Organization Active NPI

Twinsburg Healthcare Center LLC

  • Skilled Nursing Facility
  • Twinsburg, OH
National Provider Identifier
1396215976
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
TWINSBURG HEALTHCARE CENTER LLC
Practice address
9928 Vail Dr.
Twinsburg, OH 44087
Phone
(330) 405-6040
Fax
(330) 405-6041
NPI assigned
Nov 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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

Authorized official

Name
J. Greg Roof, NHA, HSE
Title
Administrator
Phone
(330) 540-5475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

9928 Vail Dr.
Twinsburg, OH 44087

Mailing address

9928 Vail Dr.
Twinsburg, OH 44087
Phone (330) 405-6040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190205002682 OH Part A Provider - Skilled Nursing Facility 8224376983 Practice locations: Twinsburg, OH

Skilled nursing facility certification: CCN 366385

Legal name
TWINSBURG HEALTHCARE CENTER LLC
Doing business as
CANTERBURY OF TWINSBURG
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 19, 2010
Last certification
Nov 14, 2024
Beds
50
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Dec 1, 2018
Organization structure
LLCProprietary
Incorporated
Sep 28, 2018 in OH
Enrollment address
9928 Vail Dr
Twinsburg, OH 44087-2972
Nursing home name
CANTERBURY OF TWINSBURG

Care Compare: Nursing home

Medicare Care Compare
Listed as
Canterbury of TwinsburgCCN 366385
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 19, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5046.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Twinsburg Healthcare Center LLC2 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 23

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

NameRoleSinceShare
Individual Adp of the SNF Nov 16, 2020
JCTH Holdings, Inc. Organization, Canfield, OH Corporation, Management services company, For-profit Operational/Managerial Control Sep 28, 2018
Individual Adp of the SNF Aug 5, 2024
Lument Real Estate Capital LLC Organization, Dallas, TX LLC, Financial institution, For-profit, Owned by another organization or individual 5% Or Greater Mortgage Interest Mar 18, 2022 50%
Individual Adp of the SNF May 24, 2004
Leslie Mullen Individual Operational/Managerial Control May 15, 2024
Adp of the SNF May 15, 2024
Michael T Huber Individual 5% Or Greater Direct Ownership Interest Sep 28, 2018 25%
Adp of the SNF Sep 28, 2018
Vijay Rastogi Individual Operational/Managerial Control Dec 1, 1970
Adp of the SNF Dec 1, 1970
Vail Drive Property Holdings, LLC Organization, Twinsburg, OH LLC, For-profit Adp of the SNF Apr 9, 2025
Valerie Foy Individual Operational/Managerial Control Jan 23, 2023
Adp of the SNF Jan 23, 2023
Organization, Canfield, OH LLC, For-profit Adp of the SNF Apr 15, 2025
Individual Adp of the SNF Apr 1, 2020
Nicholas Berardino Individual 5% Or Greater Direct Ownership InterestCfo Sep 28, 2018 25%
Corporate OfficerCfo Sep 28, 2018
Operational/Managerial Control Dec 28, 2018
Adp of the SNF Sep 28, 2018
Individual Adp of the SNF Oct 25, 2002
Individual Adp of the SNF Oct 24, 2017
Larry Petrozzi Individual 5% Or Greater Direct Ownership Interest Sep 28, 2018 25%
Adp of the SNF Sep 28, 2018
Individual Adp of the SNF Feb 1, 2007
Individual Adp of the SNF May 1, 1995
Individual Adp of the SNF May 5, 1996
Individual Adp of the SNF Oct 12, 2015
Joseph Cilone Individual 5% Or Greater Direct Ownership InterestManager Sep 28, 2018 25%
Corporate OfficerManager Sep 28, 2018
Operational/Managerial Control Sep 28, 2018
Adp of the SNF Sep 28, 2018
Individual Adp of the SNF Apr 1, 1995
Individual Adp of the SNF Jan 31, 2017

Owners & managing parties with NPI records 1

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

Facilities with the same owner 3

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1543276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543276800000",
    "number": "1396215976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9928 VAIL DR.",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "44087",
            "telephone_number": "330-405-6040",
            "fax_number": "330-405-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9928 VAIL DR.",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "44087",
            "telephone_number": "330-405-6040",
            "fax_number": "330-405-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWINSBURG HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-11-27",
        "status": "A",
        "authorized_official_last_name": "ROOF",
        "authorized_official_first_name": "J. GREG",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "330-540-5475",
        "authorized_official_credential": "NHA, HSE"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twinsburg, OH

Sources for this page

Verify at the official NPI Registry.