Organization Active NPI

Altercare of Bucyrus Center for Rehabilitation & Nursing Care, Inc.

  • Skilled Nursing Facility
  • Bucyrus, OH
National Provider Identifier
1609848217
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
6065 Issued in OH
Legal business name
ALTERCARE OF BUCYRUS CENTER FOR REHABILITATION & NURSING CARE, INC.
Practice address
1929 Whetstone St
Bucyrus, OH 44820-3564
Phone
(419) 562-7644
NPI assigned
Feb 7, 2006
Last updated
May 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Authorized official

Name
Ms. Kathleen R Johnson
Title
Controller
Phone
(330) 498-5233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 6065 OH Primary

Addresses

Primary practice location

1929 Whetstone St
Bucyrus, OH 44820-3564

Mailing address

339 E Maple St
Suite 100
North Canton, OH 44720-2593
Phone (330) 498-8101

Other identifiers 1

IdentifierTypeStateIssuer
2265016MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021210000012 OH Part A Provider - Skilled Nursing Facility 7416865613 Practice locations: Bucyrus, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609848217. Details of each certification follow.

Skilled nursing facility certification: CCN 365625

Legal name
ALTERCARE OF BUCYRUS CENTER FOR REHABILITATION & NURSING CARE INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 13, 1984
Last certification
Jan 29, 2024
Beds
80
Ownership / control type
Corporation
Multi-facility organization
Altercare
Organization structure
CorporationProprietary
Incorporated
Aug 29, 2001 in OH
Enrollment address
1929 Whetstone St
Bucyrus, OH 44820-3564
Nursing home name
ALTERCARE OF BUCYRUS CENTER FO
Affiliated entity
ALTERCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Altercare of Bucyrus Center FoCCN 365625 · 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
Jul 13, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8066.2 residents per day on average
Chain
Altercare22 facilities in the chain
Penalties (3 years)
1Fines totaling $26,685

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
36D0656228Altercare of Bucyrus Center for1929 Whetstone Street, Bucyrus, OH 44820Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Orian L Nutter Individual Corporate OfficerSecretary Oct 1, 2021
Altercare of Ohio, Inc Organization, North Canton, OH Corporation, For-profit Operational/Managerial Control Oct 1, 2001
Kathy R Johnson Individual Corporate OfficerTreasurer/VP Jan 10, 2010
Gerald F Schroer Dynasty TR Ua 12312009 Fbo Matthew Schroer Organization, Westlake, OH 5% Or Greater Indirect Ownership Interest Dec 15, 2015 10.35%
Susanne Schroer Dynasty Trust U/a Organization, Westlake, OH 5% Or Greater Indirect Ownership Interest Dec 15, 2015 41.4%
Michael Milbrandt Individual Corporate OfficerRegional VP Dec 15, 2015
W-2 Managing EmployeeRegional VP Dec 15, 2015
Gerald F Schroer Dynasty TR Ua 12312009 Fbo Gerald F Schroer Jr Organization, Westlake, OH 5% Or Greater Indirect Ownership Interest Dec 15, 2015 10.35%
Douglas Mock Individual Corporate OfficerPresident Sep 20, 2021
Corporate DirectorPresident Sep 20, 2021
W-2 Managing EmployeePresident Sep 20, 2021
Gerald F Schroer Dynasty TR Ua 12312009 Margaret S Goodman Organization, Westlake, OH 5% Or Greater Indirect Ownership Interest Dec 15, 2015 10.35%
John G Goodman Individual Corporate OfficerChief Legal Officer/VP/Secretary May 15, 2003
TSG Nursing Centers, Inc Organization, North Canton, OH Corporation, For-profit 5% Or Greater Direct Ownership Interest Dec 13, 2002 100%
George E Film Individual Corporate OfficerCfo Aug 1, 2018
The Schroer Group, Inc. Organization, North Canton, OH Corporation, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2001 100%
Gerald F Schroer Dynasty TR Ua 12312009 Fbo Andrew M Schroer Organization, Westlake, OH 5% Or Greater Indirect Ownership Interest Dec 15, 2015 10.35%

Facilities with the same owner 24

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

View all 24

Practitioners & affiliated clinicians

Practitioners 1

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": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557878400000",
    "number": "1609848217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 E MAPLE ST",
            "address_2": "SUITE 100",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447202593",
            "telephone_number": "330-498-8101",
            "fax_number": "330-498-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 WHETSTONE ST",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448203564",
            "telephone_number": "419-562-7644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERCARE OF BUCYRUS CENTER FOR REHABILITATION & NURSING CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2019-05-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "330-498-5233",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "6065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2265016",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bucyrus, OH

Sources for this page

Verify at the official NPI Registry.