Organization Active NPI

McCrea Operating Company LLC

Doing business as McCrea Manor Nursing & Rehab Center

  • Skilled Nursing Facility
  • Alliance, OH
National Provider Identifier
1043836471
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Dec 17, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1804NOtherOHLICENSURE

Other names 1

  • McCrea Manor Nursing & Rehab Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 LLCCCN 365634 · All quality measures
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 31, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8464.4 residents per day on average
Chain
Lionstone Care24 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
McCrea Manor Nursing Rehab Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

NameRoleSinceShare
Solomon Kazarnovsky Individual 5% Or Greater Indirect Ownership InterestManaging Partner Jan 1, 2023 50%
Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023
Eliezer Goldish Individual Corporate OfficerChief Financial Officer Oct 9, 2023
Operational/Managerial Control Oct 9, 2023
Adp of the SNF Oct 9, 2023
Adam Cusner Individual Corporate OfficerChief Executive Officer Jan 27, 2025
Operational/Managerial Control Jan 27, 2025
Adp of the SNF Jan 27, 2025
Individual Adp of the SNF Jun 7, 2023
Jeffrey Degyansky Individual Corporate OfficerChief Operating Officer Jan 1, 2020
Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023
Individual Adp of the SNF Sep 30, 2024
Abba Stein Individual 5% Or Greater Indirect Ownership InterestManaging Partner Jan 1, 2023 50%
Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023
Lionstone HZ Opco Holdings LLC Organization, Valley Stream, NY LLC, Holding company, Owned by another organization or individual 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.

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

Verify at the official NPI Registry.