Organization Active NPI

Embassy Winchester, LLC

  • Skilled Nursing Facility
  • Canal Winchester, OH
National Provider Identifier
1548894330
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
EMBASSY WINCHESTER, LLC
Practice address
36 Lehman Dr
Canal Winchester, OH 43110-1006
Phone
(614) 834-2273
NPI assigned
Mar 2, 2020
Last updated
Mar 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Authorized official

Name
Hayley Williams
Title
Attorney
Phone
(216) 978-0268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

36 Lehman Dr
Canal Winchester, OH 43110-1006

Mailing address

945 Broadway
Woodmere, NY 11598-1733
Phone (516) 869-3700

Other identifiers 1

IdentifierTypeStateIssuer
1598NOtherOHLICENSURE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200409003557 OH Part A Provider - Skilled Nursing Facility 9032548565 Practice locations: Canal Winchester, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1548894330. Details of each certification follow.

Skilled nursing facility certification: CCN 365644

Legal name
EMBASSY WINCHESTER, LLC
Doing business as
EMBASSY OF WINCHESTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 4, 1985
Last certification
Dec 5, 2024
Beds
176
Ownership / control type
Corporation
Multi-facility organization
Embassy Healthcare
Most recent change of ownership
Mar 1, 2020
Organization structure
LLCProprietary
Incorporated
Jan 21, 2020 in OH
Enrollment address
36 Lehman Dr
Canal Winchester, OH 43110-1006
Nursing home name
EMBASSY OF WINCHESTER
Affiliated entity
EMBASSY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Embassy of WinchesterCCN 365644 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 4, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
17687.7 residents per day on average
Chain
Embassy Healthcare33 facilities in the chain
Penalties (3 years)
2Fines totaling $167,295

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

36 Lehman Dr
Canal Wnchstr, OH 43110
Phone (614) 834-2273

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Dashae Hooper Individual W-2 Managing EmployeeAdministrator Mar 1, 2020 100%
Benjamin Landa Individual 5% Or Greater Direct Ownership Interest Mar 1, 2020 100%
George S. Repchick Individual Corporate OfficerSole Officer - President Mar 1, 2020 100%
Corporate DirectorChairman - Sole Director Mar 1, 2020 100%

Practitioners & affiliated clinicians

Practitioners 2

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": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1548894330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 BROADWAY",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981733",
            "telephone_number": "516-869-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 LEHMAN DR",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431101006",
            "telephone_number": "614-834-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBASSY WINCHESTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "HAYLEY",
        "authorized_official_title_or_position": "ATTORNEY",
        "authorized_official_telephone_number": "216-978-0268"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "1598N",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canal Winchester, OH

Sources for this page

Verify at the official NPI Registry.