NPIMap

Organization Active NPI

Lakeridge Acres Nursing & Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Cincinnati, OH
National Provider Identifier
1346665700
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2170N Issued in OH
Legal business name
LAKERIDGE ACRES NURSING & REHABILITATION CENTER LLC
Practice address
7220 Pippin Rd
Cincinnati, OH 45239-4607
Phone
(513) 729-2300
Fax
(513) 728-7354
NPI assigned
Feb 21, 2014
Last updated
Feb 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Authorized official

Name
Hayley B Williams
Title
Attorney
Phone
(216) 706-3936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2170N OH Primary

Addresses

Primary practice location

7220 Pippin Rd
Cincinnati, OH 45239-4607

Mailing address

5501 14TH Ave
Brooklyn, NY 11219-4216
Phone (917) 776-8586

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140421001727 OH Part A Provider - Skilled Nursing Facility 4486886777 Practice locations: Cincinnati, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346665700. Details of each certification follow.

Skilled nursing facility certification: CCN 366145

Legal name
LAKERIDGE ACRES NURSING & REHABILITATION CENTER LLC
Doing business as
CARECORE AT LAKERIDGE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 18, 1997
Last certification
Mar 6, 2025
Beds
99
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Care Core
Most recent change of ownership
Mar 1, 2014
Organization structure
LLCProprietary
Enrollment address
7220 Pippin Rd
Cincinnati, OH 45239-4607
Nursing home name
LAKERIDGE VILLA HEALTH CARE CENTER
Affiliated entity
CARECORE HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lakeridge Villa Health Care CenterCCN 366145 · All quality measures
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
Nov 18, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9985.9 residents per day on average
Chain
Carecore Health10 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Lakeridge Acres Nursing Rehabilitation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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
Jennifer Strickland Individual Operational/Managerial Control Dec 30, 2024
Adp of the SNF Dec 30, 2024
Chaim Hertanu Individual Operational/Managerial Control Mar 1, 2017
Adp of the SNF Mar 1, 2017
Syed Moqeeth Individual Operational/Managerial Control Jan 1, 2017
Adp of the SNF Sep 10, 2025
JH Ohio Realty, LLC Organization, Cincinnati, OH LLC Adp of the SNF Mar 28, 2017
Carecore Health LLC Organization, Suffern, NY LLC, Management services company Operational/Managerial Control Mar 1, 2017
Adp of the SNF Mar 1, 2017
Joseph Hertanu Individual 5% Or Greater Direct Ownership InterestManaging Member Mar 1, 2014 100%
Corporate OfficerManaging Member Mar 1, 2014
Corporate DirectorManaging Member Mar 1, 2014
Operational/Managerial Control Mar 1, 2014
Organization, Plano, TX LLC, Financial institution Adp of the SNF Sep 10, 2025
Fasten Halberstam LLP Organization, New York, NY Adp of the SNF Mar 1, 2014

Owners & managing parties with NPI records 1

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

  • Syed A Moqeeth, MD
    • Geriatric Medicine (Internal Medicine) Physician
    • Cincinnati, OH
    • NPI 1669448171

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 10

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392940800000",
    "number": "1346665700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 14TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194216",
            "telephone_number": "917-776-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 PIPPIN RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452394607",
            "telephone_number": "513-729-2300",
            "fax_number": "513-728-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKERIDGE ACRES NURSING & REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-21",
        "last_updated": "2014-02-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "HAYLEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ATTORNEY",
        "authorized_official_telephone_number": "216-706-3936"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "2170N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.