NPIMap

Organization Active NPI

Pine Ridge Nursing and Rehabilitation, Inc.

Doing business as Pine Ridge Skilled Nursing and Rehabilitation

  • Skilled Nursing Facility
  • Morrow, OH
National Provider Identifier
1376601898
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PINE RIDGE NURSING AND REHABILITATION, INC.
Doing business as
Pine Ridge Skilled Nursing and Rehabilitation
Practice address
463 E Pike St
Morrow, OH 45152-1221
Phone
(513) 899-2801
NPI assigned
Dec 5, 2006
Last updated
Feb 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Authorized official

Name
Benjamin J Parsons
Title
President
Phone
(216) 772-1105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

463 E Pike St
Morrow, OH 45152-1221

Mailing address

7261 Engle Rd Ste 200
Middleburg Heights, OH 44130-3479
Phone (216) 772-1105

Other names 1

  • Pine Ridge Skilled Nursing and Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120801000898 OH Part A Provider - Skilled Nursing Facility 9133375454 Practice locations: Morrow, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376601898. Details of each certification follow.

Skilled nursing facility certification: CCN 365878

Legal name
PINE RIDGE NURSING AND REHABILITATION, INC.
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 21, 1992
Last certification
Nov 14, 2024
Beds
50
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Hillstone Healthcare
Organization structure
CorporationProprietary
Incorporated
Nov 18, 2011 in OH
Enrollment address
463 East Pike Street
Morrow, OH 45152-1221
Nursing home name
PINE RIDGE SKILLED NURSING AND REHAB
Affiliated entity
HILLSTONE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pine Ridge Skilled Nursing and RehabCCN 365878 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 21, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5048.3 residents per day on average
Chain
Hillstone Healthcare9 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
36D0345625Pine Ridge Nursing & Rehabilitation Inc463 E Pike Street, Morrow, OH 45152Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

463 E Pike St
Morrow, OH 45152
Phone (513) 899-2801

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Paul B Bergsten Individual 5% Or Greater Indirect Ownership Interest May 1, 2022 60%
Corporate OfficerCeo May 1, 2022
Operational/Managerial ControlCeo May 1, 2022
Matthew Dapore Individual 5% Or Greater Indirect Ownership Interest May 1, 2022 40%
Corporate OfficerCoo May 1, 2022
Operational/Managerial ControlCoo May 1, 2022
Hillstone Healthcare Inc. Organization, Lewis Center, OH Corporation, For-profit 5% Or Greater Direct Ownership Interest May 1, 2022 100%

Facilities with the same owner 9

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": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1376601898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 ENGLE RD STE 200",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303479",
            "telephone_number": "216-772-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 E PIKE ST",
            "city": "MORROW",
            "state": "OH",
            "postal_code": "451521221",
            "telephone_number": "513-899-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE RIDGE NURSING AND REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-772-1105"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Ridge Skilled Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pine Ridge Skilled Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morrow, OH

Sources for this page

Verify at the official NPI Registry.