Embassy Crystal Care, LLC
Organization Active NPI Skilled Nursing Facility · Ashland, OH
NPI 1346596871 · NPPES record last updated Aug 2, 2012
Key facts
- NPI
- 1346596871
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 1268 (OH)
- Legal business name
- EMBASSY CRYSTAL CARE, LLC
- Practice address
- 1251 E Main St
Ashland, OH 44805-2810 - Phone
- (419) 281-9595
- Fax
- (419) 282-9609
- NPI assigned
- Aug 2, 2012
- Organization subpart
- No
Authorized official
- Name
- Aaron B Handler
- Title
- Managaing Member
- Phone
- (440) 439-7976
Facilities with the same owner 36
Practitioners 1
Affiliated clinicians 2
-
Chimezie C Amanambu, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Crystal Care Center of Ashland
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jun 18, 2002
- Medicare certification status
- Active
- Certified beds
- 72 · 61.0 residents per day on average
- Chain
- Embassy Healthcare
- Penalties (3 years)
- 1 · fines totaling $17,686
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Skilled nursing facility certification: CCN 366239
- Legal name
- EMBASSY CRYSTAL CARE LLC
- Doing business as
- CRYSTAL CARE CENTER OF ASHLAND
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 18, 2002
- Last certification
- May 6, 2025
- Beds
- 72
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Embassy Healthcare
- Most recent change of ownership
- Aug 1, 2012
- Organization structure
- LLC · Proprietary
- Incorporated
- May 15, 2012 in OH
- Enrollment address
- 1251 E Main Street
Ashland, OH 44805-2810 - Nursing home name
- CRYSTAL CARE CENTER OF ASHLAND
- Affiliated entity
- EMBASSY HEALTHCARE
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Ah Dynasty LLC |
5% Or Greater Indirect Ownership Interest | Jan 1, 2020 | 50% |
| Heritage Employment Services, LLC |
Adp of the SNF | Jan 1, 2020 | |
| Dan Curran |
Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| |
Adp of the SNF | Jan 1, 2025 | |
| George S. Repchick 2020 Family Dynasty Trust |
5% Or Greater Indirect Ownership Interest | Jan 1, 2020 | 50% |
| Aaron Handler Family Dynasty Trust |
5% Or Greater Indirect Ownership Interest | Jan 1, 2020 | 50% |
| Aaron B Handler |
Operational/Managerial Control | Jan 1, 2020 | |
| George S. Repchick |
Operational/Managerial Control | Jan 1, 2020 | |
| Managing Control - Governing Body |
Jan 1, 2020 | ||
| Adp of the SNF | Jan 1, 2020 | ||
| Embassy Healthcare Management Inc |
Operational/Managerial Control | Jan 1, 2020 | |
| Adp of the SNF | Apr 21, 2025 | ||
| 2020 GSR Dynasty LLC |
5% Or Greater Indirect Ownership Interest | Jan 1, 2020 | 50% |
| Embassy Healthcare Holdings Inc |
5% Or Greater Direct Ownership Interest | Jan 1, 2020 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121218000398 | OH | Part a Provider - Skilled Nursing Facility | 8820240971 | Practice locations: Ashland, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1268 | OH | Yes |
Addresses
Primary practice location
1251 E Main St
Ashland, OH 44805-2810
Mailing address
24579 Broadway Ave
Oakwood Village, OH 44146-6338
Phone (440) 439-7976
Other providers in Ashland, OH
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- Elevation Counseling Services
- Bryanna Elkins
- Jessica Anne Ellis
- Sena M Emmerling
- Diane Susan Emser
- Epic Services of Ohio LLC
- Jeanne Eshelman
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All providers in Ashland, OH · Skilled Nursing Facility in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.