Organization Active NPI

The Laurels of Middletown, LLC

Doing business as The Laurels of Middletown

  • Skilled Nursing Facility
  • Middletown, OH
National Provider Identifier
1407351067
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THE LAURELS OF MIDDLETOWN, LLC
Doing business as
The Laurels of Middletown
Practice address
751 Kensington St
Middletown, OH 45044
Phone
(513) 424-3511
Fax
(513) 424-3695
NPI assigned
Mar 27, 2018
Last updated
Jul 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

751 Kensington St
Middletown, OH 45044

Mailing address

8181 Worthington Rd
Westerville, OH 43082-8067
Phone (614) 794-8800

Other identifiers 1

IdentifierTypeStateIssuer
0292352MedicaidOH

Other names 1

  • The Laurels of Middletown Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180719001990 OH Part A Provider - Skilled Nursing Facility 6709133945 Practice locations: Middletown, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407351067. Details of each certification follow.

Skilled nursing facility certification: CCN 365457

Legal name
THE LAURELS OF MIDDLETOWN, LLC
Doing business as
THE LAURELS OF MIDDLETOWN
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 20, 1980
Last certification
May 23, 2024
Beds
109
Ownership / control type
Corporation
Multi-facility organization
CIENA HEALTHCARE
Organization structure
LLCProprietary
Incorporated
Jan 30, 2018 in OH
Enrollment address
751 Kensington St
Middletown, OH 45044-6017
Nursing home name
THE LAURELS OF MIDDLETOWN
Affiliated entity
CIENA HEALTHCARE/LAUREL HEALTH CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Laurels of MiddletownCCN 365457 · 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 - Corporation
Certified
Mar 20, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10995.6 residents per day on average
Chain
Ciena Healthcare/Laurel Health Care81 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
36D0656270Laurels of Middletown, LLC, the751 Kensington St, Middletown, OH 45044Certificate 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
Organization, Glenview, IL LLC, For-profit Adp of the SNF Mar 27, 2025
Laurel Ohio Operations Group, LLC Organization, Westerville, OH Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 30, 2018 100%
David Stobb Individual Adp of the SNF Jun 30, 2018
Anis Khan Individual Operational/Managerial Control Jun 30, 2018
Managing Control - Governing BodyManager Jun 30, 2018
Adp of the SNF Jun 30, 2018
Organization, Westerville, OH LLC, For-profit Adp of the SNF Jun 30, 2018
Laurel Acquisition Holding Corporation Organization, Westerville, OH Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2016 100%
Indirect Ownership Interest Jun 30, 2018 100%
Patti Nelms Individual Operational/Managerial Control Apr 17, 1963
Adp of the SNF Apr 17, 2019
Organization, Taylor, MI LLC, For-profit Adp of the SNF Mar 27, 2025
Mohammad a. Qazi Individual 5% Or Greater Indirect Ownership InterestManager Jun 30, 2018 100%
Operational/Managerial Control Jun 30, 2018
Managing Control - Governing BodyManager Jun 30, 2018
Adp of the SNF Jun 30, 2018
Laurel Health Care Company Organization, Westerville, OH Corporation, Management services company, For-profit, Chain home office Operational/Managerial Control Jun 30, 2018 100%
Adp of the SNF Mar 27, 2025
Laurel Health Care Holdings, Inc. Organization, Westerville, OH Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 30, 2018 100%
Organization, Westerville, OH LLC, Holding company, For-profit Adp of the SNF Jun 30, 2018
Andrew J Castellanos Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025

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 39

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

View all 39

Practitioners & affiliated clinicians

Practitioners 1

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": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1407351067",
    "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": "751 KENSINGTON ST",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "45044",
            "telephone_number": "513-424-3511",
            "fax_number": "513-424-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LAURELS OF MIDDLETOWN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-07-09",
        "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": "0292352",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Laurels of Middletown",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Laurels of Middletown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.