Active NPI
Ohio Eastern Star Health Care Center, Inc.
- Skilled Nursing Facility
- Mount Vernon, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 5068
- Legal business name
- OHIO EASTERN STAR HEALTH CARE CENTER, INC.
- Practice address
- 1451 Gambier Rd
Mount Vernon, OH 43050-9112 - Phone
- (740) 397-1706
- Fax
- (740) 392-1662
- NPI assigned
- Jul 18, 2005
- Last updated
- May 14, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Linda Lamson, LNHA
- Title
- Ceo/Administrator
- Phone
- (740) 397-1706
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 5068 | OH | Primary |
Addresses
Primary practice location
1451 Gambier Rd
Mount Vernon, OH 43050-9112
Mailing address
1451 Gambier Rd
Mount Vernon, OH 43050-9112
Phone (740) 397-1706
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0274804 | Medicaid | OH | |
| OH00709 | Other | OH | FACILITY ID |
| 2064N | Other | OH | HCC # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100421000276 | OH | Part A Provider - Skilled Nursing Facility | 0547397606 | Practice locations: Mount Vernon, OH |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1326047929. Details of each certification follow.
Skilled nursing facility certification: CCN 366076
- Legal name
- OHIO EASTERN STAR HEALTH CARE CENTER, INC.
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 25, 1996
- Last certification
- May 2, 2024
- Beds
- 86
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Nov 2, 1995 in OH
- Enrollment address
- Ohio Eastern Star Health Care Center, Inc.
1451 Gambier Road
Mount Vernon, OH 43050-9112 - Nursing home name
- OHIO EASTERN STAR HLTH CARE CTR THE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Ohio Eastern Star HLTH Care Ctr the
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jul 25, 1996
- Medicare certification status
- Active
- Certified beds
- 86
National Provider Directory
National Provider DirectoryOwnership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Michele Engelbach | Corporate Officer | Jul 9, 2012 | 100% |
| W-2 Managing Employee | Jul 9, 2012 | 100% | |
| Ronald Hardesty | Corporate Director | Jan 1, 2022 |
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Medicine Physician
- Columbus, OH
- NPI 1710107180
-
- Family Medicine Physician
- Columbus, OH
- NPI 1760445027
Affiliated clinicians 2
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": "1121644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273795200000",
"number": "1326047929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1451 GAMBIER RD",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430509112",
"telephone_number": "740-397-1706",
"fax_number": "740-392-1662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1451 GAMBIER RD",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430509112",
"telephone_number": "740-397-1706",
"fax_number": "740-392-1662"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OHIO EASTERN STAR HEALTH CARE CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-18",
"last_updated": "2010-05-14",
"status": "A",
"authorized_official_last_name": "LAMSON",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "CEO/ADMINISTRATOR",
"authorized_official_telephone_number": "740-397-1706",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LNHA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OH",
"license": "5068",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0274804",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FACILITY ID",
"identifier": "OH00709",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HCC #",
"identifier": "2064N",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, OH
- Richard B Ogle, DO
- Ohio CVS Stores LLC (CVS Pharmacy 06151)
- Ohio Digestive and Liver Associates LLC
- Ohio Eastern Star Community Services (Star Home Health Services)
- Ohio Eastern Star Community Services
- Ohio Eye Optometric, LLC
- Ohio Hospitalist Partners LLC
- Ohio Network for Innovation
- Ohio Pathology Laboratories Inc
- Leray Marie Oliver
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; 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.