Deerfield Nursing Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2510N Issued in OH

Legal business name

DEERFIELD NURSING CORPORATION

Doing business as

The Vineyards at Concord

Practice address

119 High St.
Frankfort, OH 45628-0312

Phone

(740) 998-4779

Fax

(740) 998-4801

NPI assigned

Nov 2, 2006

Last updated

Feb 18, 2009By 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

Dolores A. Hicks

Title

President

Phone

(740) 998-4777

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• The Vineyards at Concord Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104905173. Details of each certification follow.

• CCN 366360 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 366360

Legal name

DEERFIELD NURSING CORPORATION

Doing business as

THE VINEYARDS AT CONCORD

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 29, 2007

Last certification

Nov 6, 2024

Beds

32

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

Dec 31, 1986 in OH

Enrollment address

119 W High St
Frankfort, OH 45628-2506

Nursing home name

VINEYARDS AT CONCORD, THE

Listed as

Vineyards at Concord, theCCN 366360 · All quality measures

Overall star rating

1 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

May 29, 2007

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

3223.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 8

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

Owners & managing parties with NPI records 2

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

• Dirk N Juschka, MD

  • Family Medicine Physician
  • Westerville, OH
  • NPI 1497750137

  Adp of the SNF

  CMS ownership
• Extended Care Specialists, Inc

  • Adult Medicine Physician
  • Merrillville, IN
  • NPI 1134146079

  Adp of the SNF

  CMS ownership

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.

• Mark A. Crager, MD

  • General Practice Physician
  • Washington Court House, OH
  • NPI 1609827740
  NPD (past)
• Dirk N Juschka, MD

  • Family Medicine Physician
  • Westerville, OH
  • NPI 1497750137
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1104905173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 312",
            "city": "FRANKFORT",
            "state": "OH",
            "postal_code": "456280312",
            "telephone_number": "740-998-4779",
            "fax_number": "740-998-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 HIGH ST.",
            "city": "FRANKFORT",
            "state": "OH",
            "postal_code": "456280312",
            "telephone_number": "740-998-4779",
            "fax_number": "740-998-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERFIELD NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-998-4777"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OH",
            "license": "4494",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "2510N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0174467",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2903004",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Vineyards at Concord",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Frankfort, OH
• Providers in Frankfort, 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 Feb 18, 2009; 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.