Beachwood Nursing
Organization Active NPI Skilled Nursing Facility · Beachwood, OH
NPI 1356915441 · NPPES record last updated May 13, 2021
Key facts
- NPI
- 1356915441
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- BEACHWOOD NURSING
- Practice address
- 23900 Chagrin Blvd
Beachwood, OH 44122-5511 - Phone
- (216) 464-1000
- NPI assigned
- May 13, 2021
- Organization subpart
- No
Authorized official
- Name
- Nate Shap
- Title
- Member
- Phone
- (216) 464-1000
Owners & managing parties with NPI records 1
-
Rajesh Agarwal, M.D.
Facilities with the same owner 1
Practitioners 4
-
Rajesh Agarwal, M.D.
-
Richard M King, MD
-
Miodrag Zivic, M.D.
-
Arun K Bhutani, MD
Affiliated clinicians 3
-
Arun K Gupta, MD
-
Richard M King, MD
-
Arun K Gupta, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Beachwood Pointe Care Center
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 120 · 99.6 residents per day on average
- Penalties (3 years)
- 1 · fines totaling $0
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Skilled nursing facility certification: CCN 365071
- Legal name
- BEACHWOOD NURSING
- Doing business as
- BEACHWOOD POINTE CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1967
- Last certification
- Jul 23, 2024
- Beds
- 120
- Ownership / control type
- Corporation
- Most recent change of ownership
- Aug 2, 2021
- Organization structure
- LLC · Proprietary
- Incorporated
- May 10, 2021 in OH
- Enrollment address
- 23900 Chagrin Blvd
Beachwood, OH 44122-5511 - Nursing home name
- BEACHWOOD POINTE CARE CENTER
All disclosed owners & managing parties 7
| Name | Role | Since | Share |
|---|---|---|---|
| Beachwood Holdco LLC |
5% Or Greater Direct Ownership Interest | Aug 2, 2021 | 100% |
| Shanta Draper |
Operational/Managerial Control | Oct 1, 2024 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Beachwood Opco LLC |
5% Or Greater Indirect Ownership Interest | Aug 2, 2021 | 62% |
| Rajesh Agarwal |
Operational/Managerial Control | Aug 2, 2021 | |
| Adp of the SNF | Aug 1, 2022 | ||
| Fuego LLC |
Operational/Managerial Control | Aug 2, 2021 | |
| Adp of the SNF | Feb 27, 2025 | ||
| Mayer Guttman |
5% Or Greater Indirect Ownership Interest | Aug 2, 2021 | 19% |
| Adp of the SNF | Aug 2, 2021 | ||
| Naftali Shapiro |
5% Or Greater Indirect Ownership Interest | Aug 2, 2021 | 19% |
| Operational/Managerial Control | Aug 2, 2021 | ||
| Adp of the SNF | Aug 2, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211021002270 | OH | Part a Provider - Skilled Nursing Facility | 7911395090 | Practice locations: Beachwood, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
23900 Chagrin Blvd
Beachwood, OH 44122-5511
Mailing address
23900 Chagrin Blvd
Beachwood, OH 44122-5511
Phone (216) 464-1000
Other providers in Beachwood, OH
- Gemma Baugh
- Emily Bauman
- Francis A Bauman
- Elayne P Baumgart
- Beachwood Care Group LLC
- Beachwood Ops, LLC
- Beachwood RH LLC
- Beachwood Surgery Center
- Beachwood Vista Operations LLC
- Thomas S Beal
All providers in Beachwood, 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 May 13, 2021. 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.