Kendal at Oberlin

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

4769 Issued in OH

Legal business name

KENDAL AT OBERLIN

Practice address

600 Kendal Dr
Oberlin, OH 44074-1900

Phone

(440) 775-0094

Fax

(440) 775-9820

NPI assigned

May 26, 2006

Last updated

Feb 17, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stacy S Terrell, LNHA

Title

Chief Health Services Officer

Phone

(440) 775-0094

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194771543. Details of each certification follow.

• CCN 365956 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 365956

Legal name

KENDAL AT OBERLIN

Doing business as

HEALTHPRO HERITAGE

Certification status

Active

Provider type (POS)

Nursing home – SNF (Medicare) only

Participating since

Jan 30, 1994

Last certification

Aug 18, 2022

Beds

5

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Oct 26, 1987 in OH

Enrollment address

600 Kendal Drive
Oberlin, OH 44074-1900

Nursing home name

KENDAL AT OBERLIN

Listed as

Kendal at OberlinCCN 365956 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Type

Medicare

Ownership

Non profit - Corporation

Certified

Jan 30, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

52.0 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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• County of Lorain Ohio

  dba Lorain County General Health District

  • Public Health or Welfare Agency
  • Elyria, OH
  • NPI 1881725851

  Member Of

  NPD member

All disclosed owners & managing parties 33

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 2

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

• County of Lorain Ohio

  dba Lorain County General Health District

  • Public Health or Welfare Agency
  • Elyria, OH
  • NPI 1881725851

  5% Or Greater Mortgage Interest, 5% Or Greater Security Interest

  CMS ownership
• Georgia Lynne Newman, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Oberlin, OH
  • NPI 1194716555

  Adp of the SNF

  CMS ownership

Facilities with the same owner 2

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

• Foxdale Village Corporation

  • Skilled Nursing Facility
  • State College, PA
  • NPI 1417967720

  Peace Church Risk Retention Group

  CMS ownership
• Landis Homes Retirement Community

  • Skilled Nursing Facility
  • Lititz, PA
  • NPI 1346243227

  Peace Church Risk Retention Group

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chrystn Mary Petsas, FNP-C

  • Gerontology Registered Nurse
  • Oberlin, OH
  • NPI 1124642707
  Medicare reassignment NPD

Affiliated clinicians 4

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

• Cole Christopher Budinsky, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Sheffield Village, OH
  • NPI 1740625615

  Nursing home

  Care Compare affiliation
• Georgia Lynne Newman, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Oberlin, OH
  • NPI 1194716555

  Nursing home

  Care Compare affiliation
• Chrystn Mary Petsas, FNP-C

  • Gerontology Registered Nurse
  • Oberlin, OH
  • NPI 1124642707

  Nursing home

  Care Compare affiliation
• Sathya P. Reddy, MD

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1083671671

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581897600000",
    "number": "1194771543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 KENDAL DR",
            "city": "OBERLIN",
            "state": "OH",
            "postal_code": "440741900",
            "telephone_number": "440-775-0094",
            "fax_number": "440-775-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 KENDAL DR",
            "city": "OBERLIN",
            "state": "OH",
            "postal_code": "440741900",
            "telephone_number": "440-775-0094",
            "fax_number": "440-775-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDAL AT OBERLIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A",
        "authorized_official_last_name": "TERRELL",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF HEALTH SERVICES OFFICER",
        "authorized_official_telephone_number": "440-775-0094",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "4769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helmut J Jungschaffer, MD
• Caroline Just, MD, FRCPC, CSCN EEG
• Chelsea Kaminski, OTR/L
• Kathies Consulting
• Joshua Benjamin Katz
• Kendal Northern Ohio
• Kimberly Lynn Kenney
• Richard T. Kessler, M.D.
• Vasanti N Kharkar-Sharma, MD
• Kidspeak, LLC

• Skilled Nursing Facility in Oberlin, OH
• Providers in Oberlin, 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 Feb 17, 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.

Verify at the official NPI Registry.