Wayside Farm Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

1279 Issued in OH

Legal business name

WAYSIDE FARM INC.

Doing business as

Wayside Farm Nursing and Rehab Center

Practice address

4557 Quick Rd
Peninsula, OH 44264-9708

Phone

(330) 923-7828

Fax

(330) 923-1201

NPI assigned

Jul 10, 2006

Last updated

May 29, 2026By 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

Matthew W Pool

Title

President

Phone

(330) 923-7828

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wayside Farm Nursing and Rehab Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306870738. Details of each certification follow.

• CCN 366323 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 366323

Legal name

WAYSIDE FARM, INC.

Doing business as

WAYSIDE FARM NURSING AND REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 8, 2005

Last certification

Aug 19, 2024

Beds

95

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

Mar 28, 1968 in OH

Enrollment address

4557 Quick Rd
Peninsula, OH 44264-9794

Nursing home name

WAYSIDE FARM INC

Listed as

Wayside Farm IncCCN 366323 · 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 - Corporation

Certified

Dec 8, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9589.6 residents per day on average

Penalties (3 years)

3Fines totaling $165,448

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 2

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

• Mark Alan Smith, MD

  • Internal Medicine Physician
  • Akron, OH
  • NPI 1497727242
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1306870738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4557 QUICK RD",
            "city": "PENINSULA",
            "state": "OH",
            "postal_code": "442649794",
            "telephone_number": "330-923-7828",
            "fax_number": "330-923-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4557 QUICK RD",
            "city": "PENINSULA",
            "state": "OH",
            "postal_code": "442649708",
            "telephone_number": "330-923-7828",
            "fax_number": "330-923-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYSIDE FARM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "POOL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-923-7828"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OH",
            "license": "1279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0040879",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wayside Farm Nursing and Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Strazisar
• Sydney Streby
• Nicholas Matthew Thomas-Bock, D.O.
• Valley Fire District
• Cynthia Voigt
• Woodridge Local School District

• Nursing Facility/Intermediate Care Facility in Peninsula, OH
• Providers in Peninsula, OH by specialty
• Nursing Facility/Intermediate Care Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.