Active NPI
LP Opco, LLC
- Skilled Nursing Facility
- Conneaut, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- LP OPCO, LLC
- Practice address
- 22 Parrish Rd
Conneaut, OH 44030-1178 - Phone
- (440) 593-6266
- NPI assigned
- Apr 5, 2017
- Last updated
- Apr 5, 2017
- 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
- Alexander Sherman
- Title
- Manager
- Phone
- (718) 207-1714
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
22 Parrish Rd
Conneaut, OH 44030-1178
Mailing address
300 Gleed Ave
East Aurora, NY 14052-2983
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170630000997 | OH | Part A Provider - Skilled Nursing Facility | 9032488390 | Practice locations: Conneaut, OH |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1033642186. Details of each certification follow.
Skilled nursing facility certification: CCN 365441
- Legal name
- LP OPCO LLC
- Doing business as
- LAKE POINTE SKILLED NURSING & REHAB CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 28, 1980
- Last certification
- Nov 8, 2023
- Beds
- 74
- Ownership / control type
- Corporation
- Multi-facility organization
- AOM/Legends
- Organization structure
- LLC
- Enrollment address
- 22 Parrish Rd
Conneaut, OH 44030-1178 - Nursing home name
- LAKE POINTE REHABILITATION AND NURSING CENTER
- Affiliated entity
- AOM HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Lake Pointe Rehabilitation and Nursing Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Feb 28, 1980
- Medicare certification status
- Active
- Certified beds
- 74
- Chain
- Aom Healthcare
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Samuel Sherman | 5% Or Greater Indirect Ownership Interest | Apr 1, 2017 | 33.3% |
| Operational/Managerial Control | Apr 1, 2017 | ||
| Jeffery Goldstein | 5% Or Greater Indirect Ownership Interest | Apr 1, 2017 | 33.3% |
| Alexander Sherman | 5% Or Greater Indirect Ownership Interest | Apr 1, 2017 | 33.3% |
| Operational/Managerial Control | Apr 1, 2017 | ||
| Pointe Woods Investment LLC | 5% Or Greater Direct Ownership Interest | Apr 1, 2017 | 100% |
Facilities with the same owner 2
Facilities that share an organizational owner with 5% or greater ownership or operational control.
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
- Conneaut, OH
- NPI 1104836881
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": "1491350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1491350400000",
"number": "1033642186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 GLEED AVE",
"city": "EAST AURORA",
"state": "NY",
"postal_code": "140522983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 PARRISH RD",
"city": "CONNEAUT",
"state": "OH",
"postal_code": "440301178",
"telephone_number": "440-593-6266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LP OPCO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-05",
"last_updated": "2017-04-05",
"status": "A",
"authorized_official_last_name": "SHERMAN",
"authorized_official_first_name": "ALEXANDER",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "718-207-1714"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conneaut, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.