County of Ashtabula

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N/A Issued in OH

Legal business name

COUNTY OF ASHTABULA

Doing business as

Ashtabula County Nursing & Rehabilitation Center

Practice address

5740 Dibble Rd
Kingsville, OH 44048-9809

Phone

(440) 224-2161

Fax

(440) 224-2166

NPI assigned

Jun 9, 2005

Last updated

Aug 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Monica Williams, LNHA

Title

Administrator

Phone

(440) 224-2161

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ashtabula County Nursing & Rehabilitation Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1588668305. Details of each certification follow.

• CCN 365741 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 365741

Legal name

COUNTY OF ASHTABULA

Doing business as

ASHTABULA COUNTY NURSING & REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 21, 1989

Last certification

Aug 31, 2023

Beds

133

Ownership / control type

Other Nonprofit

Organization structure

GovernmentNon-profit

Enrollment address

5740 Dibble Rd
Kingsville, OH 44048-9809

Nursing home name

ASHTABULA COUNTY NURSING HOME

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• County of Ashtabula

  dba Ashtabula County Health Department

  • Nursing Care Agency
  • Jefferson, OH
  • NPI 1760509988

  2961526355

  Same PAC ID

Listed as

Ashtabula County Nursing HomeCCN 365741 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Other

Certified

Jun 21, 1989

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

133113.5 residents per day on average

Penalties (3 years)

1Fines totaling $13,870

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

County of Ashtabula4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Ashtabula County Board of MRDD

  • Developmentally Disabled Services Day Training Agency
  • Ashtabula, OH
  • NPI 1477670982
  NPD tax ID
• Ashtabula County Nursing and Rehab Center

  • Skilled Nursing Facility
  • Kingsville, OH
  • NPI 1164520805
  NPD tax ID
• County of Ashtabula

  dba Ashtabula County Health Department

  • Nursing Care Agency
  • Jefferson, OH
  • NPI 1760509988
  NPD tax ID

All disclosed owners & managing parties 14

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

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Abdallah Al-Shahed, MD

  • Internal Medicine Physician
  • Westlake, OH
  • NPI 1639159528

  Adp of the SNF

  CMS ownership
• County of Ashtabula

  dba Ashtabula County Health Department

  • Nursing Care Agency
  • Jefferson, OH
  • NPI 1760509988

  5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control, Trustee of the SNF

  CMS ownership

Practitioners 4

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.

• Abdallah Al-Shahed, MD

  • Internal Medicine Physician
  • Westlake, OH
  • NPI 1639159528
  NPD (past)
• Catherine A Bishop, DO

  • Family Medicine Physician
  • Chillicothe, OH
  • NPI 1932123296
  NPD (past)
• Gary Robert Huston, DO

  • Family Medicine Physician
  • Conneaut, OH
  • NPI 1104836881
  NPD (past)
• Almon Seenam Lee, M.D.

  • Internal Medicine Physician
  • Ashtabula, OH
  • NPI 1780677310
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Gary Robert Huston, DO

  • Family Medicine Physician
  • Conneaut, OH
  • NPI 1104836881

  Nursing home

  Care Compare affiliation
• Almon Seenam Lee, M.D.

  • Internal Medicine Physician
  • Ashtabula, OH
  • NPI 1780677310

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1588668305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5740 DIBBLE RD",
            "city": "KINGSVILLE",
            "state": "OH",
            "postal_code": "440489809",
            "telephone_number": "440-224-2161",
            "fax_number": "440-224-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 DIBBLE RD",
            "city": "KINGSVILLE",
            "state": "OH",
            "postal_code": "440489809",
            "telephone_number": "440-224-2161",
            "fax_number": "440-224-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF ASHTABULA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "440-224-2161",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0237836",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashtabula County Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenneth R Altier, CRNA
• Ashtabula County Nursing and Rehab Center
• Amanda Lee Cusano, LPN
• Devoted Guidance, LLC
• Lorie A Francis, LPN
• Loraine Marie Gasper
• Caroline Lucy Holbrook, LPN

• Skilled Nursing Facility in Kingsville, OH
• Providers in Kingsville, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.

Verify at the official NPI Registry.