Organization Active NPI

The Laurels of Hamilton, LLC

Doing business as The Laurels of Hamilton

  • Skilled Nursing Facility
  • Hamilton, OH
National Provider Identifier
1346745197
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0776N Issued in OH
Legal business name
THE LAURELS OF HAMILTON, LLC
Doing business as
The Laurels of Hamilton
Practice address
2923 Hamilton Mason Road
Hamilton, OH 45011
Phone
(513) 863-0360
Fax
(513) 851-1890
NPI assigned
Mar 26, 2018
Last updated
Jul 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Authorized official

Name
Anis Khan
Title
C.F.O.
Phone
(614) 794-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0776N OH Primary

Addresses

Primary practice location

2923 Hamilton Mason Road
Hamilton, OH 45011

Mailing address

8181 Worthington Rd
Westerville, OH 43082-8067
Phone (614) 794-8800

Other identifiers 1

IdentifierTypeStateIssuer
0292821MedicaidOH

Other names 1

  • The Laurels of Hamilton Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180719001691 OH Part A Provider - Skilled Nursing Facility 5799032926 Practice locations: Hamilton, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346745197. Details of each certification follow.

Skilled nursing facility certification: CCN 365558

Legal name
THE LAURELS OF HAMILTON, LLC
Doing business as
THE LAURELS OF HAMILTON
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 16, 1981
Last certification
May 10, 2023
Beds
80
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Jan 30, 2018 in OH
Enrollment address
2923 Hamilton Mason Rd
Hamilton, OH 45011-5355
Nursing home name
HAMILTON RESPIRATORY AND NURSING CENTER
Affiliated entity
CIENA HEALTHCARE/LAUREL HEALTH CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Hamilton Respiratory and Nursing CenterCCN 365558 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 16, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8074.0 residents per day on average
Chain
Ciena Healthcare/Laurel Health Care81 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0710088Laurels of Hamilton, LLC, the2923 Hamilton Mason Rd, Hamilton, OH 45011Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Laurel Ohio Operations Group, LLC Organization, Westerville, OH Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 1, 2018 100%
David Stobb Individual Adp of the SNF Jun 30, 2018
Anis Khan Individual Operational/Managerial Control Jun 30, 2018
Managing Control - Governing BodyManager Jun 30, 2018
Adp of the SNF Jun 30, 2018
Individual Adp of the SNF Jun 30, 2018
Organization, Westerville, OH LLC, For-profit Adp of the SNF Jun 30, 2018
Laurel Acquisition Holding Corporation Organization, Westerville, OH Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 30, 2018 100%
Mohammad a. Qazi Individual 5% Or Greater Indirect Ownership InterestManager Jun 30, 2018 100%
Operational/Managerial Control Jun 30, 2018
Managing Control - Governing BodyManager Jun 30, 2018
Adp of the SNF Jun 30, 2018
Organization, Westerville, OH LLC, Holding company, For-profit Adp of the SNF Jun 30, 2018
Christina Woodward Individual Operational/Managerial Control Jan 22, 2025
Adp of the SNF Jan 22, 2025
Organization, Taylor, MI LLC Adp of the SNF Mar 26, 2025
Laurel Health Care Company Organization, Westerville, OH Corporation, Management services company, For-profit, Chain home office Operational/Managerial Control Jun 30, 2018 100%
Adp of the SNF Mar 26, 2025
Laurel Health Care Holdings, Inc. Organization, Westerville, OH Corporation, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 30, 2018 100%
Organization, Glenview, IL LLC, For-profit Adp of the SNF Mar 26, 2025

Facilities with the same owner 39

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

View all 39

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1346745197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8181 WORTHINGTON RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828067",
            "telephone_number": "614-794-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2923 HAMILTON MASON ROAD",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "45011",
            "telephone_number": "513-863-0360",
            "fax_number": "513-851-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LAURELS OF HAMILTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ANIS",
        "authorized_official_title_or_position": "C.F.O.",
        "authorized_official_telephone_number": "614-794-8800"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "0776N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0292821",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Laurels of Hamilton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.