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Organization Active NPI

St Augustine Manor

Doing business as St Augustine Manor dba Holy Family Home

  • Skilled Nursing Facility
  • Cleveland, OH
National Provider Identifier
1396883591
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1971 Issued in OH
Legal business name
ST AUGUSTINE MANOR
Doing business as
St Augustine Manor dba Holy Family Home
Practice address
7801 Detroit Avenue
Cleveland, OH 44102
Phone
(216) 634-7400
Fax
(216) 634-7483
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Patrick Gareau
Title
President and Ceo
Phone
(216) 634-7403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1971 OH Primary

Addresses

Primary practice location

7801 Detroit Avenue
Cleveland, OH 44102

Mailing address

7801 Detroit Avenue
Cleveland, OH 44102
Phone (216) 634-7400

Other names 1

  • St Augustine Manor dba Holy Family Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100618000712 OH Part A Provider - Skilled Nursing Facility 6709808116 Practice locations: Cleveland, OH
O20120723000472 OH Part A Provider - Home Health Agency 6709808116 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Parma, OH

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1396883591. Details of each certification follow.

Skilled nursing facility certification: CCN 365883

Legal name
ST AUGUSTINE MANOR
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1993
Last certification
May 22, 2024
Beds
220
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 24, 1969 in OH
Enrollment address
7801 Detroit Ave
Cleveland, OH 44102-2813
Nursing home name
ST AUGUSTINE MANOR

Home health agency certification: CCN 368115

Legal name
ST AUGUSTINE MANOR
Doing business as
HOLY FAMILY HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 27, 2005
Last certification
Mar 11, 2020
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Oct 24, 1969 in OH
Enrollment address
6707 State Rd
Parma, OH 44134-4517

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Holy Family Home Health CareCCN 368115 · All quality measures
Overall star rating
4 of 5
Ownership
Non-Profit
Certified
Oct 27, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Care Compare: Nursing home

Medicare Care Compare
Listed as
St Augustine ManorCCN 365883 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 1, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
220189.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

6707 State Rd
Parma, OH 44134
Phone (440) 888-7722

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Mark McGrievy Individual Corporate DirectorBoard Member Jun 8, 2022 5%
Robert Pumphrey Individual Corporate DirectorBoard Member Jul 1, 2012 5%
Elayne Newcomb Individual W-2 Managing EmployeeAdministrator Feb 1, 2021 100%
Marilyn Streeter Individual Corporate DirectorBoard Member Jul 1, 2010 5%
Corporate Director Feb 1, 2010
Janet Gosche Individual Corporate DirectorBoard Member Jul 1, 2014 5%
Rick Meserini Individual Corporate OfficerPresident/C.E.O. Oct 13, 2014 100%
Corporate OfficerCeo President Oct 13, 2015
Karen McCarthy Individual Corporate DirectorBoard Member Jul 1, 2009 5%
Corporate Officer Feb 1, 2010
Corporate Director Feb 1, 2010
Catholic Charities Corporation Organization, Cleveland, OH Corporation, Non-profit 5% Or Greater Direct Ownership Interest Oct 24, 1969 100%
Theresa Dawson Individual Corporate DirectorBoard Member Jul 1, 2009 5%
Corporate Director Feb 1, 2010
Linda Sheehan Individual Corporate DirectorBoard Member Jul 1, 2009 5%
Corporate Officer Feb 1, 2010
Corporate Director Feb 1, 2010
Frank Huba Individual Corporate OfficerCfo Jan 14, 1993 5%
Corporate OfficerCfo Feb 1, 2010
Kristin Graham Individual W-2 Managing Employee Feb 1, 2010
Patricia Snowbrick Individual Corporate Director Feb 1, 2010
David Streeter Individual Corporate Director Feb 1, 2010
Charles Slone Individual Corporate Director Feb 1, 2010
Joseph Dailey Individual Corporate Officer Jan 1, 2026
Catherine Tompkins Individual Corporate Director Feb 1, 2010
Edward Hack Individual Corporate Officer Feb 1, 2010
Corporate Director Feb 1, 2010

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Holy Family HospiceParma, OH, CCN 361631 Hospice 5% Or Greater Direct Ownership Interest (100%) Oct 13, 2005

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • St Augustine Manor

    dba St Augustine Manor doing business as Holy Family Hospice

    • Community Based Hospice Care Agency
    • Parma, OH
    • NPI 1376667014

    5% Or Greater Direct Ownership Interest

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 7

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 7

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": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396883591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 DETROIT AVENUE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44102",
            "telephone_number": "216-634-7400",
            "fax_number": "216-634-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 DETROIT AVENUE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44102",
            "telephone_number": "216-634-7400",
            "fax_number": "216-634-7483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST AUGUSTINE MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAREAU",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "216-634-7403",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Augustine Manor dba Holy Family Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.