Altercare Coshocton, Inc.
Organization Active NPI Skilled Nursing Facility · Coshocton, OH
NPI 1164939583 · NPPES record last updated Aug 23, 2024
Key facts
- NPI
- 1164939583
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- ALTERCARE COSHOCTON, INC.
- Practice address
- 1991 Otsego Ave
Coshocton, OH 43812-9370 - Phone
- (740) 622-2074
- Fax
- (740) 622-5501
- NPI assigned
- Jan 8, 2018
- Organization subpart
- No
Authorized official
- Name
- Mrs. Kathleen R Johnson
- Title
- VP Finance/Controller
- Phone
- (330) 498-5233
Facilities with the same owner 24
Practitioners 1
Affiliated clinicians 1
Medicare Care Compare: Nursing home
- Listed as
- Altercare Coshocton Inc.
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Nov 30, 1992
- Medicare certification status
- Active
- Certified beds
- 74 · 67.1 residents per day on average
- Chain
- Altercare
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0333095 | Altercare of Coshocton, Inc | Certificate of waiver | Jul 15, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Skilled nursing facility certification: CCN 365890
- Legal name
- ALTERCARE COSHOCTON INC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 30, 1992
- Last certification
- Jul 25, 2024
- Beds
- 74
- Ownership / control type
- Corporation
- Multi-facility organization
- Altercare Integrated Health Services
- Organization structure
- Corporation · Proprietary
- Incorporated
- Nov 17, 2017 in OH
- Enrollment address
- 1991 Otsego Ave
Coshocton, OH 43812-9370 - Nursing home name
- ALTERCARE COSHOCTON INC.
- Affiliated entity
- ALTERCARE
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Orian L Nutter |
Corporate Officer |
Oct 1, 2020 | |
| Altercare of Ohio, Inc |
Operational/Managerial Control | Jun 1, 2018 | |
| Kathy R Johnson |
Corporate Officer |
Jun 1, 2018 | |
| Gerald F Schroer Dynasty TR Ua 12312009 Fbo Matthew Schroer |
5% Or Greater Indirect Ownership Interest | Jun 1, 2018 | 10.35% |
| Susanne Schroer Dynasty Trust U/a |
5% Or Greater Indirect Ownership Interest | Jun 1, 2018 | 41.4% |
| Gerald F Schroer Dynasty TR Ua 12312009 Fbo Gerald F Schroer Jr |
5% Or Greater Indirect Ownership Interest | Jun 1, 2018 | 10.35% |
| Douglas Mock |
Corporate Officer |
Sep 20, 2021 | |
| Corporate Director |
Sep 20, 2021 | ||
| W-2 Managing Employee | Sep 20, 2021 | ||
| Gerald F Schroer Dynasty TR Ua 12312009 Margaret S Goodman |
5% Or Greater Indirect Ownership Interest | Jun 1, 2018 | 10.35% |
| John G Goodman |
Corporate Officer |
Jun 1, 2018 | |
| TSG Nursing Centers, Inc |
5% Or Greater Direct Ownership Interest | Jun 1, 2018 | 100% |
| George E Film |
Corporate Officer |
Jun 1, 2018 | |
| The Schroer Group, Inc. |
5% Or Greater Indirect Ownership Interest | Jun 1, 2018 | 100% |
| Gerald F Schroer Dynasty TR Ua 12312009 Fbo Andrew M Schroer |
5% Or Greater Indirect Ownership Interest | Jun 1, 2018 | 10.35% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180716002465 | OH | Part a Provider - Skilled Nursing Facility | 0345597803 | Practice locations: Coshocton, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
1991 Otsego Ave
Coshocton, OH 43812-9370
Mailing address
PO Box 550
Green, OH 44232-0550
Phone (330) 498-8101
Other providers in Coshocton, OH
- Allison Leigh Alexander
- Janet Kay Alford
- Alfred H. Magness, M.D., Inc.
- Aligned Counseling & Wellness Services, LLC
- Allwell Behavioral Health Services
- Betsy Ann Alverson
- Erin Alverson
- Linda Ames
- Amy Gray LLC
- Dawn M Anderson
All providers in Coshocton, 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 23, 2024. 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.