NPIMap

Organization Active NPI

Carecore at Mary Scott LLC

  • Skilled Nursing Facility
  • Dayton, OH
National Provider Identifier
1508459769
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CARECORE AT MARY SCOTT LLC
Practice address
3109 Campus Dr
Dayton, OH 45406-4122
Phone
(937) 278-0761
NPI assigned
Feb 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Authorized official

Name
Eitan Laghaie
Title
VP of Business Office
Phone
(513) 449-0118

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3109 Campus Dr
Dayton, OH 45406-4122

Mailing address

3109 Campus Dr
Dayton, OH 45406-4122

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.pointclickcare.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210315001107 OH Part A Provider - Skilled Nursing Facility 2961818075 Practice locations: Dayton, OH

Skilled nursing facility certification: CCN 366122

Legal name
CARECORE AT MARY SCOTT LLC
Doing business as
CARECORE AT MARY SCOTT
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 28, 1997
Last certification
Jul 21, 2022
Beds
102
Ownership / control type
Corporation
Organization structure
LLCProprietary
Enrollment address
3109 Campus Dr
Dayton, OH 45406-4122
Nursing home name
CARECORE AT MARY SCOTT
Affiliated entity
CARECORE HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Carecore at Mary ScottCCN 366122
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 28, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10262.8 residents per day on average
Chain
Carecore Health10 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Christine Dosland Individual Operational/Managerial Control Jul 7, 2023
Adp of the SNF Jul 7, 2023
Chaim Hertanu Individual 5% Or Greater Direct Ownership Interest100 Mar 1, 2021
Corporate OfficerManager Mar 1, 2002
Operational/Managerial Control Mar 1, 2021
Managing Control - Governing BodyManager Mar 1, 2021
Adp of the SNF Mar 1, 2021
Direct Ownership Interest Mar 1, 2021 100%
Robert L Hunter Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Sep 3, 2025
Carecore Health LLC Organization, Suffern, NY LLC Operational/Managerial Control Mar 1, 2021
Adp of the SNF Mar 1, 2021
Carecore Mary Scott Realty, LLC Organization, Dayton, OH LLC Adp of the SNF Jan 1, 2021
Fasten Halberstam LLP Organization, New York, NY Adp of the SNF Mar 1, 2021

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 10

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617321600000",
    "number": "1508459769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 CAMPUS DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454064122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 CAMPUS DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454064122",
            "telephone_number": "937-278-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARECORE AT MARY SCOTT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A",
        "authorized_official_last_name": "LAGHAIE",
        "authorized_official_first_name": "EITAN",
        "authorized_official_title_or_position": "VP OF BUSINESS OFFICE",
        "authorized_official_telephone_number": "513-449-0118"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.pointclickcare.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3109 Campus Dr",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454064122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.