Organization Active NPI

Hooberry & Associates, Inc.

  • Skilled Nursing Facility
  • Newton Falls, OH
National Provider Identifier
1255433413
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
3717 Issued in OH
Legal business name
HOOBERRY & ASSOCIATES, INC.
Practice address
2200 Milton Blvd
Newton Falls, OH 44444-8746
Phone
(330) 872-1990
NPI assigned
Sep 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Authorized official

Name
Mrs. Kathy Kolesar, RN
Title
Administrator
Phone
(330) 872-1990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 3717 OH Primary

Addresses

Primary practice location

2200 Milton Blvd
Newton Falls, OH 44444-8746

Mailing address

2200 Milton Blvd
Newton Falls, OH 44444-8746
Phone (330) 872-1990

Other identifiers 2

IdentifierTypeStateIssuer
0640739MedicaidOH
0566890001OtherOHDMERC

Other names 1

  • LAURIE ANN NURSING HOME Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070806000016 OH Part A Provider - Skilled Nursing Facility 2860583929 Practice locations: Newton Falls, OH

Skilled nursing facility certification: CCN 365855

Legal name
HOOBERRY & ASSOCIATES, INC.
Doing business as
COUNTRY CLUB REHABILITATION CAMPUS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 1, 1991
Last certification
Jun 18, 2025
Beds
60
Ownership / control type
Limited Liability Corporation
Organization structure
CorporationProprietary
Incorporated
May 23, 1985 in OH
Enrollment address
2200 Milton Blvd
Newton Falls, OH 44444-8746
Nursing home name
LAURIE ANN NURSING HOME
Affiliated entity
COUNTRY CLUB REHABILITATION CAMPUS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Laurie Ann Nursing HomeCCN 365855
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 1, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6055.0 residents per day on average
Chain
Country Club Rehabilitation Campus7 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Hooberry Associates Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2200 Milton Blvd
Newton Falls, OH 44444
Phone (330) 872-1990

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Noah Holland Individual 5% Or Greater Direct Ownership Interest Dec 1, 2017 9.8%
Adp of the SNF Nov 5, 2024
Joshua Gresock Individual 5% Or Greater Direct Ownership Interest Dec 1, 2017 9.8%
Adp of the SNF Dec 12, 2024
John Muirden-Holland Individual 5% Or Greater Direct Ownership Interest Dec 1, 2017 9.8%
Adp of the SNF Nov 21, 2024
Patricia Holland-Gresock Individual 5% Or Greater Direct Ownership Interest Dec 1, 2017 9.8%
Adp of the SNF Nov 5, 2024
Nicholas Holland Individual 5% Or Greater Direct Ownership Interest Dec 1, 2017 9.8%
Adp of the SNF Nov 5, 2024
Benjamin Holland Individual 5% Or Greater Direct Ownership Interest Dec 1, 2017 9.8%
Adp of the SNF Nov 5, 2024
Individual Adp of the SNF Nov 21, 2024
Adam Holland-Gresock Individual 5% Or Greater Direct Ownership Interest Dec 1, 2017 9.8%
Adp of the SNF Nov 5, 2024
Individual Adp of the SNF Nov 21, 2024
Janet Harris Individual 5% Or Greater Direct Ownership InterestPresident Dec 1, 2017 30%
Corporate OfficerPresident/Treasurer Dec 1, 2017 30%
Corporate DirectorPresident Dec 1, 2017 30%
Operational/Managerial Control Nov 5, 2024
Adp of the SNF Dec 12, 2024

Practitioners & affiliated clinicians

Practitioners 2

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": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1255433413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 MILTON BLVD",
            "city": "NEWTON FALLS",
            "state": "OH",
            "postal_code": "444448746",
            "telephone_number": "330-872-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 MILTON BLVD",
            "city": "NEWTON FALLS",
            "state": "OH",
            "postal_code": "444448746",
            "telephone_number": "330-872-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOBERRY & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "KOLESAR",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "330-872-1990",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "3717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0640739",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0566890001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAURIE ANN NURSING HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newton Falls, OH

Sources for this page

Verify at the official NPI Registry.