPI 1497701445
Laurel Acquisition Holding Corporation, Laurel Health Care Company, Laurel Health Care Holdings, Inc., Mohammad a Qazi Living Trust Dated 09/26/97
-
dba The Laurels of Norworth
- Skilled Nursing Facility
- Worthington, OH
- NPI 1285689562
Laurel Acquisition Holding Corporation, Laurel Health Care Company, Laurel Health Care Holdings, Inc., Mohammad a Qazi Living Trust Dated 09/26/97
-
dba The Laurels of Worthington
- Skilled Nursing Facility
- Worthington, OH
- NPI 1215983275
Laurel Acquisition Holding Corporation, Laurel Health Care Company, Laurel Health Care Holdings, Inc., Mohammad a Qazi Living Trust Dated 09/26/97
-
dba The Laurels of Steubenville
- Skilled Nursing Facility
- Steubenville, OH
- NPI 1184848293
Laurel Acquisition Holding Corporation, Laurel Health Care Company, Laurel Health Care Holdings, Inc., Mohammad a Qazi Living Trust Dated 09/26/97
-
dba The Laurels of Defiance
- Skilled Nursing Facility
- Defiance, OH
- NPI 1245285337
Laurel Acquisition Holding Corporation, Laurel Health Care Company, Laurel Health Care Holdings, Inc., Mohammad a Qazi Living Trust Dated 09/26/97
-
dba The Laurels of Mt Vernon
- Skilled Nursing Facility
- Mount Vernon, OH
- NPI 1316993355
Laurel Acquisition Holding Corporation, Laurel Health Care Company, Laurel Health Care Holdings, Inc., Mohammad a Qazi Living Trust Dated 09/26/97
-
dba The Laurels of Blanchester
- Skilled Nursing Facility
- Blanchester, OH
- NPI 1992032148
Laurel Acquisition Holding Corporation, Laurel Health Care Company, Laurel Health Care Holdings, Inc., Mohammad a Qazi Living Trust Dated 09/26/97
-
dba Regency at Chagrin Falls
- Skilled Nursing Facility
- Chagrin Falls, OH
- NPI 1457873184
Laurel Health Care Company, Mohammad a Qazi Living Trust Dated 09/26/97
-
dba The Laurels of Gahanna
- Skilled Nursing Facility
- Columbus, OH
- NPI 1720583578
Laurel Acquisition Holding Corporation, Laurel Health Care Company, Laurel Health Care Holdings, Inc., Mohammad a Qazi Living Trust Dated 09/26/97
-
dba The Laurels of Hamilton
- Skilled Nursing Facility
- Hamilton, OH
- NPI 1346745197
Laurel Acquisition Holding Corporation, Laurel Health Care Company, Laurel Health Care Holdings, Inc.
-
dba The Laurels of Heath
- Skilled Nursing Facility
- Heath, OH
- NPI 1851896419
Laurel Acquisition Holding Corporation, Laurel Health Care Company, Laurel Health Care Holdings, Inc., Mohammad a Qazi Living Trust Dated 09/26/97
-
dba The Laurels of Huber Heights
- Skilled Nursing Facility
- Huber Heights, OH
- NPI 1871938555
Laurel Acquisition Holding Corporation, Laurel Health Care Company, Laurel Health Care Holdings, Inc., Mohammad a Qazi Living Trust Dated 09/26/97
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Lancaster, OH
- NPI 1740252923
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": "1309219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479254400000",
"number": "1033405170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 COLUMBUS CIRCLE",
"city": "ATHENS",
"state": "OH",
"postal_code": "457011312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 CIRCLE DRIVE",
"city": "ATHENS",
"state": "OH",
"postal_code": "45701",
"telephone_number": "614-794-8800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATHENS LTC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-28",
"last_updated": "2016-11-16",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "ANIS",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "614-794-8800"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSING HOME LICENSE",
"identifier": "OH05025",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0050912",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Laurels of Athens",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Athens, OH
- Athens Eye Care, LLC
- Athens Eye Professionals LLC
- Athens Family Practice Clinic, Inc
- Athens Go to Cab (Athens Ambulette)
- Athens Health Solutions LLC
- Athens Medical Associates, LLC (Athens Medical Associates Podiatry)
- Athens Medical Associates, LLC (River Rose OBGYN)
- Athens Medical Associates, LLC
- Athens Medical Laboratory Associates, Inc. (Athens Medical Laboratory)
- Athens Medical Testing LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.