NPIMap

Organization Active NPI

Meadow Wind Healthcare LLC

Doing business as Meadow Wind Health Care Center

  • Skilled Nursing Facility
  • Massillon, OH
National Provider Identifier
1407507932
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MEADOW WIND HEALTHCARE LLC
Doing business as
Meadow Wind Health Care Center
Practice address
300 23Rd St NE
Massillon, OH 44646-4988
Phone
(330) 833-2026
Fax
(330) 834-2421
NPI assigned
Jan 17, 2022
Last updated
Jan 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Authorized official

Name
Jacob Stern
Title
Ceo
Phone
(330) 833-2026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

300 23Rd St NE
Massillon, OH 44646-4988

Mailing address

300 23Rd St NE
Massillon, OH 44646-4988
Phone (330) 833-2026

Other identifiers 1

IdentifierTypeStateIssuer
1811NOtherOHLICENSURE

Other names 1

  • Meadow Wind Health Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220323001460 OH Part A Provider - Skilled Nursing Facility 8527453885 Practice locations: Massillon, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407507932. Details of each certification follow.

Skilled nursing facility certification: CCN 365665

Legal name
MEADOW WIND HEALTHCARE LLC
Doing business as
MEADOW WIND HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 16, 1985
Last certification
Oct 10, 2024
Beds
99
Ownership / control type
Limited Liability Corporation
Multi-facility organization
CCH Healthcare
Most recent change of ownership
Feb 1, 2022
Organization structure
LLCProprietary
Incorporated
Nov 15, 2021 in OH
Enrollment address
300 23Rd St NE
Massillon, OH 44646-4988
Nursing home name
MEADOW WIND HEALTH CARE CENTER
Affiliated entity
CCH HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Meadow Wind Health Care CenterCCN 365665 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 16, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9979.2 residents per day on average
Chain
CCH Healthcare33 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

300 23rd St NE
Massillon, OH 44646
Phone (224) 430-1726

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Rachel Hays Individual W-2 Managing EmployeeAdministrator Feb 1, 2022 100%
Yw Meadowbrook, LLC Organization, Lakewood, NJ LLC 5% Or Greater Direct Ownership Interest Feb 1, 2022 19.4%
Capital Holdings Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Feb 1, 2022 39%
Rachel Wolmark Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2022 5%
Starlight Healthcare LLC Organization, Lakewood, NJ LLC 5% Or Greater Direct Ownership Interest Feb 1, 2022 42.49%
Horizon Healthcare Group LLC Organization, Lakewood, NJ LLC 5% Or Greater Direct Ownership Interest Feb 1, 2022 10%
Jacob Stern Individual Corporate OfficerPresident and Ceo Feb 1, 2022 100%
Corporate DirectorDirector Feb 1, 2022 100%
Meadow Wind Holding LLC Organization, Lakewood, NJ Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Feb 1, 2022 15.01%
Samuel Joseph Jeremias Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2022 10%
Phytmbh LLC Organization, Lakewood, NJ LLC 5% Or Greater Direct Ownership Interest Feb 1, 2022 8.1%
Yehuda Wolmark Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2022 19.4%

Facilities with the same owner 30

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

View all 30

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.

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": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1407507932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 23RD ST NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446464988",
            "telephone_number": "330-833-2026",
            "fax_number": "330-834-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 23RD ST NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446464988",
            "telephone_number": "330-833-2026",
            "fax_number": "330-834-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOW WIND HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-833-2026"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "1811N",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadow Wind Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Massillon, OH

Sources for this page

Verify at the official NPI Registry.