Gillette Nursing Home, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

4321 Issued in OH

Legal business name

GILLETTE NURSING HOME, INC.

Practice address

3310 Elm Rd NE
Warren, OH 44483-2614

Phone

(330) 372-1960

Fax

(330) 372-6132

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Douglas A Stein

Title

Director of Operations

Phone

(330) 372-1960

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Skilled nursing facility certification: CCN 366129

Legal name

GILLETTE NURSING HOME, INC.

Doing business as

GILLETTE NURSING HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 1, 1997

Last certification

Aug 8, 2024

Beds

99

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Enrollment address

3310 Elm Road NE
Warren, OH 44483-2662

Nursing home name

GILLETTE NURSING HOME

Listed as

Gillette Nursing HomeCCN 366129

Overall star rating

4 of 5

Health inspections

5 of 5

Staffing

1 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jul 1, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9990.4 residents per day on average

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 15

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 4

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

• Kapil Kwatra, M.D

  • Internal Medicine Physician
  • Warren, OH
  • NPI 1326016320

  Adp of the SNF

  CMS ownership
• Mobile Medical Inc

  • Optometrist
  • Perrysburg, OH
  • NPI 1689620015

  Adp of the SNF

  CMS ownership
• Northeast Surgical Wound Care, Inc.

  • Surgery Physician
  • Independence, OH
  • NPI 1649215583

  Adp of the SNF

  CMS ownership
• Psycho Social Therapies,LTD

  • Clinical Social Worker
  • Beachwood, OH
  • NPI 1750335261

  Adp of the SNF, Limited Partnership Interest

  CMS ownership

Practitioners 1

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

• Kapil Kwatra, M.D

  • Internal Medicine Physician
  • Warren, OH
  • NPI 1326016320
  NPD (past)

Affiliated clinicians 2

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

• Kapil Kwatra, M.D

  • Internal Medicine Physician
  • Warren, OH
  • NPI 1326016320

  Nursing home

  Care Compare affiliation
• Zachary F Veres, DO

  • Family Medicine Physician
  • Warren, OH
  • NPI 1285619239

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1184722522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 ELM RD NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444832614",
            "telephone_number": "330-372-1960",
            "fax_number": "330-372-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 ELM RD NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444832614",
            "telephone_number": "330-372-1960",
            "fax_number": "330-372-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILLETTE NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "330-372-1960",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "4321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0668264",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Giffin
• Thomas Daniel Gifford, D.O,
• Tiarra Gilbert
• Bethany Gillespie, LISW
• Samantha Gillespie, CPST-QMHS
• Jasmine Gilliam
• Bonny R. Gilmore, CRNA
• Jacob B Gilmore, LCDC III
• Tamara S Gilronan
• Paige Adele Gingerich

• 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 Mar 15, 2012; 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.