Mountain Crest Oh Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MOUNTAIN CREST OH OPCO LLC

Practice address

5757 Whiteford Rd
Sylvania, OH 43560-1632

Phone

(419) 882-1875

NPI assigned

Jun 28, 2019

Organization subpart

No

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

Authorized official

Name

Isaak Markovits

Title

Managing Member

Phone

(516) 400-5370

Specialties & licenses 1

Addresses

Other names 1

• Divine Rehabilitation and Nursing at Sylvania Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Skilled nursing facility certification: CCN 365898

Legal name

MOUNTAIN CREST OH OPCO LLC

Doing business as

DIVINE REHABILITATION AND NURSING AT SYLVANIA

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1993

Last certification

Mar 10, 2025

Beds

99

Ownership / control type

Corporation

Multi-facility organization

Divine Management

Most recent change of ownership

Jan 1, 2006

Organization structure

LLCProprietary

Incorporated

May 6, 2019 in OH

Enrollment address

5757 Whiteford Rd
Sylvania, OH 43560-1632

Nursing home name

DIVINE REHABILITATION AND NURSING AT SYLVANIA

Affiliated entity

DIVINE HEALTHCARE MANAGEMENT

Listed as

Divine Rehabilitation and Nursing at SylvaniaCCN 365898

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

Jan 1, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9965.1 residents per day on average

Chain

Divine Healthcare Management9 facilities in the chain

Penalties (3 years)

6Fines totaling $193,489

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 5

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Moshir Jacob, MD

  • Internal Medicine Physician
  • Toledo, OH
  • NPI 1245237007
  NPD (past)
• Tatiana Masyk, MD

  • Family Medicine Physician
  • Independence, OH
  • NPI 1184624934
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Moshir Jacob, MD

  • Internal Medicine Physician
  • Toledo, OH
  • NPI 1245237007

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1295397362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 MCDONALD AVE STE 213",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WHITEFORD RD",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435601632",
            "telephone_number": "419-882-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN CREST OH OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-28",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "MARKOVITS",
        "authorized_official_first_name": "ISAAK",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "516-400-5370"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Rehabilitation and Nursing at Sylvania",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly A Morse, M.S., L.C.G.C
• Willis M Morse, MD
• Justin A Mortemore, H.A.S.
• Brittany Mosley, CNP
• Kimberly Porter Mosley, RN
• Cynthia Muir, R.N.
• Jeffrey H Muler, MD
• Khader Mustafa
• My Fathers House Home Care LLC
• Myeyedr Optometry of Ohio, LLC

• Skilled Nursing Facility in Sylvania, OH
• Providers in Sylvania, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.