Organization Active NPI

Altercare of Wadsworth Center for Rehabilitation & Nursing Care, Inc

  • Skilled Nursing Facility
  • Wadsworth, OH
National Provider Identifier
1386616829
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
6128 Issued in OH
Legal business name
ALTERCARE OF WADSWORTH CENTER FOR REHABILITATION & NURSING CARE, INC
Practice address
147 Garfield St
Wadsworth, OH 44281-1431
Phone
(330) 335-2555
NPI assigned
Feb 7, 2006
Last updated
Sep 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Authorized official

Name
Ms. Kathleen R Johnson
Title
VP Finance/Controller
Phone
(330) 498-5233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 6128 OH Primary

Addresses

Primary practice location

147 Garfield St
Wadsworth, OH 44281-1431

Mailing address

339 E Maple St
Suite 100
North Canton, OH 44720-2593
Phone (330) 498-8101

Other identifiers 1

IdentifierTypeStateIssuer
2264973MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021209000016 OH Part A Provider - Skilled Nursing Facility 3678481868 Practice locations: Wadsworth, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386616829. Details of each certification follow.

Skilled nursing facility certification: CCN 365268

Legal name
ALTERCARE OF WADSWORTH CENTER FOR REHABILITATION & NURSING CARE, INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 26, 1971
Last certification
Apr 25, 2024
Beds
90
Ownership / control type
Individual
Multi-facility organization
Altercare of Ohio
Organization structure
CorporationProprietary
Incorporated
Aug 24, 2001 in OH
Enrollment address
147 Garfield St
Wadsworth, OH 44281-1431
Nursing home name
ALTERCARE OF WADSWORTH
Affiliated entity
ALTERCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Altercare of WadsworthCCN 365268 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Jul 26, 1971
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9066.1 residents per day on average
Chain
Altercare22 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
36D0340346Altercare of Wadsworth Center for147 Garfield Street, Wadsworth, OH 44281Certificate 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
Orian L Nutter Individual Corporate OfficerSecretary Oct 1, 2021
Altercare of Ohio, Inc Organization, North Canton, OH Corporation Operational/Managerial Control Oct 1, 2001
Gerald F Schroer Dynasty TR Ua 12312009 Fbo Matthew Schroer Organization, Westlake, OH 5% Or Greater Indirect Ownership Interest Dec 15, 2015 10.35%
Susanne Schroer Dynasty Trust U/a Organization, Westlake, OH 5% Or Greater Indirect Ownership Interest Aug 1, 2019 41.4%
Gerald F Schroer Dynasty TR Ua 12312009 Fbo Gerald F Schroer Jr Organization, Westlake, OH 5% Or Greater Indirect Ownership Interest Dec 15, 2015 10.35%
Justin Logan Individual Corporate Officer Jun 1, 2022
Douglas Mock Individual Corporate OfficerPresident Sep 20, 2021
Corporate DirectorBoard Member Sep 20, 2021
W-2 Managing EmployeePresident Sep 20, 2021
Gerald F Schroer Dynasty TR Ua 12312009 Margaret S Goodman Organization, Westlake, OH 5% Or Greater Indirect Ownership Interest Dec 15, 2015 10.35%
John G Goodman Individual Corporate OfficerChief Legal Advisory/NP May 15, 2003
TSG Nursing Centers, Inc Organization, North Canton, OH Corporation 5% Or Greater Direct Ownership Interest Jan 1, 2003 100%
George E Film Individual Corporate OfficerCfo Aug 1, 2019
The Schroer Group, Inc. Organization, North Canton, OH Corporation 5% Or Greater Indirect Ownership Interest Oct 1, 2001 100%
Gerald F Schroer Dynasty TR Ua 12312009 Fbo Andrew M Schroer Organization, Westlake, OH 5% Or Greater Indirect Ownership Interest Dec 15, 2015 10.35%

Facilities with the same owner 24

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

View all 24

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.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1386616829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 E MAPLE ST",
            "address_2": "SUITE 100",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447202593",
            "telephone_number": "330-498-8101",
            "fax_number": "330-498-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 GARFIELD ST",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442811431",
            "telephone_number": "330-335-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERCARE OF WADSWORTH CENTER FOR REHABILITATION & NURSING CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VP FINANCE/CONTROLLER",
        "authorized_official_telephone_number": "330-498-5233",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "6128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2264973",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadsworth, OH

Sources for this page

Verify at the official NPI Registry.