Active NPI
Brethren Care Village, LLC
- Skilled Nursing Facility
- Ashland, OH
National Provider Identifier
1508235128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- BRETHREN CARE VILLAGE, LLC
- Practice address
- 2000 Center St
Ashland, OH 44805-4325 - Phone
- (419) 289-1585
- NPI assigned
- Sep 24, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mindy Scurlock
- Title
- Ceo
- Phone
- (419) 289-1585
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
2000 Center St
Ashland, OH 44805-4325
Mailing address
2140 Center St
Ashland, OH 44805-4376
Phone (419) 289-1585
Other names 1
- Brethren Care Village Health Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160404001734 | OH | Part A Provider - Skilled Nursing Facility | 5496052508 | Practice locations: Ashland, OH |
Skilled nursing facility certification: CCN 366166
- Legal name
- BRETHREN CARE VILLAGE LLC
- Doing business as
- BRETHREN CARE VILLAGE HEALTH CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 6, 1999
- Last certification
- Sep 26, 2022
- Beds
- 79
- Ownership / control type
- Nonprofit Corporation
- Most recent change of ownership
- Oct 1, 2015
- Organization structure
- LLC
- Incorporated
- Aug 5, 2015 in OH
- Enrollment address
- 2000 Center St
Ashland, OH 44805-4325 - Nursing home name
- BRETHREN CARE VILLAGE HEALTH CARE CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Brethren Care Village Health Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jan 6, 1999
- Medicare certification status
- Active
- Certified beds
- 79
National Provider Directory
National Provider Directory- Tax ID family
- Brethren Care Village LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Ashland, OH
- NPI 1245833250
-
- Assisted Living Facility
- Ashland, OH
- NPI 1972109171
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Gayle Martin | Corporate Director | Jan 1, 2016 | |
| Carrie Harpster | W-2 Managing Employee | Aug 5, 2015 | |
| Julia Jones | Corporate Director | Aug 5, 2015 | |
| Michael Huber | Corporate Director | Aug 5, 2015 | |
| Linda Hickey | Corporate Director | Aug 5, 2015 | |
| Matthew McFarland | Corporate Officer | Aug 5, 2015 | |
| W-2 Managing Employee | Aug 5, 2015 | ||
| Troy Snyder | Corporate Officer | Aug 5, 2015 | |
| W-2 Managing Employee | Aug 5, 2015 | ||
| Neil Hinkel | Corporate Director | Aug 5, 2015 | |
| Brethren Care Inc | 5% Or Greater Direct Ownership Interest | Aug 5, 2015 | 100% |
| Timothy Rowsey | Corporate Director | Aug 5, 2015 | |
| Mindy Scurlock | Corporate Officer | Aug 5, 2015 | |
| W-2 Managing Employee | Aug 5, 2015 | ||
| Crystal Lybarger | Corporate Director | Aug 5, 2015 | |
| Andrew Bush | Corporate Director | Jan 1, 2016 |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Ashland, OH
- NPI 1689625634
Affiliated clinicians 9
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": "1443052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714003200000",
"number": "1508235128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2140 CENTER ST",
"city": "ASHLAND",
"state": "OH",
"postal_code": "448054376",
"telephone_number": "419-289-1585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 CENTER ST",
"city": "ASHLAND",
"state": "OH",
"postal_code": "448054325",
"telephone_number": "419-289-1585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRETHREN CARE VILLAGE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-24",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A",
"authorized_official_last_name": "SCURLOCK",
"authorized_official_first_name": "MINDY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "419-289-1585"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brethren Care Village Health Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Ashland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.