Active NPI
Smithville Western Inc.
- Skilled Nursing Facility
- Wooster, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 6141
- Legal business name
- SMITHVILLE WESTERN INC.
- Practice address
- 4110 E Smithville Western Rd
Wooster, OH 44691-7782 - Phone
- (330) 345-9050
- Fax
- (330) 345-9212
- NPI assigned
- Oct 26, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Sprenger
- Title
- Executive VP and Cio
- Phone
- (440) 989-5234
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 6141 | OH | Primary |
Addresses
Primary practice location
4110 E Smithville Western Rd
Wooster, OH 44691-7782
Mailing address
4110 E Smithville Western Rd
Wooster, OH 44691-7782
Phone (330) 345-9050
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000357109 | Other | OH | ANTHEM OT |
| 2265329 | Medicaid | OH | |
| 000000156569 | Other | OH | ANTHEM |
| 000000357106 | Other | OH | ANTHEM PT |
| 000000357110 | Other | OH | ANTHEM ST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030701000020 | OH | Part A Provider - Skilled Nursing Facility | 5193635183 | Practice locations: Wooster, OH |
Skilled nursing facility certification: CCN 365317
- Legal name
- SMITHVILLE WESTERN INC.
- Doing business as
- SMITHVILLE WESTERN CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 9, 1975
- Last certification
- Jul 2, 2024
- Beds
- 127
- Ownership / control type
- Corporation
- Multi-facility organization
- Sprenger Health Care Systems
- Most recent change of ownership
- Oct 1, 2001
- Organization structure
- Corporation
- Incorporated
- Sep 20, 2001 in OH
- Enrollment address
- 4110 E Smithville Western Rd
Wooster, OH 44691-7782 - Nursing home name
- SMITHVILLE WESTERN CARE CENTER
- Affiliated entity
- SPRENGER HEALTH CARE SYSTEMS
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Smithville Western Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 9, 1975
- Medicare certification status
- Active
- Certified beds
- 127
- Chain
- Sprenger Health Care Systems
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0656212 | Smithville Western Care Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Wendie Hutsenpiller | 5% Or Greater Indirect Ownership Interest | Jul 1, 2008 | 11.46% |
| Kenneth Malanowski | 5% Or Greater Indirect Ownership Interest | Jul 1, 2008 | 12.4% |
| Corporate Officer | Jul 1, 2008 | 12.4% | |
| Corporate Director | Jul 1, 2003 | 12.4% | |
| Operational/Managerial Control | Jul 1, 2003 | ||
| Sprenger Enterprises, Inc | 5% Or Greater Direct Ownership Interest | Oct 1, 2001 | 100% |
| Tracey M Sprenger | 5% Or Greater Indirect Ownership Interest | Jul 1, 2008 | 31.74% |
| Corporate Officer | Jul 1, 2008 | 31.74% | |
| Corporate Director | Jul 1, 2008 | 31.74% | |
| Operational/Managerial Control | Jul 1, 2008 | ||
| Nicole Sprenger | 5% Or Greater Indirect Ownership Interest | Jul 1, 2008 | 31.74% |
| Corporate Officer | Jul 1, 2008 | 31.74% | |
| Corporate Director | Jul 1, 2008 | 31.74% | |
| Operational/Managerial Control | Jul 1, 2008 | ||
| Sarah Wiedenmannot | W-2 Managing Employee | Aug 6, 2014 |
Facilities with the same owner 4
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Lorain, OH
- NPI 1962492751
Sprenger Enterprises, Inc
-
- Skilled Nursing Facility
- Wellington, OH
- NPI 1518957000
Sprenger Enterprises, Inc
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Canton, OH
- NPI 1194872713
-
- Family Medicine Physician
- Wooster, OH
- NPI 1912187071
-
- Family Medicine Physician
- Orrville, OH
- NPI 1912360348
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Canton, OH
- NPI 1194872713
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233705600000",
"number": "1144210634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4110 E SMITHVILLE WESTERN RD",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446917782",
"telephone_number": "330-345-9050",
"fax_number": "330-345-9212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4110 E SMITHVILLE WESTERN RD",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446917782",
"telephone_number": "330-345-9050",
"fax_number": "330-345-9212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMITHVILLE WESTERN INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-26",
"last_updated": "2009-02-04",
"status": "A",
"authorized_official_last_name": "SPRENGER",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "EXECUTIVE VP AND CIO",
"authorized_official_telephone_number": "440-989-5234"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OH",
"license": "6141",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM OT",
"identifier": "000000357109",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2265329",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000156569",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PT",
"identifier": "000000357106",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM ST",
"identifier": "000000357110",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.