NPIMap

Organization Active NPI

Park View Operating Company LLC

  • Skilled Nursing Facility
  • Edgerton, OH
National Provider Identifier
1205504107
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PARK VIEW OPERATING COMPANY LLC
Practice address
328 W Vine St
Edgerton, OH 43517-9600
Phone
(419) 298-2321
Fax
(859) 281-5150
NPI assigned
Sep 3, 2021
Last updated
Sep 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Authorized official

Name
Brenda Campbell
Title
Ar Billing Manager
Phone
(859) 255-0075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

328 W Vine St
Edgerton, OH 43517-9600

Mailing address

1050 Chinoe Rd Ste 350
Lexington, KY 40502-6571
Phone (859) 255-0075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211124001165 OH Part A Provider - Skilled Nursing Facility 5092105544 Practice locations: Edgerton, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205504107. Details of each certification follow.

Skilled nursing facility certification: CCN 365570

Legal name
PARK VIEW OPERATING COMPANY LLC
Doing business as
PARK VIEW CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 30, 1981
Last certification
May 4, 2023
Beds
74
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Exceptional Living Centers
Organization structure
LLCProprietary
Incorporated
Jun 26, 2021 in KY
Enrollment address
328 W Vine St
Edgerton, OH 43517-9600
Nursing home name
PARK VIEW CARE CENTER
Affiliated entity
EXCEPTIONAL LIVING CENTERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Park View Care CenterCCN 365570 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 30, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7461.1 residents per day on average
Chain
Exceptional Living Centers10 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Park View Operating Company LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Amy H Watts Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2021 50%
Adp of the SNF Oct 1, 2021
Walter T Watts Individual 5% Or Greater Indirect Ownership InterestManager Oct 1, 2021 50%
Corporate OfficerPresident and Ceo Oct 1, 2021 100%
Adp of the SNF Oct 1, 2021
Brenda Campbell Individual Operational/Managerial ControlAccounts Receivable Billing Mana Oct 1, 2021
Adp of the SNF Oct 1, 2021
Duane Johnson Individual Adp of the SNF Dec 5, 2023
Medical Rehabilitation Centers, LLC Organization, Lexington, KY LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 1, 2021 100%
Adp of the SNF Oct 1, 2021
Kyle Redman Individual Adp of the SNF Feb 13, 2023
Lexington Health Management LLC Organization, Lexington, KY LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 1, 2021 100%
Adp of the SNF Oct 1, 2021

Owners & managing parties with NPI records 1

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

Facilities with the same owner 9

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

Practitioners & affiliated clinicians

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.

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": "1630627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630627200000",
    "number": "1205504107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 CHINOE RD STE 350",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405026571",
            "telephone_number": "859-255-0075",
            "fax_number": "859-281-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 W VINE ST",
            "city": "EDGERTON",
            "state": "OH",
            "postal_code": "435179600",
            "telephone_number": "419-298-2321",
            "fax_number": "859-281-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK VIEW OPERATING COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "AR BILLING MANAGER",
        "authorized_official_telephone_number": "859-255-0075"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgerton, OH

Sources for this page

Verify at the official NPI Registry.