Organization Active NPI

Mentor Health and Rehabilitation Center, Inc.

Doing business as Mentor Ridge Health and Rehabilitation

  • Skilled Nursing Facility
  • Mentor, OH
National Provider Identifier
1255863635
Registry record updated Jun 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MENTOR HEALTH AND REHABILITATION CENTER, INC.
Doing business as
Mentor Ridge Health and Rehabilitation
Practice address
8151 Norton Pkwy
Mentor, OH 44060
Phone
(440) 299-5500
NPI assigned
Apr 3, 2017
Last updated
Jun 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2017

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

Authorized official

Name
Robert C Brenner
Title
President
Phone
(216) 292-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

8151 Norton Pkwy
Mentor, OH 44060

Mailing address

30050 Chagrin Blvd
Suite 100
Pepper Pike, OH 44124-5716
Phone (216) 292-5555

Other names 1

  • Mentor Ridge Health and Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170524002155 OH Part A Provider - Skilled Nursing Facility 3779850656 Practice locations: Mentor, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255863635. Details of each certification follow.

Skilled nursing facility certification: CCN 366455

Legal name
MENTOR HEALTH AND REHABILITATION CENTER INC.
Doing business as
MENTOR RIDGE HEALTH AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 31, 2017
Last certification
Feb 22, 2024
Beds
99
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
Jun 23, 2015 in OH
Enrollment address
8151 Norton Pkwy
Mentor, OH 44060-6055
Nursing home name
MENTOR RIDGE HEALTH AND REHABILITATION
Affiliated entity
FOUNDATIONS HEALTH SOLUTIONS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mentor Ridge Health and RehabilitationCCN 366455 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 31, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9995.3 residents per day on average
Chain
Foundations Health Solutions64 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2130073Mentor Ridge Health and Rehabilitation8151 Norton Parkway, Mentor, OH 44060Certificate of waiverMay 1, 2027

National Provider Directory

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
John Krystowski Individual Corporate OfficerTreasurer Jan 1, 2020
Operational/Managerial Control Jan 1, 2020
Adp of the SNF Jan 1, 2020
Brian E Colleran Individual Corporate OfficerPresident Jan 1, 2021
Corporate DirectorPresident Jan 1, 2021
Operational/Managerial Control Jan 1, 2021
Adp of the SNF Jan 1, 2021
Colleran Fam TR Dated 01-01-2018 Organization, North Olmsted, OH 5% Or Greater Indirect Ownership Interest Jan 1, 2020 100%
Foundations Health LLC Organization, North Olmsted, OH LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2020 100%
Nicholas W Detore Individual Adp of the SNF Aug 31, 2017
David Granito Individual Operational/Managerial Control Nov 4, 2019
Adp of the SNF Nov 4, 2019
Foundations Health Solutions, LLC Organization, North Olmsted, OH LLC, Management services company, For-profit Operational/Managerial Control Jan 1, 2019
Adp of the SNF Apr 17, 2025

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 64

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

View all 64

Practitioners & affiliated clinicians

Practitioners 3

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 3

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": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498003200000",
    "number": "1255863635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30050 CHAGRIN BLVD",
            "address_2": "SUITE 100",
            "city": "PEPPER PIKE",
            "state": "OH",
            "postal_code": "441245716",
            "telephone_number": "216-292-5555",
            "fax_number": "216-292-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8151 NORTON PKWY",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "44060",
            "telephone_number": "440-299-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTOR HEALTH AND REHABILITATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-06-21",
        "status": "A",
        "authorized_official_last_name": "BRENNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-292-5555"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mentor Ridge Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.