Steubenville Country Club Manor

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

6136 Issued in OH

Legal business name

STEUBENVILLE COUNTRY CLUB MANOR

Practice address

575 Lovers LN
Steubenville, OH 43953-3311

Phone

(740) 266-6118

Fax

(740) 264-8898

NPI assigned

Sep 29, 2005

Organization subpart

No

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

Authorized official

Name

Mr. James J Bolger

Title

Administrator

Phone

(740) 266-6118

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Skilled nursing facility certification: CCN 366241

Legal name

STEUBENVILLE COUNTRY CLUB MANOR

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 22, 2002

Last certification

Feb 13, 2025

Beds

54

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

Feb 14, 1994 in OH

Enrollment address

575 Lovers Lane
Steubenville, OH 43953-3311

Nursing home name

STEUBENVILLE COUNTRY CLUB MANOR

Listed as

Steubenville Country Club ManorCCN 366241 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

May 22, 2002

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5450.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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.

Practitioners 1

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

• Maria Nicole Tranto, DO

  • Internal Medicine Physician
  • Steubenville, OH
  • NPI 1861480527
  NPD (past)

Affiliated clinicians 2

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

• Shaban Al Shoshi, MD

  • Internal Medicine Physician
  • Wintersville, OH
  • NPI 1114915899

  Nursing home

  Care Compare affiliation
• Maria Nicole Tranto, DO

  • Internal Medicine Physician
  • Steubenville, OH
  • NPI 1861480527

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245227941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 LOVERS LN",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439533311",
            "telephone_number": "740-266-6118",
            "fax_number": "740-264-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 LOVERS LN",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439533311",
            "telephone_number": "740-266-6118",
            "fax_number": "740-264-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEUBENVILLE COUNTRY CLUB MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOLGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "740-266-6118",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "6136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2314650",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steel Valley Hospitalists Inc
• Steuben Health & Rehab Center, LLC
• Steuben Radiology Associates Inc
• Steuben Radiology Associates Inc
• Steubenville City Schools
• Steubenville Integrative Medicine Professional Corporation
• Steubenville Orthopedics & Sports Medicine, Inc.
• Steubenville Pulmonary Associates Inc
• Steubenville SNF Opco LLC
• Ami Shavonne Stevenson

• Skilled Nursing Facility in Steubenville, OH
• Providers in Steubenville, 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 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.

Verify at the official NPI Registry.