NPIMap

Organization Active NPI

Willowood Care Center of Brunswick Inc

  • Skilled Nursing Facility
  • Brunswick, OH
National Provider Identifier
1609922020
Registry record updated Apr 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
4774 Issued in OH
Legal business name
WILLOWOOD CARE CENTER OF BRUNSWICK INC
Practice address
1186 Hadcock Rd
Brunswick, OH 44212-3016
Phone
(330) 225-3156
Fax
(330) 273-4876
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2010

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

Authorized official

Name
Deborah Lougheed, LNHA
Title
Administrator
Phone
(330) 225-3156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 4774 OH Primary

Addresses

Primary practice location

1186 Hadcock Rd
Brunswick, OH 44212-3016

Mailing address

1186 Hadcock Rd
Brunswick, OH 44212-3016
Phone (330) 225-3156

Other identifiers 1

IdentifierTypeStateIssuer
MEDICAIDMedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100323000216 OH Part A Provider - Skilled Nursing Facility 7719012269 Practice locations: Brunswick, OH

Skilled nursing facility certification: CCN 365785

Legal name
WILLOWOOD CARE CENTER OF BRUNSWICK INC
Doing business as
CARECORE AT WILLOWOOD
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 2, 1990
Last certification
Jan 12, 2023
Beds
100
Ownership / control type
Corporation
Multi-facility organization
CARECORE Health
Organization structure
CorporationProprietary
Enrollment address
1186 Hadcock Rd
Brunswick, OH 44212-3016
Nursing home name
WILLOWOOD CARE CENTER OF BRUNSWICK
Affiliated entity
CARECORE HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Willowood Care Center of BrunswickCCN 365785
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 2, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10072.6 residents per day on average
Chain
Carecore Health10 facilities in the chain

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
36D0671914Willowood Care Center1186 Hadcock Road, Brunswick, OH 44212Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Carecore Health Willowood Holdings LLC Organization, Brunswick, OH Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 15, 2018 100%
Indirect Ownership Interest Aug 15, 2018 100%
Carecore Willowood Realty, LLC Organization, Brunswick, OH LLC Adp of the SNF Aug 15, 2018
Lument Real Estate Capital LLC Organization, Columbus, OH Financial institution 5% Or Greater Mortgage Interest Mar 27, 2007 93%
Chaim Hertanu Individual Operational/Managerial Control Aug 15, 2018
Dwight Capital LLC Organization, New York, NY LLC, Financial institution 5% Or Greater Mortgage Interest Aug 15, 2018 75%
Yatish Goyal Individual Operational/Managerial Control Aug 15, 2018
Adp of the SNF Jul 24, 2025
Bernard Centa Individual Operational/Managerial Control Aug 15, 2018
Adp of the SNF Aug 15, 2018
Carecore Health LLC Organization, Suffern, NY LLC Operational/Managerial Control Aug 15, 2018
Adp of the SNF Aug 15, 2018
Joseph Hertanu Individual 5% Or Greater Indirect Ownership Interest Aug 15, 2018 100%
Corporate OfficerPresident, Secretary and Treasur Aug 15, 2018
Corporate DirectorSole Director Aug 15, 2018
Operational/Managerial Control Aug 15, 2018
Adp of the SNF Aug 1, 2018
Direct Ownership Interest Aug 1, 2018 100%
Indirect Ownership Interest Aug 15, 2018 100%
Fasten Halberstam LLP Organization, New York, NY Adp of the SNF Aug 15, 2018

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 10

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1609922020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1186 HADCOCK RD",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442123016",
            "telephone_number": "330-225-3156",
            "fax_number": "330-273-4876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1186 HADCOCK RD",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442123016",
            "telephone_number": "330-225-3156",
            "fax_number": "330-273-4876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWOOD CARE CENTER OF BRUNSWICK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "LOUGHEED",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "330-225-3156",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "4774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MEDICAID",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, OH

Sources for this page

Verify at the official NPI Registry.