Organization Active NPI

The Laurels of New London, LLC

Doing business as The Laurels of New London

  • Skilled Nursing Facility
  • New London, OH
National Provider Identifier
1053756734
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THE LAURELS OF NEW LONDON, LLC
Doing business as
The Laurels of New London
Practice address
204 W Main St
New London, OH 44851-1070
Phone
(419) 929-1563
NPI assigned
May 8, 2013
Last updated
May 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Authorized official

Name
Mr. Anis Khan
Title
Cfo
Phone
(614) 794-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

204 W Main St
New London, OH 44851-1070

Mailing address

204 W Main St
New London, OH 44851-1070
Phone (419) 929-1563

Other identifiers 1

IdentifierTypeStateIssuer
0088876MedicaidOH

Other names 1

  • The Laurels of New London Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130924000106 OH Part A Provider - Skilled Nursing Facility 1850535311 Practice locations: New London, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053756734. Details of each certification follow.

Skilled nursing facility certification: CCN 365656

Legal name
THE LAURELS OF NEW LONDON, LLC
Doing business as
THE LAURELS OF NEW LONDON
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 16, 1985
Last certification
Dec 26, 2024
Beds
50
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Laurel Healthcare Company
Organization structure
LLCProprietary
Incorporated
Mar 11, 2013 in MI
Enrollment address
204 W Main St
New London, OH 44851-1070
Nursing home name
LAURELS OF NEW LONDON THE
Affiliated entity
CIENA HEALTHCARE/LAUREL HEALTH CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Laurels of New London theCCN 365656 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 16, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5046.2 residents per day on average
Chain
Ciena Healthcare/Laurel Health Care81 facilities in the chain

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
36D0666410Laurels of New London LLC, the204 W Main St, New London, OH 44851Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
David Stobb Individual Adp of the SNF Feb 1, 2016
Anis Khan Individual Operational/Managerial Control Feb 1, 2016
Managing Control - Governing BodyMananger Feb 1, 2016
Adp of the SNF Feb 1, 2016
Laurel Acquisition Holding Corporation Organization, Westerville, OH Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2016 100%
Itri a Eren Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Mohammad a. Qazi Individual 5% Or Greater Indirect Ownership InterestPresident Feb 1, 2016 100%
Operational/Managerial Control Feb 1, 2016
Managing Control - Governing BodyMananger Feb 1, 2016
Mohammad a Qazi Living Trust Dated 09/26/97 Organization, West Bloomfield, MI For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2016 100%
Laurel Health Care Company Organization, Westerville, OH Corporation, Management services company, For-profit, Chain home office Operational/Managerial Control Feb 1, 2016
Adp of the SNF Apr 3, 2025
Laurel Health Care Holdings, Inc. Organization, Westerville, OH Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 1, 2016 100%
Amy Donaldson Individual Operational/Managerial Control Feb 6, 2023
Adp of the SNF Feb 6, 2023
Organization, Glenview, IL LLC, For-profit Adp of the SNF Apr 3, 2025
Organization, Taylor, MI LLC, For-profit Adp of the SNF Apr 3, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 67

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 67

Practitioners & affiliated clinicians

Practitioners 2

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": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1053756734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 W MAIN ST",
            "city": "NEW LONDON",
            "state": "OH",
            "postal_code": "448511070",
            "telephone_number": "419-929-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W MAIN ST",
            "city": "NEW LONDON",
            "state": "OH",
            "postal_code": "448511070",
            "telephone_number": "419-929-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LAURELS OF NEW LONDON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ANIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "614-794-8800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0088876",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Laurels of New London",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New London, OH

Sources for this page

Verify at the official NPI Registry.