NPIMap

Organization Active NPI

Concord Ridge Health and Rehabilitation, Inc.

  • Skilled Nursing Facility
  • Mentor, OH
National Provider Identifier
1285416883
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CONCORD RIDGE HEALTH AND REHABILITATION, INC.
Practice address
9901 Johnnycake Ridge Rd
Mentor, OH 44060-6739
Phone
(440) 357-7900
NPI assigned
Oct 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Authorized official

Name
Sandy Muir
Title
Corporate Secretary
Phone
(440) 793-2245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

9901 Johnnycake Ridge Rd
Mentor, OH 44060-6739

Mailing address

9901 Johnnycake Ridge Rd
Mentor, OH 44060-6739
Phone (440) 357-7900

Other names 1

  • CONCORD 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
O20240130000513 OH Part A Provider - Skilled Nursing Facility 6103279898 Practice locations: Mentor, OH

Skilled nursing facility certification: CCN 366011

Legal name
CONCORD RIDGE HEALTH AND REHABILITATION INC
Doing business as
CONCORD RIDGE HEALTH AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 14, 1995
Last certification
Aug 15, 2024
Beds
88
Ownership / control type
Corporation
Multi-facility organization
Foundations Health Solutions
Most recent change of ownership
Dec 1, 2023
Organization structure
CorporationProprietary
Incorporated
Oct 4, 2023 in OH
Enrollment address
9901 Johnnycake Ridge Rd
Mentor, OH 44060-6739
Nursing home name
CONCORD RIDGE HEALTH AND REHABILITATION
Affiliated entity
FOUNDATIONS HEALTH SOLUTIONS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Concord Ridge Health and RehabilitationCCN 366011
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
Jul 14, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8885.3 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
36D0874486Concord Ridge Health & Rehabilitation9901 Johnnycake Ridge Road, Mentor, OH 44060Certificate of waiverAug 10, 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 Dec 1, 2023
Operational/Managerial Control Dec 1, 2023
Adp of the SNF Dec 1, 2023
Brian E Colleran Individual Corporate OfficerPresident Dec 1, 2023
Corporate DirectorPresident Dec 1, 2023
Operational/Managerial Control Dec 1, 2023
Adp of the SNF Dec 1, 2023
Beth West Individual Operational/Managerial Control Dec 1, 2023
Adp of the SNF Dec 1, 2023
Colleran Fam TR Dated 01-01-2018 Organization, North Olmsted, OH 5% Or Greater Indirect Ownership Interest Dec 1, 2023 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 Dec 1, 2023 100%
Foundations Health Solutions, LLC Organization, North Olmsted, OH LLC, Management services company, For-profit Operational/Managerial Control Dec 1, 2023
Adp of the SNF Apr 4, 2025
Varinder Singh Dhillon Individual Adp of the SNF Dec 1, 2023

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 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": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1285416883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 JOHNNYCAKE RIDGE RD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606739",
            "telephone_number": "440-357-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 JOHNNYCAKE RIDGE RD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606739",
            "telephone_number": "440-357-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD RIDGE HEALTH AND REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "MUIR",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "440-793-2245"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CONCORD 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.