Individual provider Active NPI

David E Childs Jr.

  • Skilled Nursing Facility
  • Alliance, OH
National Provider Identifier
1619211646
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
3494 Issued in OH
Practice address
2350 Cherry Ave
Alliance, OH 44601-5022
Phone
(330) 821-3939
Fax
(330) 829-9734
NPI assigned
Nov 15, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 3494 OH Primary

Addresses

Primary practice location

2350 Cherry Ave
Alliance, OH 44601-5022

Mailing address

360 Wabash Ave N
Brewster, OH 44613-1042
Phone (330) 767-3451

Other identifiers 1

IdentifierTypeStateIssuer
0574196MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120530000663 OH Part A Provider - Skilled Nursing Facility 0941110159 1 other NPI on this enrollment
Practice locations: Alliance, OH

Skilled nursing facility certification: CCN 366277

Legal name
DAVID E CHILDS JR.
Doing business as
BEL AIRE CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 23, 2003
Last certification
Mar 13, 2025
Beds
45
Ownership / control type
Individual
Organization structure
Sole ProprietorProprietary
Incorporated
Mar 1, 1984 in OH
Enrollment address
2350 S Cherry Avenue
Alliance, OH 44601-5022
Nursing home name
BEL AIR CARE CENTER

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bel Air Care CenterCCN 366277
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
For profit - Individual
Certified
May 23, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4533.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
David E Childs Jr Skilled Nursing Facility Past Accepting new patients
Family Medical Care Center Past Accepting new patients
KSN Primary Care LLC Past Accepting new patients

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Individual Adp of the SNF Dec 31, 2024
Caroline Jellison Individual W-2 Managing EmployeeAd; Oct 18, 2023 100%
Adp of the SNF Dec 31, 2024
David E Childs Individual 5% Or Greater Direct Ownership Interest Mar 1, 1984 100%
Corporate OfficerPresident/Manager Mar 1, 1984 100%
Adp of the SNF Dec 31, 2024

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1619211646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 WABASH AVE N",
            "city": "BREWSTER",
            "state": "OH",
            "postal_code": "446131042",
            "telephone_number": "330-767-3451",
            "fax_number": "330-767-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 CHERRY AVE",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446015022",
            "telephone_number": "330-821-3939",
            "fax_number": "330-829-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDS",
        "first_name": "DAVID",
        "middle_name": "E",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "3494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0574196",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, OH

Sources for this page

Verify at the official NPI Registry.