Organization Active NPI

Sisters of St. Joseph of St. Mark - Mount St. Joseph

Doing business as Mount St. Joseph Rehab Center

  • Skilled Nursing Facility
  • Euclid, OH
National Provider Identifier
1053309211
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
206 Issued in OH
Legal business name
SISTERS OF ST. JOSEPH OF ST. MARK - MOUNT ST. JOSEPH
Doing business as
Mount St. Joseph Rehab Center
Practice address
21800 Chardon Rd
Euclid, OH 44117-2125
Phone
(216) 531-7426
Fax
(216) 531-4033
NPI assigned
Oct 12, 2005
Last updated
Sep 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sister Mary Raphael Gregg, RN., LNHA
Title
Administrator
Phone
(216) 531-7426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 206 OH Primary

Addresses

Primary practice location

21800 Chardon Rd
Euclid, OH 44117-2125

Mailing address

21800 Chardon Rd
Euclid, OH 44117-2125
Phone (216) 531-7426

Other identifiers 1

IdentifierTypeStateIssuer
365487OtherMEDICARE PROVIDER NUMBER

Other names 1

  • Mount St. Joseph 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
O20070607000598 OH Part A Provider - Skilled Nursing Facility 1557469905 Practice locations: Euclid, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053309211. Details of each certification follow.

Skilled nursing facility certification: CCN 365487

Legal name
SISTERS OF ST JOSEPH OF ST MARK MOUNT ST JOSEPH
Doing business as
MOUNT ST. JOSEPH REHAB CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 18, 1980
Last certification
Apr 10, 2025
Beds
90
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 1942 in OH
Enrollment address
21800 Chardon Rd
Euclid, OH 44117-2125
Nursing home name
MOUNT SAINT JOSEPH REHAB CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mount Saint Joseph Rehab CenterCCN 365487 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Mar 18, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9084.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0860511Mount St Joseph Rehab Center21800 Chardon Road, Euclid, OH 44117Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Timothy Holzheimer Individual Corporate OfficerAssistant Treasurer Jan 8, 2013
Mary Gregg Individual Corporate OfficerPresident/Administrator Sep 1, 2004 100%
Corporate DirectorPresident/Administrator Sep 1, 2004 100%
W-2 Managing EmployeePresident/Administrator Sep 11, 2012 100%
Sara Sovacool Individual W-2 Managing EmployeeAdministrator Jan 7, 2022

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.

Affiliated clinicians 2

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": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1053309211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21800 CHARDON RD",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441172125",
            "telephone_number": "216-531-7426",
            "fax_number": "216-531-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21800 CHARDON RD",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441172125",
            "telephone_number": "216-531-7426",
            "fax_number": "216-531-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISTERS OF ST. JOSEPH OF ST. MARK - MOUNT ST. JOSEPH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "GREGG",
        "authorized_official_first_name": "SISTER  MARY",
        "authorized_official_middle_name": "RAPHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "216-531-7426",
        "authorized_official_credential": "RN., LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "365487",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount St. Joseph Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Euclid, OH

Sources for this page

Verify at the official NPI Registry.