Active NPI
David E Childs Jr.
- Skilled Nursing Facility
- Alliance, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 3494
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0574196 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Proprietor
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- May 23, 2003
- Medicare certification status
- Active
- Certified beds
- 45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Adp of the SNF | Dec 31, 2024 | ||
| Caroline Jellison | W-2 Managing Employee | Oct 18, 2023 | 100% |
| Adp of the SNF | Dec 31, 2024 | ||
| David E Childs | 5% Or Greater Direct Ownership Interest | Mar 1, 1984 | 100% |
| Corporate Officer | 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.
-
- Skilled Nursing Facility
- Alliance, OH
- NPI 1528062171
-
- Family Medicine Physician
- Canal Fulton, OH
- NPI 1023118932
-
- Gerontology Nurse Practitioner
- Akron, OH
- NPI 1437969201
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.