NPIMap

Organization Active NPI

Swanton Health Care & Retirement Center Inc

  • Skilled Nursing Facility
  • Swanton, OH
National Provider Identifier
1306841713
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
4050 Issued in OH
Legal business name
SWANTON HEALTH CARE & RETIREMENT CENTER INC
Practice address
214 S Munson Rd
Swanton, OH 43558-1210
Phone
(419) 825-1145
Fax
(419) 825-1164
NPI assigned
Jun 14, 2005
Last updated
Nov 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Authorized official

Name
Lisa Mitchell
Title
Ceo
Phone
(419) 825-1145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 4050 OH Primary

Addresses

Primary practice location

214 S Munson Rd
Swanton, OH 43558-1210

Mailing address

214 S Munson Rd
Swanton, OH 43558-1210
Phone (419) 825-1145

Other identifiers 1

IdentifierTypeStateIssuer
2265043MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120620000301 OH Part A Provider - Skilled Nursing Facility 7416161641 Practice locations: Swanton, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306841713. Details of each certification follow.

Skilled nursing facility certification: CCN 366073

Legal name
SWANTON HEALTH CARE & RETIREMENT CENTER INC
Doing business as
EMBASSY OF SWANTON
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 17, 1996
Last certification
Aug 8, 2024
Beds
68
Ownership / control type
Corporation
Multi-facility organization
EMBASSY HEALTHCARE
Organization structure
CorporationProprietary
Incorporated
Oct 12, 2001 in OH
Enrollment address
214 S Munson Rd
Swanton, OH 43558-1210
Nursing home name
EMBASSY OF SWANTON
Affiliated entity
EMBASSY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Embassy of SwantonCCN 366073 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 17, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6860.7 residents per day on average
Chain
Embassy Healthcare33 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
36D0331492Embassy of Swanton214 South Munson Road, Swanton, OH 43558Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

25201 Chagrin Blvd
Ste 190
Cleveland, OH 44122
Phone (216) 278-2050

214 S Munson Rd
Swanton, OH 43558
Phone (419) 825-1145

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Ah Dynasty LLC Organization, Beachwood, OH LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 15, 2021 50%
Cecil Mitchell Individual 5% Or Greater Indirect Ownership Interest Jul 1, 1994 50%
Corporate OfficerVice Pres/Sec Jul 1, 1994
W-2 Managing EmployeeVP/Maintenance Super Jul 1, 1994
Lisa Mitchell Individual Corporate OfficerCeo/Pres/Treas Jul 1, 1994
W-2 Managing EmployeeCeo/Pres Jul 1, 1994
Nicholas Ciccone Individual OtherTrustee of George S Repchick 202 Dec 15, 2021
Aaron B Handler Individual Corporate OfficerVice President Dec 15, 2021
Operational/Managerial ControlVice President Dec 15, 2021
George S. Repchick Individual Corporate OfficerPresident Dec 15, 2021
Operational/Managerial ControlPresident Dec 15, 2021
2020 GSR Dynasty LLC Organization, Beachwood, OH LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 15, 2021 50%
Embassy Healthcare Holdings Inc Organization, Beachwood, OH LLC, For-profit 5% Or Greater Direct Ownership Interest Dec 15, 2021 100%

Facilities with the same owner 31

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

View all 31

Practitioners & affiliated clinicians

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.

Affiliated clinicians 1

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": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1306841713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 S MUNSON RD",
            "city": "SWANTON",
            "state": "OH",
            "postal_code": "435581210",
            "telephone_number": "419-825-1145",
            "fax_number": "419-825-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 S MUNSON RD",
            "city": "SWANTON",
            "state": "OH",
            "postal_code": "435581210",
            "telephone_number": "419-825-1145",
            "fax_number": "419-825-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWANTON HEALTH CARE & RETIREMENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-825-1145"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "4050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2265043",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Swanton, OH

Sources for this page

Verify at the official NPI Registry.