Active NPI
Hampton Woods Nursing Center, Inc.
- Skilled Nursing Facility
- Poland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- HAMPTON WOODS NURSING CENTER, INC.
- Practice address
- 1525 E Western Reserve Rd
Poland, OH 44514-3254 - Phone
- (330) 707-1300
- NPI assigned
- Dec 15, 2006
- 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
- Frank Antalocy
- Title
- VP
- Phone
- (330) 792-7681
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1525 E Western Reserve Rd
Poland, OH 44514-3254
Mailing address
1525 E Western Reserve Rd
Poland, OH 44514-3254
Phone (330) 707-1300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2691583 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060419000597 | OH | Part A Provider - Skilled Nursing Facility | 0648289611 | Practice locations: Poland, OH |
Skilled nursing facility certification: CCN 366329
- Legal name
- HAMPTON WOODS NURSING CENTER, INC.
- Doing business as
- HAMPTON WOODS NURSING CENTER INC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 17, 2006
- Last certification
- Oct 10, 2024
- Beds
- 70
- Ownership / control type
- Individual
- Organization structure
- Corporation
- Incorporated
- Jul 31, 2004 in OH
- Enrollment address
- 1525E Western Reserve Rd
Poland, OH 44514-3254 - Nursing home name
- HAMPTON WOODS NURSING CENTER, INC
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Hampton Woods Nursing Center, Inc
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Oct 17, 2006
- Medicare certification status
- Active
- Certified beds
- 70
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 |
|---|---|---|---|
| Kathy Prasad | 5% Or Greater Indirect Ownership Interest | Jan 1, 2026 | 100% |
| Corporate Officer | Jun 1, 2005 | ||
| Corporate Director | Jun 1, 2005 | ||
| Operational/Managerial Control | Jan 1, 2026 | ||
| Declaration of Trust No. 2 of Kathleen a. Prasad Dated July 26, 2018 | 5% Or Greater Indirect Ownership Interest | Jan 1, 2026 | |
| Frank Antalocy | Corporate Officer | Jun 1, 2005 | |
| Corporate Director | Jun 1, 2005 | ||
| Prasad Holding Company | 5% Or Greater Direct Ownership Interest | Jan 1, 2026 | 100% |
Facilities with the same owner 2
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Poland, OH
- NPI 1568827996
Declaration of Trust No. 2 of Kathleen a. Prasad Dated July 26, 2018, Prasad Holding Company
-
- Home Health Agency
- Austintown, OH
- NPI 1154432292
Declaration of Trust No. 2 of Kathleen a. Prasad Dated July 26, 2018, Prasad Holding Company
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Boardman, OH
- NPI 1164927307
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": "1166140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1184786030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 E WESTERN RESERVE RD",
"city": "POLAND",
"state": "OH",
"postal_code": "445143254",
"telephone_number": "330-707-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 E WESTERN RESERVE RD",
"city": "POLAND",
"state": "OH",
"postal_code": "445143254",
"telephone_number": "330-707-1300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAMPTON WOODS NURSING CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ANTALOCY",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "330-792-7681"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2691583",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.