Medina Opco, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MEDINA OPCO, LLC

Doing business as

Medina Center for Rehabilitation & Nursing

Practice address

555 Springbrook Dr
Medina, OH 44256-3651

Phone

(330) 725-3393

NPI assigned

Apr 21, 2021

Last updated

Apr 21, 2021By 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

Mr. Jeffrey Goldstein

Title

Managing Member

Phone

(718) 688-8760

Specialties & licenses 1

Addresses

Other names 1

• Medina Center for Rehabilitation & Nursing 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 1164003091. Details of each certification follow.

• CCN 365667 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 365667

Legal name

MEDINA OPCO LLC

Doing business as

MEDINA CENTER FOR REHABILITATION AND NURSING

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 28, 1985

Last certification

Feb 25, 2025

Beds

80

Ownership / control type

Limited Liability Corporation

Multi-facility organization

AOM Healthcare, LLC

Most recent change of ownership

May 1, 2021

Organization structure

LLCProprietary

Enrollment address

555 Springbrook Dr
Medina, OH 44256-3651

Nursing home name

MEDINA CENTER FOR REHABILITATION AND NURSING

Affiliated entity

AOM HEALTHCARE

Listed as

Medina Center for Rehabilitation and NursingCCN 365667 · All quality measures

Overall star rating

2 of 5

Health inspections

1 of 5

Staffing

2 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Oct 28, 1985

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8068.9 residents per day on average

Chain

Aom Healthcare20 facilities in the chain

Special focus status

SFF Candidate

Penalties (3 years)

5Fines totaling $136,807

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 2

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

Practitioners 1

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.

• Yatish Goyal, M.D.

  • Internal Medicine Physician
  • Medina, OH
  • NPI 1023297587
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Yatish Goyal, M.D.

  • Internal Medicine Physician
  • Medina, OH
  • NPI 1023297587

  Nursing home

  Care Compare affiliation
• Shobha Khandelwal, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Medina, OH
  • NPI 1083609622

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1164003091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 ROCKAWAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364001",
            "telephone_number": "718-688-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SPRINGBROOK DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563651",
            "telephone_number": "330-725-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINA OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "718-688-8760",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medina Center for Rehabilitation & Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medina Hospital
• Medina Hospital (CCF Medina Ambulatory Pharmacy)
• Medina Hospital (CCF Medina Ambulatory Pharmacy)
• Medina Hospital
• Medina OB/GYN Associates, Inc.
• Medina Operations, LLC (Life Care Center of Medina)
• Medina Pathology Associates Inc.
• Medina Pediatric Dental Associates
• Medina Village Retirement Community, LTD (Medina Village Skilled Nursing and Rehabilitation)
• Medina Vision Centre Inc. (Medina Vision and Laser Centre)

• Skilled Nursing Facility in Medina, OH
• Providers in Medina, 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 Apr 21, 2021; 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.