NPIMap

Organization Active NPI

Shelby Pointe LLC

  • Skilled Nursing Facility
  • Shelby, OH
National Provider Identifier
1144540899
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1673N Issued in OH
Legal business name
SHELBY POINTE LLC
Practice address
100 Rogers LN
Shelby, OH 44875-1759
Phone
(419) 347-1313
NPI assigned
Jun 4, 2010
Last updated
Dec 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Authorized official

Name
Mr. David Franklin Cooley
Title
Managing Member
Phone
(440) 476-8018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1673N OH Primary

Addresses

Primary practice location

100 Rogers LN
Shelby, OH 44875-1759

Mailing address

100 Rogers LN
Shelby, OH 44875-1759
Phone (419) 347-1313

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110103000994 OH Part A Provider - Skilled Nursing Facility 7012031792 Practice locations: Shelby, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144540899. Details of each certification follow.

Skilled nursing facility certification: CCN 365331

Legal name
SHELBY POINTE LLC
Doing business as
SHELBY POINTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 8, 1976
Last certification
Jan 2, 2025
Beds
45
Ownership / control type
Corporation
Multi-facility organization
JAG HEALTHCARE
Organization structure
LLCProprietary
Incorporated
Jul 1, 2010 in OH
Enrollment address
100 Rogers LN
Shelby, OH 44875-1759
Nursing home name
SHELBY POINTE
Affiliated entity
JAG HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Shelby PointeCCN 365331 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 8, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4543.2 residents per day on average
Chain
Jag Healthcare9 facilities in the chain

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
36D0723571Shelby Pointe100 Rogers Lane, Shelby, OH 44875Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

100 Rogers Ln
Shelby, OH 44875
Phone (419) 347-1313

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Shelby Pointe Re, LLC Organization, Rocky River, OH Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Aug 1, 2017 38%
Operational/Managerial Control Aug 1, 2017
Adp of the SNF Aug 1, 2017
Dirk N Juschka Individual Operational/Managerial Control Jan 1, 2015
Adp of the SNF Jan 1, 2015
Zallaca Romero Individual Operational/Managerial Control Apr 13, 2023
Adp of the SNF Apr 13, 2023
Jag Healthcare Inc Organization, Rocky River, OH Holding company, Chain home office Operational/Managerial Control Aug 1, 2013
Adp of the SNF Aug 1, 2013
James Griffiths Individual Operational/Managerial Control Aug 1, 2013
Managing Control - Governing BodyCeo Sep 4, 2013
Adp of the SNF Aug 1, 2013
Direct Ownership Interest Jul 21, 2025 100%

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 8

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1144540899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ROGERS LN",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448751759",
            "telephone_number": "419-347-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ROGERS LN",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448751759",
            "telephone_number": "419-347-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY POINTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "COOLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "440-476-8018",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1673N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, OH

Sources for this page

Verify at the official NPI Registry.