NPIMap

Organization Active NPI

Willoughby SNF Healthcare LLC

Doing business as Willoughby Post Acute

  • Skilled Nursing Facility
  • Willoughby, OH
National Provider Identifier
1588483358
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WILLOUGHBY SNF HEALTHCARE LLC
Doing business as
Willoughby Post Acute
Practice address
37603 Euclid Ave
Willoughby, OH 44094-5923
Phone
(000) 000-0000
NPI assigned
Oct 8, 2024
Last updated
Apr 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Authorized official

Name
Alicia Cepeda
Title
Senior Legal/Risk Manager
Phone
(385) 342-5175

Specialties & licenses 1

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

Addresses

Primary practice location

37603 Euclid Ave
Willoughby, OH 44094-5923

Mailing address

37603 Euclid Ave
Willoughby, OH 44094-5923

Other names 1

  • Willoughby Post Acute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250421002097 OH Part A Provider - Skilled Nursing Facility 1759806961 Practice locations: Willoughby, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1588483358. Details of each certification follow.

Skilled nursing facility certification: CCN 365305

Legal name
WILLOUGHBY SNF HEALTHCARE, LLC
Doing business as
WILLOUGHBY POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 2, 1974
Last certification
Aug 3, 2023
Beds
157
Ownership / control type
Corporation
Multi-facility organization
Legacy Health Services
Most recent change of ownership
May 1, 2023
Organization structure
LLCProprietary
Enrollment address
37603 Euclid Ave
Willoughby, OH 44094-5923
Nursing home name
WILLOUGHBY POST ACUTE
Affiliated entity
PACS GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Willoughby Post AcuteCCN 365305 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 2, 1974
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
157132.4 residents per day on average
Chain
Pacs Group274 facilities in the chain
Penalties (3 years)
1Fines totaling $39,840

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
36D0678321Willoughby Post Acute37603 Euclid Avenue, Willoughby, OH 44094Certificate of waiverAug 31, 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
SNF Oh Holdco LLC Organization, Toledo, OH LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 100%
Jason H Murray Individual 5% Or Greater Indirect Ownership InterestOwner Dec 1, 2024 35.2%
John T Mitchell Individual Corporate OfficerSecretary Dec 1, 2024
Managing Control - Governing BodySecretary Dec 1, 2024
37603 Euclid Ave Oh Owner LLC Organization, Toledo, OH LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 100%
Frederick G Apt Individual Corporate OfficerChief Financial Officer & Treasu Dec 1, 2024
Managing Control - Governing BodyChief Financial Officer & Treasu Dec 1, 2024
Well PM Holdco JV LLC Organization, Toledo, OH LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 85%
Providence Group NH, LLC Organization, Farmington, UT LLC, Holding company, Investment firm, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 1, 2024 100%
Operational/Managerial Control Dec 1, 2024
Dharmesh a Mehta Individual Adp of the SNF Dec 1, 2024
Pacs Holdings, LLC Organization, Farmington, UT LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 100%
Operational/Managerial Control Dec 1, 2024
Joshua O Jergensen Individual Corporate OfficerChief Operating Officer & Presid Dec 1, 2024
Managing Control - Governing BodyChief Operating Officer & Presid Dec 1, 2024
Welltower Op, LLC Organization, Toledo, OH LLC Adp of the SNF Dec 1, 2024
Organization, Toledo, OH LLC Adp of the SNF Dec 1, 2024
Pacs Group, Inc. Organization, Farmington, UT Corporation, Consulting firm, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 100%
Operational/Managerial Control Dec 1, 2024
Well Integra Master JV LLC Organization, Toledo, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024
Welltower Inc Organization, Toledo, OH Corporation Adp of the SNF Dec 1, 2024
Amarilys Ramacciato Individual Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Mark D Hancock Individual 5% Or Greater Indirect Ownership InterestOwner Dec 1, 2024 35.2%

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 186

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

View all 186

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 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": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1588483358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37603 EUCLID AVE",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440945923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37603 EUCLID AVE",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440945923",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOUGHBY SNF HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-08",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "CEPEDA",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "SENIOR LEGAL/RISK MANAGER",
        "authorized_official_telephone_number": "385-342-5175"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willoughby Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Willoughby, OH

Sources for this page

Verify at the official NPI Registry.