Organization Active NPI

Newcomerstown Progress Corporation

Doing business as Riverside Manor Nursing & Rehabilitation Center

  • Skilled Nursing Facility
  • Newcomerstown, OH
National Provider Identifier
1578664272
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1665 Issued in OH
Legal business name
NEWCOMERSTOWN PROGRESS CORPORATION
Doing business as
Riverside Manor Nursing & Rehabilitation Center
Practice address
1100 E State Rd
Newcomerstown, OH 43832-9446
Phone
(740) 498-5165
Fax
(740) 498-6127
NPI assigned
Sep 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Dwayne N Shepherd
Title
Administrator
Phone
(740) 498-5165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1665 OH Primary

Addresses

Primary practice location

1100 E State Rd
Newcomerstown, OH 43832-9446

Mailing address

1100 E State Rd
Newcomerstown, OH 43832-9446
Phone (740) 498-5165

Other identifiers 1

IdentifierTypeStateIssuer
0367697MedicaidOH

Other names 1

  • Riverside Manor Nursing & Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081105000168 OH Part A Provider - Skilled Nursing Facility 9436218583 Practice locations: Newcomerstown, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1578664272. Details of each certification follow.

Skilled nursing facility certification: CCN 365429

Legal name
NEWCOMERSTOWN PROGRESS CORPORATION
Doing business as
RIVERSIDE MANOR NURSING & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 10, 1979
Last certification
Jan 30, 2025
Beds
80
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
Sep 17, 1973 in OH
Enrollment address
1100 E State Rd
Newcomerstown, OH 43832-9446
Nursing home name
RIVERSIDE MANOR NRSG & REHAB CTR

Care Compare: Nursing home

Medicare Care Compare
Listed as
Riverside Manor NRSG & Rehab CtrCCN 365429 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 10, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8069.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Individual Adp of the SNF Dec 31, 2024
Michael Cochran Individual Corporate OfficerBoard Member Oct 21, 2008 0.7%
Dwayne Shepherd Individual 5% Or Greater Direct Ownership InterestNursing Home Administrator Oct 21, 2008 8.7%
W-2 Managing EmployeeAd; Oct 8, 2008 8.7%
Operational/Managerial Control Oct 16, 2024
Adp of the SNF Dec 31, 2024
Individual Adp of the SNF Dec 31, 2024
Clark Smith Individual 5% Or Greater Direct Ownership InterestVice President Oct 21, 2008 12.3%
Corporate OfficerVice President Jun 22, 2014 12.3%
Corporate DirectorVice President Oct 21, 2008 12.3%
Adp of the SNF Dec 31, 2024
Alan Bambeck Individual Corporate OfficerSecretary Treasurer May 9, 2007 2.2%
Corporate DirectorSecretary Treasurer Oct 21, 2008 2.2%
Individual Adp of the SNF Dec 31, 2024
Individual Adp of the SNF Dec 31, 2024
Ken Ours Individual 5% Or Greater Direct Ownership InterestN/a Mar 1, 2008 11.5%
Individual Adp of the SNF Dec 31, 2024
Individual Adp of the SNF Dec 31, 2024
James R Welch Individual Corporate OfficerBoard Member Sep 1, 2014 2.5%
Mark Mortine Individual 5% Or Greater Direct Ownership InterestN/a Jan 14, 2022 7.2%
Individual Contracted Managing Employee Jul 31, 2023
Adp of the SNF Dec 31, 2024
Terry L Overholser Individual Corporate OfficerPresident May 8, 1989 5.2%
Neil Mortine Individual 5% Or Greater Direct Ownership InterestN/a Jan 14, 2022 7.2%
Individual Adp of the SNF Dec 31, 2024

Practitioners & affiliated clinicians

Practitioners 3

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 2

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578664272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E STATE RD",
            "city": "NEWCOMERSTOWN",
            "state": "OH",
            "postal_code": "438329446",
            "telephone_number": "740-498-5165",
            "fax_number": "740-498-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E STATE RD",
            "city": "NEWCOMERSTOWN",
            "state": "OH",
            "postal_code": "438329446",
            "telephone_number": "740-498-5165",
            "fax_number": "740-498-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWCOMERSTOWN PROGRESS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "740-498-5165",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0367697",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Manor Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newcomerstown, OH

Sources for this page

Verify at the official NPI Registry.