The Laurels of Walden Park, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

THE LAURELS OF WALDEN PARK, LLC

Doing business as

The Laurels of Walden Park

Practice address

5700 Karl Rd
Columbus, OH 43229

Phone

(614) 846-5420

Fax

(614) 438-5873

NPI assigned

Mar 27, 2018

Last updated

Aug 10, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Anis Khan

Title

C.F.O.

Phone

(614) 794-8800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Laurels of Walden Park Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396240958. Details of each certification follow.

• CCN 365379 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 365379

Legal name

THE LAURELS OF WALDEN PARK, LLC

Doing business as

THE LAURELS OF WALDEN PARK

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 24, 1978

Last certification

Apr 27, 2023

Beds

225

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Jan 30, 2018 in OH

Enrollment address

5700 Karl Rd
Columbus, OH 43229-3602

Nursing home name

THE LAURELS OF WALDEN PARK

Affiliated entity

CIENA HEALTHCARE/LAUREL HEALTH CARE

Listed as

The Laurels of Walden ParkCCN 365379 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jul 24, 1978

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

225209.0 residents per day on average

Chain

Ciena Healthcare/Laurel Health Care81 facilities in the chain

Penalties (3 years)

3Fines totaling $114,649

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

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.

Owners & managing parties with NPI records 1

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

• Randall Scott Slaybaugh, M.D.

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1609837335

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 39

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

• Athens LTC, Inc

  dba The Laurels of Athens

  • Skilled Nursing Facility
  • Athens, OH
  • NPI 1033405170

  Laurel Acquisition Holding Corporation, Laurel Health Care Company, Laurel Health Care Holdings, Inc.

  CMS ownership
• Fairport Enterprises, Inc.

  dba The Laurels of Massillon

  • Skilled Nursing Facility
  • Massillon, OH
  • NPI 1497701445

  Laurel Acquisition Holding Corporation, Laurel Health Care Company, Laurel Health Care Holdings, Inc.

  CMS ownership
• Laurel Health Care Company of North Worthington

  dba The Laurels of Norworth

  • Skilled Nursing Facility
  • Worthington, OH
  • NPI 1285689562

  Laurel Acquisition Holding Corporation, Laurel Health Care Company, Laurel Health Care Holdings, Inc.

  CMS ownership
• Laurel Health Care Company of Worthington

  dba The Laurels of Worthington

  • Skilled Nursing Facility
  • Worthington, OH
  • NPI 1215983275

  Laurel Acquisition Holding Corporation, Laurel Health Care Company, Laurel Health Care Holdings, Inc.

  CMS ownership
• Laurels of Jefferson, LLC

  dba The Laurels of Steubenville

  • Skilled Nursing Facility
  • Steubenville, OH
  • NPI 1184848293

  Laurel Acquisition Holding Corporation, Laurel Health Care Company, Laurel Health Care Holdings, Inc.

  CMS ownership
• Oak Health Care Investors of Defiance, Inc.

  dba The Laurels of Defiance

  • Skilled Nursing Facility
  • Defiance, OH
  • NPI 1245285337

  Laurel Acquisition Holding Corporation, Laurel Health Care Company, Laurel Health Care Holdings, Inc.

  CMS ownership
• Oak Health Care Investors of Mt Vernon, Inc.

  dba The Laurels of Mt Vernon

  • Skilled Nursing Facility
  • Mount Vernon, OH
  • NPI 1316993355

  Laurel Acquisition Holding Corporation, Laurel Health Care Company, Laurel Health Care Holdings, Inc.

  CMS ownership
• The Laurels of Blanchester, LLC

  dba The Laurels of Blanchester

  • Skilled Nursing Facility
  • Blanchester, OH
  • NPI 1992032148

  Laurel Acquisition Holding Corporation, Laurel Health Care Company, Laurel Health Care Holdings, Inc.

  CMS ownership
• The Laurels of Chagrin Falls, LLC

  dba Regency at Chagrin Falls

  • Skilled Nursing Facility
  • Chagrin Falls, OH
  • NPI 1457873184

  Laurel Health Care Company

  CMS ownership
• The Laurels of Gahanna, LLC

  dba The Laurels of Gahanna

  • Skilled Nursing Facility
  • Columbus, OH
  • NPI 1720583578

  Laurel Acquisition Holding Corporation, Laurel Health Care Company, Laurel Health Care Holdings, Inc., Laurel Ohio Operations Group, LLC

  CMS ownership
• The Laurels of Hamilton, LLC

  dba The Laurels of Hamilton

  • Skilled Nursing Facility
  • Hamilton, OH
  • NPI 1346745197

  Laurel Acquisition Holding Corporation, Laurel Health Care Company, Laurel Health Care Holdings, Inc., Laurel Ohio Operations Group, LLC

  CMS ownership
• The Laurels of Heath, LLC

  dba The Laurels of Heath

  • Skilled Nursing Facility
  • Heath, OH
  • NPI 1851896419

  Laurel Acquisition Holding Corporation, Laurel Health Care Company, Laurel Health Care Holdings, Inc., Laurel Ohio Operations Group, LLC

  CMS ownership

Practitioners 4

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.

• Deepa Mathur, M.D.

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1114251451
  NPD (past)
• Daniel Miller, MD

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1386731263
  NPD (past)
• Rupal S Oza, MD, MPH

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1760445027
  NPD (past)
• Randall Scott Slaybaugh, M.D.

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1609837335
  NPD (past)

Affiliated clinicians 2

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

• Rupal S Oza, MD, MPH

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1760445027

  Nursing home

  Care Compare affiliation
• Randall Scott Slaybaugh, M.D.

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1609837335

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533859200000",
    "number": "1396240958",
    "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": "5700 KARL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43229",
            "telephone_number": "614-846-5420",
            "fax_number": "614-438-5873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LAURELS OF WALDEN PARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-08-10",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0295508",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Laurels of Walden Park",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Laurels of Walden Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Columbus, OH
• Providers in Columbus, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.