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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 206
- 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, 2014
- 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
- Sister Mary Raphael Gregg, RN., LNHA
- Title
- Administrator
- Phone
- (216) 531-7426
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 365487 | Other | MEDICARE PROVIDER NUMBER |
Other names 1
- Mount St. Joseph 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 |
|---|---|---|---|---|
| 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
- Corporation
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Mar 18, 1980
- Medicare certification status
- Active
- Certified beds
- 90
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 |
|---|---|---|---|
| 36D0860511 | Mount St Joseph Rehab Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Timothy Holzheimer | Corporate Officer | Jan 8, 2013 | |
| Mary Gregg | Corporate Officer | Sep 1, 2004 | 100% |
| Corporate Director | Sep 1, 2004 | 100% | |
| W-2 Managing Employee | Sep 11, 2012 | 100% | |
| Sara Sovacool | W-2 Managing Employee | 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.
-
- Internal Medicine Physician
- Pepper Pike, OH
- NPI 1497744148
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Granville, OH
- NPI 1730122193
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.