Crandall Medical Center
Organization Active NPI Skilled Nursing Facility · Sebring, OH
NPI 1124088794 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1124088794
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- CRANDALL MEDICAL CENTER
- Practice address
- 800 S 15TH St
Sebring, OH 44672-2050 - Phone
- (330) 938-6126
- Fax
- (330) 938-7406
- NPI assigned
- Mar 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. David J. Mannion
- Title
- Controller
- Phone
- (330) 938-6126
Practitioners 4
-
Beth Ann Griffith, APRN
-
Jessica Lynn Kellar, MSN, APRN, FNP-C
-
Timothy Lockso, D.O.
-
Thomas D Vrable, D.O.
Affiliated clinicians 5
-
Beth Ann Griffith, APRN
-
Jessica Lynn Kellar, MSN, APRN, FNP-C
-
Anthony Peter McKeen, D.O.
-
Beth Griffith, MSN, CRNP
-
Holly Ann Tice, CRNP
Medicare Care Compare: Nursing home
- Listed as
- Crandall Nursing Home
- Overall star rating
- ★★★★☆ 4 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Feb 5, 1982
- Certified beds
- 150 · 112.0 residents per day on average
- Penalties (3 years)
- 1 · fines totaling $13,870
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Skilled nursing facility certification: CCN 365574
- Legal name
- CRANDALL MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 5, 1982
- Last certification
- Mar 20, 2025
- Beds
- 150
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Apr 13, 1979 in OH
- Enrollment address
- 800S 15TH St
Sebring, OH 44672-2050 - Nursing home name
- CRANDALL NURSING HOME
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Tom Drakulich |
Corporate Officer |
Jul 1, 2021 | |
| Ron Mendel |
Corporate Officer |
Jul 1, 2021 | |
| Bill Williams |
Corporate Officer |
Apr 1, 2016 | |
| Craig Myers |
Corporate Officer |
Jul 1, 2017 | |
| Greg New |
Corporate Officer |
Jul 1, 2021 | |
| Tom Gant |
Corporate Officer |
Jul 1, 2017 | |
| Daniele Caserta |
Corporate Officer |
Jul 1, 2021 | |
| Russell Kiko |
Corporate Officer |
Apr 1, 2016 | |
| David Mannion |
Corporate Officer |
Nov 1, 2015 | |
| W-2 Managing Employee | Jul 12, 2010 | ||
| John Scarpitti |
Corporate Officer |
Apr 1, 2017 | |
| Randi Roose |
W-2 Managing Employee |
Jan 30, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100708000451 | OH | Part a Provider - Skilled Nursing Facility | 1456482405 | Practice locations: Sebring, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
800 S 15TH St
Sebring, OH 44672-2050
Mailing address
800 S 15TH St
Sebring, OH 44672-2050
Phone (330) 938-6126
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0479218 | Medicaid | OH |
Other providers in Sebring, OH
- Deborah Leigh Clemens
- Sydney Paige Cooper
- Copeland Oaks
- Alissa Courtney
- Kristen Cox
- Regina Lynn Cunningham
- Breanne Davison
- Dr. Bonnie L. Fields
- DRS Hirst and Associates Inc
- Enhanced Healthcare Services
All providers in Sebring, OH · Skilled Nursing Facility in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.