NPIMap

Organization Active NPI

Perrysburg Oh Health & Rehab Opco LLC

  • Skilled Nursing Facility
  • Perrysburg, OH
National Provider Identifier
1295542892
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PERRYSBURG OH HEALTH & REHAB OPCO LLC
Practice address
28546 Starbright Blvd
Perrysburg, OH 43551-4686
Phone
(419) 666-0935
NPI assigned
Dec 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Paul Pruitt
Title
Chief Executive Officer
Phone
(317) 288-4029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

28546 Starbright Blvd
Perrysburg, OH 43551-4686

Mailing address

28546 Starbright Blvd
Perrysburg, OH 43551-4686
Phone (419) 666-0935

Other names 1

  • Majestic Care of Perrysburg Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250617003247 OH Part A Provider - Skilled Nursing Facility 8325559297 Practice locations: Perrysburg, OH

Skilled nursing facility certification: CCN 365624

Legal name
PERRYSBURG OH HEALTH & REHAB OPCO LLC
Doing business as
MAJESTIC CARE OF PERRYSBURG
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 17, 1984
Last certification
Mar 28, 2024
Beds
75
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Majestic Care
Organization structure
LLCProprietary
Enrollment address
28546 Starbright Blvd
Perrysburg, OH 43551-4686
Nursing home name
MAJESTIC CARE OF PERRYSBURG
Affiliated entity
MAJESTIC CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Majestic Care of PerrysburgCCN 365624
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 - Limited Liability company
Certified
Jul 17, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7555.5 residents per day on average
Chain
Majestic Care22 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
MDG Majestic Ohio Operations Holdings LLC Organization, Westfield, IN LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 30, 2024 100%
Individual Adp of the SNF Dec 31, 2024
Majestic Management LLC Organization, Westfield, IN LLC, Management services company, For-profit Operational/Managerial Control Dec 30, 2024
MDG Majestic Ohio Property Holdings LLC Organization, Westfield, IN LLC, Holding company, For-profit Operational/Managerial Control Dec 31, 2024
Adp of the SNF Dec 31, 2024
Perrysburg Oh Health & Rehab Realty LLC Organization, Fresh Meadows, NY LLC, For-profit Operational/Managerial Control Dec 31, 2024
Adp of the SNF Dec 31, 2024
Paul Pruitt Individual Corporate OfficerCeo Dec 30, 2024 10%
Operational/Managerial Control Dec 30, 2024
Margaret Chamberlain Individual Corporate OfficerGeneral Counsel Sep 11, 2023 10%
David Marx Individual 5% Or Greater Indirect Ownership InterestSole Owner Dec 31, 2024 100%
Managing Control - Governing BodyChairman of the Board Dec 31, 2024
Adp of the SNF Dec 31, 2024
Indirect Ownership Interest Dec 31, 2024 100%
Desiree Staifer Individual Operational/Managerial Control Dec 31, 2024
Adp of the SNF Dec 31, 2024

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1295542892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28546 STARBRIGHT BLVD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435514686",
            "telephone_number": "419-666-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28546 STARBRIGHT BLVD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435514686",
            "telephone_number": "419-666-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRYSBURG OH HEALTH & REHAB OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "317-288-4029"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Majestic Care of Perrysburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.