5000 Sowul Boulevard Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

5000 SOWUL BOULEVARD OPCO LLC

Practice address

5000 Sowul Blvd
Stow, OH 44224-6092

Phone

(330) 653-8722

NPI assigned

Jun 17, 2024

Last updated

Jul 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rachel Friedman

Title

Manager

Phone

(516) 545-0980

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295578243. Details of each certification follow.

• CCN 366434 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 366434

Legal name

5000 SOWUL BOULEVARD OPCO LLC

Doing business as

HUDSON SPRINGS NURSING AND REHAB

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 17, 2015

Last certification

Aug 21, 2024

Beds

80

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Garden Springs Healthcare

Organization structure

LLCProprietary

Incorporated

Dec 26, 2023 in OH

Enrollment address

5000 Sowul Blvd
Stow, OH 44224-6092

Nursing home name

HUDSON SPRINGS NURSING AND REHAB

Affiliated entity

GARDEN SPRINGS HEALTHCARE

Listed as

Hudson Springs Nursing and RehabCCN 366434 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

2 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Nov 17, 2015

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8071.7 residents per day on average

Chain

Garden Springs Healthcare5 facilities in the chain

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 10

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

Facilities with the same owner 3

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

• 2473 North Road NE Opco, LLC

  • Skilled Nursing Facility
  • Warren, OH
  • NPI 1720608334

  Yfr Equities LLC

  CMS ownership
• 600 North Brush Opco LLC

  • Skilled Nursing Facility
  • Fremont, OH
  • NPI 1932942984

  Yfr Equities LLC

  CMS ownership
• 670 Oh Opco LLC

  • Skilled Nursing Facility
  • Tiffin, OH
  • NPI 1891539623

  Yfr Equities LLC

  CMS ownership

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.

• Douglas R Kast, D.O.

  • Internal Medicine Physician
  • Hudson, OH
  • NPI 1144471798
  NPD (past)

Affiliated clinicians 1

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

• Douglas R Kast, D.O.

  • Internal Medicine Physician
  • Hudson, OH
  • NPI 1144471798

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1295578243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30100 CHAGRIN BLVD STE 202",
            "city": "PEPPER PIKE",
            "state": "OH",
            "postal_code": "441245722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 SOWUL BLVD",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442246092",
            "telephone_number": "330-653-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5000 SOWUL BOULEVARD OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-545-0980"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Stow, OH
• Providers in Stow, 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 Jul 2, 2024; 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.