Boardman Skilled Nursing, LLC
Organization Active NPI Skilled Nursing Facility · Youngstown, OH
NPI 1295037463 · NPPES record last updated Jan 26, 2023
Key facts
- NPI
- 1295037463
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 1510N (OH)
- Legal business name
- BOARDMAN SKILLED NURSING, LLC
- Practice address
- 830 Boardman Canfield Rd
Youngstown, OH 44512-4213 - Phone
- (330) 758-8106
- Fax
- (330) 758-7030
- NPI assigned
- Nov 22, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. Benjamin Parsons
- Title
- Cfo
- Phone
- (216) 772-1105
Corporate family (same tax ID) 1
Facilities with the same owner 12
Practitioners 1
-
Louis Emanuel Volino, D.O.
Affiliated clinicians 1
-
Louis Emanuel Volino, D.O.
Medicare Care Compare: Nursing home
- Listed as
- Vista Center of Boardman
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Aug 24, 1989
- Medicare certification status
- Active
- Certified beds
- 60 · 46.9 residents per day on average
- Chain
- Continuing Healthcare Solutions
- Penalties (3 years)
- 1 · fines totaling $45,997
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Skilled nursing facility certification: CCN 365760
- Legal name
- BOARDMAN SKILLED NURSING LLC
- Doing business as
- VISTA CENTER OF BOARDMAN
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 24, 1989
- Last certification
- Oct 21, 2024
- Beds
- 60
- Ownership / control type
- Corporation
- Multi-facility organization
- Continuing Healthcare Solutions
- Organization structure
- LLC · Proprietary
- Incorporated
- Oct 2, 2015 in OH
- Enrollment address
- 830 Boardman Canfield Rd
Youngstown, OH 44512-4213 - Nursing home name
- VISTA CENTER OF BOARDMAN
- Affiliated entity
- CONTINUING HEALTHCARE SOLUTIONS
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Tracy Hughey |
Corporate Officer |
Jan 1, 2026 | |
| Adp of the SNF | Apr 15, 2013 | ||
| Continuing Healthcare Solutions Inc |
5% Or Greater Direct Ownership Interest | Oct 2, 2015 | 100% |
| Kevin J Kauffman |
Corporate Officer |
Aug 1, 2024 | |
| Operational/Managerial Control | Aug 1, 2024 | ||
| Adp of the SNF | Aug 1, 2024 | ||
| Michael Miller |
5% Or Greater Indirect Ownership Interest |
Jan 1, 2026 | 100% |
| Trustee of the SNF | Jan 1, 2026 | ||
| Timothy S Sprenger |
Corporate Director |
Jan 1, 2016 | |
| Michael Bunner |
Corporate Director |
Jan 1, 2016 | |
| Mark Sprenger |
Corporate Director |
Jan 1, 2016 | |
| Benjamin J Parsons |
Corporate Director |
Jan 1, 2016 | |
| Christopher Mallett |
Corporate Director |
Jan 1, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160310000900 | OH | Part a Provider - Skilled Nursing Facility | 5193021541 | Practice locations: Youngstown, OH |
National Provider Directory
- Tax ID family
- Boardman Skilled Nursing LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1510N | OH | Yes |
| Skilled Nursing Facility | 314000000X |
Addresses
Primary practice location
830 Boardman Canfield Rd
Youngstown, OH 44512-4213
Mailing address
2875 Center Rd Ste 6
Brunswick, OH 44212-2319
Phone (216) 772-1105
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3106552 | Medicaid | OH |
Other names
- Continuing Healthcare of Boardman
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- Darren Boatwright Jr.
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All providers in Youngstown, OH · Skilled Nursing Facility in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.