Active NPI
McCrea Operating Company LLC
Doing business as McCrea Manor Nursing & Rehab Center
- Skilled Nursing Facility
- Alliance, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- MCCREA OPERATING COMPANY LLC
- Doing business as
- McCrea Manor Nursing & Rehab Center
- Practice address
- 2040 McCrea St
Alliance, OH 44601-2703 - Phone
- (330) 823-9005
- NPI assigned
- Jun 22, 2020
- 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. Jeffrey Degyansky, LNHA
- Title
- Vice President of Operations
- Phone
- (330) 620-7828
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
2040 McCrea St
Alliance, OH 44601-2703
Mailing address
5915 Landerbrook Dr Ste 350
Mayfield Heights, OH 44124-4063
Phone (330) 620-7828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1804N | Other | OH | LICENSURE |
Other names 1
- McCrea Manor Nursing & Rehab 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 |
|---|---|---|---|---|
| O20200902002321 | OH | Part A Provider - Skilled Nursing Facility | 2466879655 | Practice locations: Alliance, OH |
Skilled nursing facility certification: CCN 365634
- Legal name
- MCCREA OPERATING COMPANY LLC
- Doing business as
- MCCREA MANOR NURSING AND REHAB
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 31, 1984
- Last certification
- Aug 28, 2024
- Beds
- 84
- Ownership / control type
- Corporation
- Multi-facility organization
- Lionstone
- Organization structure
- LLC
- Incorporated
- Jun 10, 2020 in OH
- Enrollment address
- 2040 McCrea St
Alliance, OH 44601-2703 - Nursing home name
- MCCREA MANOR NSNG AND REHAB CTR LLC
- Affiliated entity
- LIONSTONE CARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- McCrea Manor NSNG and Rehab Ctr LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Aug 31, 1984
- Medicare certification status
- Active
- Certified beds
- 84
- Chain
- Lionstone Care
National Provider Directory
National Provider Directory- Tax ID family
- McCrea Manor Nursing Rehab Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba McCrea Manor Nursing & Rehabilitation Center
- Assisted Living Facility
- Alliance, OH
- NPI 1104416502
Ownership & related parties
All disclosed owners & managing parties 8
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 |
|---|---|---|---|
| Solomon Kazarnovsky | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 50% |
| Operational/Managerial Control | Jan 1, 2023 | ||
| Adp of the SNF | Jan 1, 2023 | ||
| Eliezer Goldish | Corporate Officer | Oct 9, 2023 | |
| Operational/Managerial Control | Oct 9, 2023 | ||
| Adp of the SNF | Oct 9, 2023 | ||
| Adam Cusner | Corporate Officer | Jan 27, 2025 | |
| Operational/Managerial Control | Jan 27, 2025 | ||
| Adp of the SNF | Jan 27, 2025 | ||
| Adp of the SNF | Jun 7, 2023 | ||
| Jeffrey Degyansky | Corporate Officer | Jan 1, 2020 | |
| Operational/Managerial Control | Jan 1, 2023 | ||
| Adp of the SNF | Jan 1, 2023 | ||
| Adp of the SNF | Sep 30, 2024 | ||
| Abba Stein | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 50% |
| Operational/Managerial Control | Jan 1, 2023 | ||
| Adp of the SNF | Jan 1, 2023 | ||
| Lionstone HZ Opco Holdings LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2023 | 100% |
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Canton, OH
- NPI 1326620576
-
- Internal Medicine Physician
- Canton, OH
- NPI 1841442803
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": "1592784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734393600000",
"number": "1043836471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5915 LANDERBROOK DR STE 350",
"city": "MAYFIELD HEIGHTS",
"state": "OH",
"postal_code": "441244063",
"telephone_number": "330-620-7828",
"fax_number": "216-428-2055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 MCCREA ST",
"city": "ALLIANCE",
"state": "OH",
"postal_code": "446012703",
"telephone_number": "330-823-9005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCCREA OPERATING COMPANY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-22",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A",
"authorized_official_last_name": "DEGYANSKY",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
"authorized_official_telephone_number": "330-620-7828",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LNHA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSURE",
"identifier": "1804N",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "McCrea Manor Nursing & Rehab Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "McCrea Manor Nursing & Rehab Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Alliance, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.