Active NPI
Wayne County Auditor
- Skilled Nursing Facility
- Wooster, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- WAYNE COUNTY AUDITOR
- Doing business as
- Wayne County Care Center
- Practice address
- 876 S Geyers Chapel Rd
Wooster, OH 44691-3908 - Phone
- (330) 262-1786
- Fax
- (330) 262-0118
- NPI assigned
- Jan 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carole J Van Pelt
- Title
- Administrator
- Phone
- (330) 262-1786
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
876 S Geyers Chapel Rd
Wooster, OH 44691-3908
Mailing address
876 S Geyers Chapel Rd
Wooster, OH 44691-3908
Phone (330) 262-1786
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0520896 | Medicaid | OH |
Other names 1
- Wayne County Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070111000103 | OH | Part A Provider - Skilled Nursing Facility | 6002816303 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Wooster, OH |
Skilled nursing facility certification: CCN 366341
- Legal name
- WAYNE COUNTY AUDITOR
- Doing business as
- WAYNE COUNTY CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 12, 2007
- Last certification
- Nov 14, 2024
- Beds
- 50
- Ownership / control type
- County
- Organization structure
- Other
- Enrollment address
- 876S Geyers Chapel Rd
Wooster, OH 44691-3908 - Nursing home name
- WAYNE COUNTY CARE CENTER
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Nursing Facility/Intermediate Care Facility
- Wooster, OH
- NPI 1497741136
O20070111000103
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Wayne County Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Government - County
- Certified
- Apr 12, 2007
- Medicare certification status
- Active
- Certified beds
- 50
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Sue Smail | Corporate Officer | Jul 23, 2021 | |
| Wayne County Auditor | 5% Or Greater Direct Ownership Interest | Jan 1, 2007 | 100% |
| Judy Dennis | W-2 Managing Employee | Jan 31, 2022 | |
| Ron Amstutz | Corporate Officer | Jul 23, 2021 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Nursing Facility/Intermediate Care Facility
- Wooster, OH
- NPI 1497741136
5% Or Greater Direct Ownership Interest
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215561600000",
"number": "1184771222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "876 S GEYERS CHAPEL RD",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446913908",
"telephone_number": "330-262-1786",
"fax_number": "330-262-0118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "876 S GEYERS CHAPEL RD",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446913908",
"telephone_number": "330-262-1786",
"fax_number": "330-262-0118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAYNE COUNTY AUDITOR",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-04",
"last_updated": "2008-07-09",
"status": "A",
"authorized_official_last_name": "VAN PELT",
"authorized_official_first_name": "CAROLE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "330-262-1786"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0520896",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wayne County Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.