NPIMap

Organization Active NPI

Normandy II Limited Partnership

Doing business as Normandy Manor of Rocky River

  • Skilled Nursing Facility
  • Rocky River, OH
National Provider Identifier
1487632832
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NORMANDY II LIMITED PARTNERSHIP
Doing business as
Normandy Manor of Rocky River
Practice address
22709 Lake Rd
Rocky River, OH 44116-1021
Phone
(440) 333-5400
Fax
(440) 356-8923
NPI assigned
Jan 5, 2006
Last updated
Oct 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Authorized official

Name
Mr. Matthew Shula, LNHA
Title
Administrator
Phone
(440) 333-5400

Specialties & licenses 1

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

Addresses

Primary practice location

22709 Lake Rd
Rocky River, OH 44116-1021

Mailing address

22709 Lake Rd
Rocky River, OH 44116-1021
Phone (440) 333-5400

Other identifiers 1

IdentifierTypeStateIssuer
0978358MedicaidOH

Other names 1

  • Normandy Manor of Rocky River Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100330000281 OH Part A Provider - Skilled Nursing Facility 8628104643 Practice locations: Rocky River, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487632832. Details of each certification follow.

Skilled nursing facility certification: CCN 365926

Legal name
NORMANDY II LIMITED PARTNERSHIP
Doing business as
NORMANDY MANOR OF ROCKY RIVER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jun 25, 1993
Last certification
Jul 11, 2024
Beds
150
Ownership / control type
Limited Liability Corporation
Organization structure
PartnershipProprietary
Enrollment address
22709 Lake Rd
Rocky River, OH 44116-1021
Nursing home name
NORMANDY MANOR OF ROCKY RIVER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Normandy Manor of Rocky RiverCCN 365926 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 25, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
150132.8 residents per day on average

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
36D0872427Normandy Manor of Rocky River22709 Lake Road, Rocky River, OH 44116Certificate of waiverJun 29, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Kishor P Patel Individual Adp of the SNF Oct 1, 2022
Emily Connolly Individual Operational/Managerial Control Sep 11, 2022
Adp of the SNF Sep 11, 2022
Matthew Shula Individual Corporate DirectorLicensed Nursing Home Administrator Oct 19, 2008
Normandy II, Inc. Organization, Beachwood, OH Corporation, Owned by another organization or individual General Partnership Interest Dec 1, 1991 1%
Limited Partnership Interest Feb 1, 1993
David Orlean Individual 5% Or Greater Direct Ownership Interest Dec 1, 1991 59%
Limited Partnership Interest Dec 1, 1991 59%
Operational/Managerial Control Feb 1, 1993
Adp of the SNF Feb 1, 1993
Indirect Ownership Interest Feb 1, 1993 1%
Susan Orlean Individual 5% Or Greater Direct Ownership Interest Dec 1, 1993 20%
Limited Partnership Interest Dec 1, 1993 20%
Adp of the SNF Feb 1, 1993
James Kubinski Individual Operational/Managerial Control Feb 16, 2022
Debra Sue Orlean Individual 5% Or Greater Direct Ownership Interest Dec 1, 1993 20%
Limited Partnership Interest Dec 1, 1993 20%
Adp of the SNF Feb 1, 1993
Sovereign Rocky River, LLC Organization, Brookpark, OH LLC Operational/Managerial Control Aug 31, 2004

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 5

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 4

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": "1136419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1487632832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22709 LAKE RD",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441161021",
            "telephone_number": "440-333-5400",
            "fax_number": "440-356-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22709 LAKE RD",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441161021",
            "telephone_number": "440-333-5400",
            "fax_number": "440-356-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMANDY II LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-05",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "SHULA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "440-333-5400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0978358",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Normandy Manor of Rocky River",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rocky River, OH

Sources for this page

Verify at the official NPI Registry.