Kimes Convalescent Center, LTD

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1226N Issued in OH

Legal business name

KIMES CONVALESCENT CENTER, LTD

Practice address

75 Kimes LN
Athens, OH 45701-3801

Phone

(740) 593-3391

Fax

(740) 594-1632

NPI assigned

Feb 8, 2007

Last updated

Feb 25, 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

Laura Buckley

Title

Administrator

Phone

(740) 593-3391

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609916519. Details of each certification follow.

• CCN 366250 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 366250

Legal name

KIMES CONVALESCENT CENTER, LTD

Doing business as

KIMES NURSING AND REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 11, 2002

Last certification

Oct 17, 2024

Beds

61

Ownership / control type

Individual

Most recent change of ownership

Jun 11, 2025

Organization structure

LLCProprietary

Incorporated

Dec 31, 1998 in OH

Enrollment address

75 Kimes LN
Athens, OH 45701-3801

Listed as

Kimes Nursing and Rehab LLCCCN 366250 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Individual

Certified

Jun 11, 2002

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6156.5 residents per day on average

Penalties (3 years)

1Fines totaling $68,432

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

All disclosed owners & managing parties 2

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

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.

• John E. Lloyd, M.D.

  • Family Medicine Physician
  • Lancaster, OH
  • NPI 1740252923
  NPD (past)
• Richard B. Sielski, M.D,

  • Family Medicine Physician
  • Lancaster, OH
  • NPI 1023080298
  NPD (past)

Affiliated clinicians 2

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

• John E. Lloyd, M.D.

  • Family Medicine Physician
  • Lancaster, OH
  • NPI 1740252923

  Nursing home

  Care Compare affiliation
• Richard B. Sielski, M.D,

  • Family Medicine Physician
  • Lancaster, OH
  • NPI 1023080298

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267056000000",
    "number": "1609916519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 KIMES LN",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457013801",
            "telephone_number": "740-593-3391",
            "fax_number": "740-594-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 KIMES LN",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457013801",
            "telephone_number": "740-593-3391",
            "fax_number": "740-594-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMES CONVALESCENT CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2010-02-25",
        "status": "A",
        "authorized_official_last_name": "BUCKLEY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "740-593-3391"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1226N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2224800",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William R Kester, LSW
• Madeleine Keyes
• Hassan Khalid
• Katherine Kiger, D.O.
• Matthew Christian Killingsworth, CRNA
• Kimes Nursing and Rehab, LLC
• Racinda Kimes, PRS
• Alicia King
• Amy Lynn King
• Daniel J King

• Skilled Nursing Facility in Athens, OH
• Providers in Athens, 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 Feb 25, 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.