NPIMap

Organization Active NPI

Rae-Ann Geneva, Inc..

  • Skilled Nursing Facility
  • Geneva, OH
National Provider Identifier
1437149150
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2927 Issued in OH
Legal business name
RAE-ANN GENEVA, INC..
Practice address
839 W Main St
Geneva, OH 44041-1218
Phone
(440) 466-5733
NPI assigned
Oct 25, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Mr. John Griffiths
Title
Administrator
Phone
(440) 466-5733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2927 OH Primary

Addresses

Primary practice location

839 W Main St
Geneva, OH 44041-1218

Mailing address

PO Box 40175
Bay Village, OH 44140-0175
Phone (440) 835-3005

Other identifiers 1

IdentifierTypeStateIssuer
0406804MedicaidOH

Other names 1

  • Rae-Ann Inc. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080215000434 OH Part A Provider - Skilled Nursing Facility 3971686882 Practice locations: Geneva, OH

Skilled nursing facility certification: CCN 366047

Legal name
RAE-ANN GENEVA, INC..
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 1996
Last certification
May 21, 2025
Beds
76
Ownership / control type
Limited Liability Corporation
Organization structure
CorporationProprietary
Incorporated
Nov 15, 2007 in OH
Enrollment address
839 W Main St
Geneva, OH 44041-1218
Nursing home name
RAE ANN GENEVA

Care Compare: Nursing home

Medicare Care Compare
Listed as
Rae Ann GenevaCCN 366047 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7661.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Rae-Ann Geneva2 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 7

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

NameRoleSinceShare
Ra Assets Holdco LLC Organization, Westlake, OH Created for acquisition, LLC, Holding company 5% Or Greater Direct Ownership Interest May 17, 2022 100%
Jonathan Gewirtz Individual 5% Or Greater Indirect Ownership InterestCoo May 17, 2022 12.5%
Corporate OfficerCoo May 17, 2022
Corporate DirectorCoo May 17, 2022
Operational/Managerial Control May 17, 2022
Ra Investment Oh LLC Organization, Westlake, OH Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest May 17, 2022 35%
Shreeniwas Lele Individual Adp of the SNF May 17, 2022
Neil Bay Management LLC Organization, Geneva, OH LLC Operational/Managerial Control May 17, 2022
Adp of the SNF Feb 17, 2025
Ra Opco LLC Organization, Westlake, OH Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest May 17, 2022 52.5%
Danielle Herron Individual Adp of the SNF May 17, 2022

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 2

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

Practitioners & affiliated clinicians

Practitioners 3

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": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1437149150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40175",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441400175",
            "telephone_number": "440-835-3005",
            "fax_number": "440-871-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 W MAIN ST",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "440411218",
            "telephone_number": "440-466-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAE-ANN GENEVA, INC..",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "GRIFFITHS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "440-466-5733",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "2927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0406804",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rae-Ann Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Geneva, OH

Sources for this page

Verify at the official NPI Registry.