Stone Crossing Skilled Care, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1498N Issued in OH

Legal business name

STONE CROSSING SKILLED CARE, LLC

Practice address

836 34TH St NW
Canton, OH 44709-2947

Phone

(330) 492-7131

NPI assigned

May 8, 2017

Last updated

May 26, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eli M Gunzburg

Title

Manager

Phone

(440) 658-1040

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083140297. Details of each certification follow.

• CCN 366095 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 366095

Legal name

STONE CROSSING SKILLED CARE LLC

Doing business as

GLENWOOD CARE AND REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 1, 1996

Last certification

Nov 17, 2022

Beds

99

Ownership / control type

Corporation

Multi-facility organization

Pavilion Healthcare

Most recent change of ownership

Dec 16, 2024

Organization structure

LLCProprietary

Incorporated

Apr 10, 2017 in OH

Enrollment address

836 34TH St NW
Canton, OH 44709-2947

Listed as

The Pavilion at Edgefield for Nursing and RehabiliCCN 366095 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Nov 1, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9964.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 4

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

Facilities with the same owner 1

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

• Gaymont Leasing, LLC

  dba Gaymont Care and Rehabilitation

  • Skilled Nursing Facility
  • Norwalk, OH
  • NPI 1609354158

  Frank Gunzburg 2015 Succession Trust

  CMS ownership

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.

• Jyothi Dyavanapalli Gudla, M.D

  • Geriatric Medicine (Internal Medicine) Physician
  • Canton, OH
  • NPI 1194872713
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495756800000",
    "number": "1083140297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29225 CHAGRIN BLVD",
            "address_2": "SUITE 230",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441224645",
            "telephone_number": "440-658-1040",
            "fax_number": "866-629-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 34TH ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447092947",
            "telephone_number": "330-492-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE CROSSING SKILLED CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-08",
        "last_updated": "2017-05-26",
        "status": "A",
        "authorized_official_last_name": "GUNZBURG",
        "authorized_official_first_name": "ELI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "440-658-1040"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "1498R",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1498N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Marissa Stolicny, M.A. CCC-SLP
• Lauren Michele Stoller, PTA
• Emmeline Stoltzfus
• Stone Crossing Assisted Living, LLC (Glenwood Assisted Living)
• Stone Crossing Management, LLC
• Stone Crossing Skilled Care, LLC (Glenwood Care Assisted Living)
• Cathryn F Stone, L.S.W.,B.A.
• Kyle Stone, ESQ.
• Vega Stone, LPC
• Matthew Joseph Stonestreet, M.D.

• Skilled Nursing Facility in Canton, OH
• Providers in Canton, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2017; 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.

Verify at the official NPI Registry.