Active NPI
Continent Health Company of Hartford, LLC
- Skilled Nursing Facility
- Fowler, OH
National Provider Identifier
1629454343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CONTINENT HEALTH COMPANY OF HARTFORD, LLC
- Practice address
- 3090 Five Points Hartford Rd
Fowler, OH 44418-9726 - Phone
- (330) 772-5253
- NPI assigned
- Aug 4, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alexander Sherman
- Title
- Manager/Member
- Phone
- (718) 207-1714
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | OH | Primary |
Addresses
Primary practice location
3090 Five Points Hartford Rd
Fowler, OH 44418-9726
Mailing address
4711 Golf Rd
Suite 200
Skokie, IL 60076-1224
Phone (847) 933-9280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 365902 | Other | MEDICARE ID |
Other names 1
- Meadowbrook Manor
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151016001432 | OH | Part A Provider - Skilled Nursing Facility | 4587973342 | Practice locations: Fowler, OH |
Skilled nursing facility certification: CCN 365902
- Legal name
- CONTINENT HEALTH COMPANY OF HARTFORD LLC
- Doing business as
- MEADOWBROOK MANOR
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 29, 1993
- Last certification
- May 29, 2025
- Beds
- 54
- Ownership / control type
- Corporation
- Most recent change of ownership
- Aug 1, 2015
- Organization structure
- LLC
- Incorporated
- in NY
- Enrollment address
- 3090 Five Points Hartford Rd
Fowler, OH 44418-9726 - Nursing home name
- MEADOWBROOK MANOR
- Affiliated entity
- AOM HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Meadowbrook Manor
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 29, 1993
- Medicare certification status
- Active
- Certified beds
- 54
- Chain
- Aom Healthcare
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryLocations
4711 Golf Rd
Ste 200
Skokie, IL 60076
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Hindy Amsel | 5% Or Greater Direct Ownership Interest | Jun 2, 2015 | 10% |
| Yehuda Sherman | 5% Or Greater Direct Ownership Interest | Jun 2, 2015 | 12.5% |
| Samuel Sherman | 5% Or Greater Direct Ownership Interest | Jun 2, 2015 | 20% |
| Operational/Managerial Control | Aug 1, 2015 | ||
| Jeffery Goldstein | 5% Or Greater Direct Ownership Interest | Jun 2, 2015 | 10% |
| Operational/Managerial Control | Aug 1, 2015 | ||
| Paula Elmerick | W-2 Managing Employee | Feb 6, 2017 | |
| Tzvi Sherman | 5% Or Greater Direct Ownership Interest | Jun 2, 2015 | 12.5% |
| Alexander Sherman | 5% Or Greater Direct Ownership Interest | Jun 2, 2015 | 12.5% |
| Operational/Managerial Control | Jun 2, 2015 | ||
| Ryan Valiquette | W-2 Managing Employee | Dec 27, 2018 | |
| Amy Ulrich | W-2 Managing Employee | Aug 1, 2015 | |
| Batsheva Tratner | 5% Or Greater Direct Ownership Interest | Jun 2, 2015 | 10% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Warren, OH
- NPI 1942292461
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": "1438646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438646400000",
"number": "1629454343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4711 GOLF RD",
"address_2": "SUITE 200",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761224",
"telephone_number": "847-933-9280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3090 FIVE POINTS HARTFORD RD",
"city": "FOWLER",
"state": "OH",
"postal_code": "444189726",
"telephone_number": "330-772-5253"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONTINENT HEALTH COMPANY OF HARTFORD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-04",
"last_updated": "2015-08-04",
"status": "A",
"authorized_official_last_name": "SHERMAN",
"authorized_official_first_name": "ALEXANDER",
"authorized_official_title_or_position": "MANAGER/MEMBER",
"authorized_official_telephone_number": "718-207-1714"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "365902",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Meadowbrook Manor",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fowler, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.