CL Healthcare, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CL HEALTHCARE, LLC

Practice address

102 E Silver St
Lebanon, OH 45036-1812

Phone

(513) 932-0300

NPI assigned

Dec 30, 2014

Organization subpart

No

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

Authorized official

Name

Jacob S Stern

Title

Manager

Phone

(732) 659-1353

Specialties & licenses 1

Addresses

Other names 1

• Cedars of Lebanon Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Skilled nursing facility certification: CCN 366296

Legal name

CL HEALTHCARE LLC

Doing business as

CEDARS OF LEBANON CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 25, 2004

Last certification

Oct 17, 2024

Beds

45

Ownership / control type

Limited Liability Corporation

Multi-facility organization

CCH HEALTHCARE

Most recent change of ownership

Jan 1, 2015

Organization structure

LLCProprietary

Incorporated

Sep 23, 2014 in DE

Enrollment address

102 E Silver St
Lebanon, OH 45036-1812

Nursing home name

CEDARS OF LEBANON CARE CENTER

Affiliated entity

CCH HEALTHCARE

Listed as

Cedars of Lebanon Care CenterCCN 366296

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jul 25, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4542.9 residents per day on average

Chain

CCH Healthcare33 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 8

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Andrew John Castellanos, MD

  • Internal Medicine Physician
  • Cincinnati, OH
  • NPI 1144409392

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 3

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

• Barnesville SNF Healthcare LLC

  • Skilled Nursing Facility
  • Barnesville, OH
  • NPI 1649164252

  CCH Healthcare Oh LLC

  CMS ownership
• Cambridge SNF Healthcare LLC

  • Skilled Nursing Facility
  • Cambridge, OH
  • NPI 1225922834

  CCH Healthcare Oh LLC

  CMS ownership
• Oak Hill Healthcare, LLC

  • Skilled Nursing Facility
  • Louisville, OH
  • NPI 1669223491

  CCH Healthcare Oh LLC

  CMS ownership

Practitioners 1

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

• Rafael Fleites, M.D.

  • Hospitalist Physician
  • Cincinnati, OH
  • NPI 1588790349
  NPD (past)

Affiliated clinicians 1

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

• Rafael Fleites, M.D.

  • Hospitalist Physician
  • Cincinnati, OH
  • NPI 1588790349

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420156800000",
    "number": "1336537232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ROUTE 70",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087017406",
            "telephone_number": "732-659-1353",
            "fax_number": "866-306-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E SILVER ST",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450361812",
            "telephone_number": "513-932-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CL HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2015-01-02",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-659-1353"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedars of Lebanon Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cherish Life Inc.
• Marianne Elizabeth Chernesky, MD
• Susan Anne Chin, R.N.
• Ginger Cichy
• City of Lebanon
• Michelle Clark
• Roger E Clark, D.D.S.
• Travis Clark, DDS
• Zoe Clark
• Clarkson Optometry Midwest Inc.

• All providers in Lebanon, OH
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; 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.