CS Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CS OPCO LLC

Practice address

1320 Mahoning Ave NW
Warren, OH 44483-2002

Phone

(330) 373-1160

NPI assigned

Jan 15, 2025

Organization subpart

No

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

Authorized official

Name

Mattisyahu Nussbaum

Title

Owner

Phone

(212) 653-8730

Specialties & licenses 1

Addresses

Other names 1

• Community Skilled Health Care Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Skilled nursing facility certification: CCN 365412

Legal name

CS OPCO LLC

Doing business as

COMMUNITY SKILLED HEALTHCARE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 2, 1979

Last certification

May 16, 2024

Beds

99

Ownership / control type

Nonprofit Corporation

Organization structure

LLCProprietary

Enrollment address

1320 Mahoning Ave NW
Warren, OH 44483-2002

Nursing home name

COMMUNITY SKILLED HEALTHCARE

Listed as

Community Skilled HealthcareCCN 365412

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

2 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Apr 2, 1979

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9990.7 residents per day on average

Special focus status

SFF Candidate

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

4Fines totaling $198,318

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 19

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Vijaykumar Sankalchand Shah, MD

  • Internal Medicine Physician
  • Warren, OH
  • NPI 1851381016

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 3

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

• Gahana Opco LLC

  • Skilled Nursing Facility
  • Cincinnati, OH
  • NPI 1558051698

  Yyam Holdings LLC, Yyam Irrevocable Trust

  CMS ownership
• Go Opco LLC

  • Skilled Nursing Facility
  • Dayton, OH
  • NPI 1144038654

  Luxor Healthcare Group LLC, Yyam Holdings LLC, Yyam Irrevocable Trust

  CMS ownership
• Medina BSD Opco LLC

  • Skilled Nursing Facility
  • Medina, OH
  • NPI 1205526324

  Luxor Healthcare Group LLC, Yyam Holdings LLC, Yyam Irrevocable Trust

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sohair Kamel Rostom, M.D.

  • Internal Medicine Physician
  • Cortland, OH
  • NPI 1306876693
  NPD (past)
• Vijaykumar Sankalchand Shah, MD

  • Internal Medicine Physician
  • Warren, OH
  • NPI 1851381016
  NPD (past)

Affiliated clinicians 2

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

• Sohair Kamel Rostom, M.D.

  • Internal Medicine Physician
  • Cortland, OH
  • NPI 1306876693

  Nursing home

  Care Compare affiliation
• Vijaykumar Sankalchand Shah, MD

  • Internal Medicine Physician
  • Warren, OH
  • NPI 1851381016

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1174334635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 US HIGHWAY 9",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313357",
            "telephone_number": "845-608-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 MAHONING AVE NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444832002",
            "telephone_number": "330-373-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CS OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "NUSSBAUM",
        "authorized_official_first_name": "MATTISYAHU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-653-8730"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Skilled Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Skilled Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Autumn Crump
• Douglas Crush, PH.D
• Jessica Crute
• Amanda L Crytzer, RN
• CS Al Opco LLC
• Richard Cuckovich, D.O.
• Dawn W Cullar, CNS
• Andrew K Culver, DO
• Laura Cummins, LPN
• Sandra L Cunin, LPCC

• Skilled Nursing Facility in Warren, OH
• Providers in Warren, 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 Jan 22, 2025; 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.