NPIMap

Organization Active NPI

Embassy Cambridge, LLC

  • Skilled Nursing Facility
  • Cambridge, OH
National Provider Identifier
1265066054
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
EMBASSY CAMBRIDGE, LLC
Practice address
1471 Wills Creek Valley Dr
Cambridge, OH 43725-8620
Phone
(740) 439-4437
NPI assigned
Mar 2, 2020
Last updated
Mar 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Authorized official

Name
Hayley Williams
Title
Attorney
Phone
(216) 706-3936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1471 Wills Creek Valley Dr
Cambridge, OH 43725-8620

Mailing address

25201 Chagrin Blvd Ste 190
Beachwood, OH 44122-5633
Phone (216) 378-2050

Other identifiers 1

IdentifierTypeStateIssuer
1582NOtherOHLICENSURE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200428000798 OH Part A Provider - Skilled Nursing Facility 7517397839 Practice locations: Cambridge, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265066054. Details of each certification follow.

Skilled nursing facility certification: CCN 365770

Legal name
EMBASSY CAMBRIDGE, LLC
Doing business as
EMBASSY OF CAMBRIDGE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 28, 1989
Last certification
May 21, 2024
Beds
95
Ownership / control type
Corporation
Organization structure
LLCProprietary
Enrollment address
1471 Wills Creek Valley Dr
Cambridge, OH 43725-8620
Nursing home name
EMBASSY OF CAMBRIDGE
Affiliated entity
EMBASSY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Embassy of CambridgeCCN 365770 · All quality measures
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 - Corporation
Certified
Nov 28, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9572.4 residents per day on average
Chain
Embassy Healthcare33 facilities in the chain
Penalties (3 years)
4Fines totaling $131,018

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Ah Dynasty LLC Organization, Cleveland, OH LLC, Owned by another organization or individual Indirect Ownership Interest Nov 9, 2022 50%
Heritage Employment Services, LLC Organization, Cleveland, OH LLC, Medical staffing company Operational/Managerial Control Mar 1, 2020
Adp of the SNF May 7, 2025
Britney Cowgill Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
George S. Repchick 2020 Family Dynasty Trust Organization, Shaker Heights, OH Indirect Ownership Interest Nov 9, 2022 50%
Aaron Handler Family Dynasty Trust Organization, Shaker Heights, OH Indirect Ownership Interest Nov 9, 2022 50%
Aaron B Handler Individual Operational/Managerial Control Mar 1, 2020
Managing Control - Governing BodyVice President and Secretary Mar 1, 2020
Indirect Ownership Interest Mar 1, 2020 50%
George S. Repchick Individual Operational/Managerial Control Mar 1, 2020
Managing Control - Governing BodyPresident Mar 1, 2020
Indirect Ownership Interest Mar 1, 2020 50%
Michael a Dundr Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Embassy Healthcare Management Inc Organization, Cleveland, OH Corporation, Management services company Operational/Managerial Control Mar 1, 2020
Adp of the SNF May 7, 2025
2020 GSR Dynasty LLC Organization, Cleveland, OH LLC, Owned by another organization or individual Indirect Ownership Interest Nov 9, 2022 50%
Embassy Healthcare Holdings Inc Organization, Cleveland, OH Corporation, Holding company, Owned by another organization or individual Direct Ownership Interest Mar 1, 2020 100%

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 20

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

View all 20

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1265066054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25201 CHAGRIN BLVD STE 190",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225633",
            "telephone_number": "216-378-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 WILLS CREEK VALLEY DR",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437258620",
            "telephone_number": "740-439-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBASSY CAMBRIDGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "HAYLEY",
        "authorized_official_title_or_position": "ATTORNEY",
        "authorized_official_telephone_number": "216-706-3936"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "1582N",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, OH

Sources for this page

Verify at the official NPI Registry.