NPIMap

Organization Active NPI

Olmsted Manor, LTD

  • Skilled Nursing Facility
  • North Olmsted, OH
National Provider Identifier
1235115387
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
365533 Issued in OH
Legal business name
OLMSTED MANOR, LTD
Practice address
27500 Mill Rd
North Olmsted, OH 44070
Phone
(440) 777-8444
Fax
(440) 777-5796
NPI assigned
Dec 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

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

Authorized official

Name
Michelle Mroczka
Title
Business Office Manager
Phone
(440) 835-1181

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 365533 OH Primary
Skilled Nursing Facility 314000000X

Addresses

Primary practice location

27500 Mill Rd
North Olmsted, OH 44070

Mailing address

27500 Mill Rd
North Olmsted, OH 44070-3115
Phone (440) 777-8444

Other identifiers 1

IdentifierTypeStateIssuer
2019612MedicaidOH

Other names 1

  • Joshua Tree Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051215000168 OH Part A Provider - Skilled Nursing Facility 0244251494 Practice locations: North Olmsted, OH

Skilled nursing facility certification: CCN 365533

Legal name
OLMSTED MANOR LTD
Doing business as
JOSHUA TREE CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 14, 1980
Last certification
Jan 15, 2025
Beds
36
Ownership / control type
Individual
Organization structure
LLCProprietary
Incorporated
Aug 15, 1997 in OH
Enrollment address
27500 Mill Rd
North Olmsted, OH 44070-3115
Nursing home name
JOSHUA TREE CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Joshua Tree Care CenterCCN 365533
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Mar 14, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3634.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Joshua Tree Care Center3 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 1

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

NameRoleSinceShare
Kimberly Coury Individual 5% Or Greater Direct Ownership Interest Jan 1, 2000 100%
Operational/Managerial Control Jan 1, 1990 100%

Practitioners & affiliated clinicians

Practitioners 3

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

Affiliated clinicians 2

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": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528934400000",
    "number": "1235115387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27500 MILL RD",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703115",
            "telephone_number": "440-777-8444",
            "fax_number": "440-777-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27500 MILL RD",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "44070",
            "telephone_number": "440-777-8444",
            "fax_number": "440-777-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLMSTED MANOR, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2018-06-14",
        "status": "A",
        "authorized_official_last_name": "MROCZKA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "440-835-1181"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "365533",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019612",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joshua Tree Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Olmsted, OH

Sources for this page

Verify at the official NPI Registry.