NPIMap

Organization Active NPI

Main Street Terrace Care Center Inc.

  • Skilled Nursing Facility
  • Lancaster, OH
National Provider Identifier
1083711352
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
4912 Issued in OH
Legal business name
MAIN STREET TERRACE CARE CENTER INC.
Practice address
1318 E Main St
Lancaster, OH 43130-4004
Phone
(740) 653-8767
Fax
(740) 653-8919
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Authorized official

Name
Mrs. Chaim Hertanu
Title
Owner
Phone
(845) 205-6813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 4912 OH Primary

Addresses

Primary practice location

1318 E Main St
Lancaster, OH 43130-4004

Mailing address

1318 E Main St
Lancaster, OH 43130-4004
Phone (740) 653-8767

Other identifiers 1

IdentifierTypeStateIssuer
0196685MedicaidOH

Other names 1

  • CareCore at Main Street Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120314000747 OH Part A Provider - Skilled Nursing Facility 1658530456 Practice locations: Lancaster, OH

Skilled nursing facility certification: CCN 366016

Legal name
MAIN STREET TERRACE CARE CENTER INC.
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 12, 1995
Last certification
Oct 28, 2024
Beds
50
Ownership / control type
Corporation
Multi-facility organization
CareCore
Organization structure
CorporationProprietary
Incorporated
Oct 30, 1991 in OH
Enrollment address
1318 E Main St
Lancaster, OH 43130-4004
Nursing home name
MAIN STREET TERRACE CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Main Street Terrace Care CenterCCN 366016
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 12, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5046.4 residents per day on average
Penalties (3 years)
1Fines totaling $0

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
36D0668150Main Street Terrace Care Center1318 E Main St, Lancaster, OH 43130Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Chaim Hertanu Individual 5% Or Greater Indirect Ownership Interest May 31, 2023 100%
Adp of the SNF May 31, 2023
Tracy Wentz Individual Operational/Managerial Control Aug 28, 1995
Adp of the SNF Jan 1, 2023
Carecore Health LLC Organization, Suffern, NY LLC, Consulting firm Operational/Managerial Control Nov 1, 2024
Adp of the SNF Mar 31, 2025
Carecore at Main Street Organization, Suffern, NY Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 31, 2023 100%
Adp of the SNF Mar 31, 2025
John Edward Lloyd Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Main Street Nursing Propco, LLC Organization, Suffern, NY LLC Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024

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 10

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1083711352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 E MAIN ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304004",
            "telephone_number": "740-653-8767",
            "fax_number": "740-653-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 E MAIN ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304004",
            "telephone_number": "740-653-8767",
            "fax_number": "740-653-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET TERRACE CARE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "HERTANU",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-205-6813",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "4912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0196685",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareCore at Main Street",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.