Canton Rehabilitation and Nursing Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CANTON REHABILITATION AND NURSING CENTER LLC

Practice address

2714 13TH St NW
Canton, OH 44708-3121

Phone

(330) 456-2842

NPI assigned

Nov 3, 2020

Organization subpart

No

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

Authorized official

Name

Isaak Markovits

Title

Cfo

Phone

(608) 448-6200

Specialties & licenses 1

Addresses

Other names 1

• Hall of Fame Rehabilitation and Nursing Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Skilled nursing facility certification: CCN 365291

Legal name

CANTON REHABILITATION AND NURSING CENTER LLC

Doing business as

HALL OF FAME REHABILITATION AND NURSING CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 14, 1973

Last certification

Aug 19, 2024

Beds

69

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Divine Healthcare

Organization structure

LLCProprietary

Incorporated

Oct 11, 2020 in OH

Enrollment address

2714 13TH St NW
Canton, OH 44708-3121

Nursing home name

HALL OF FAME REHABILITATION AND NURSING CENTER

Affiliated entity

DIVINE HEALTHCARE MANAGEMENT

Listed as

Hall of Fame Rehabilitation and Nursing CenterCCN 365291

Overall star rating

2 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

May 14, 1973

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6946.4 residents per day on average

Chain

Divine Healthcare Management9 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 3

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

Facilities with the same owner 2

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

• Shane Hill Rehabilitation and Nursing Center LLC

  • Skilled Nursing Facility
  • Rockford, OH
  • NPI 1376144782

  DHM Oh Three Holdings LLC

  CMS ownership
• Toledo Rehabilitation and Nursing Center LLC

  • Skilled Nursing Facility
  • Toledo, OH
  • NPI 1710588124

  DHM Oh Three Holdings LLC

  CMS ownership

Practitioners 2

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

• Richard William Jones Jr., M.D.

  • Internal Medicine Physician
  • Canton, OH
  • NPI 1841442803
  NPD (past)
• Ish Rawal, MD

  • Internal Medicine Physician
  • Canton, OH
  • NPI 1467679589
  NPD (past)

Affiliated clinicians 1

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

• Ish Rawal, MD

  • Internal Medicine Physician
  • Canton, OH
  • NPI 1467679589

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1235730748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 MCDONALD AVE STE 213",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302633",
            "telephone_number": "608-448-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2714 13TH ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447083121",
            "telephone_number": "330-456-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON REHABILITATION AND NURSING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "MARKOVITS",
        "authorized_official_first_name": "ISAAK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "608-448-6200"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hall of Fame Rehabilitation and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Canton, OH
• Providers in Canton, 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 Nov 3, 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.