The Laurels of West Columbus, LLC
Organization Active NPI Skilled Nursing Facility · Columbus, OH
NPI 1629694229 · NPPES record last updated Mar 8, 2021
Key facts
- NPI
- 1629694229
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- THE LAURELS OF WEST COLUMBUS, LLC
- Practice address
- 441 Norton Rd
Columbus, OH 43228 - Phone
- (614) 794-8800
- NPI assigned
- Jun 19, 2020
- Organization subpart
- No
Authorized official
- Name
- Anis Khan
- Title
- Cfo
- Phone
- (248) 386-0400
Facilities with the same owner 67
Practitioners 8
-
Edward M Chernick, M.D.
-
Jeremy D Engel, M.D.
-
Michael John Glueckert, M.D.
-
James P. Johnston, D.O.
-
Deepa Mathur, M.D.
-
Sunil Nayyar, M.D.
-
Charles W. Welly, D.O.
Affiliated clinicians 4
-
Jeremy D Engel, M.D.
-
Michael John Glueckert, M.D.
-
Charles W. Welly, D.O.
Medicare Care Compare: Nursing home
- Listed as
- Laurels of West Columbus, the
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Jan 25, 2021
- Medicare certification status
- Active
- Certified beds
- 97 · 90.3 residents per day on average
- Chain
- Ciena Healthcare/Laurel Health Care
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 1 · fines totaling $17,345
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2192541 | Laurels of West Columbus, the | Certificate of waiver | Sep 10, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Skilled nursing facility certification: CCN 366481
- Legal name
- THE LAURELS OF WEST COLUMBUS, LLC
- Doing business as
- THE LAURELS OF WEST COLUMBUS
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 25, 2021
- Last certification
- Jun 9, 2025
- Beds
- 97
- Ownership / control type
- Individual
- Organization structure
- LLC · Proprietary
- Incorporated
- Sep 19, 2016 in OH
- Enrollment address
- 441 Norton Rd
Columbus, OH 43228 - Nursing home name
- LAURELS OF WEST COLUMBUS, THE
- Affiliated entity
- CIENA HEALTHCARE/LAUREL HEALTH CARE
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| David Stobb |
Adp of the SNF | Jan 25, 2021 | |
| Anis Khan |
Operational/Managerial Control | Jan 25, 2021 | |
| Managing Control - Governing Body |
Jan 25, 2021 | ||
| Adp of the SNF | Jan 25, 2021 | ||
| |
Adp of the SNF | Apr 4, 2025 | |
| Laurel Acquisition Holding Corporation |
5% Or Greater Indirect Ownership Interest | Feb 8, 2021 | 100% |
| Mohammad a. Qazi |
5% Or Greater Indirect Ownership Interest |
Jan 25, 2021 | 100% |
| Operational/Managerial Control | Jan 25, 2021 | ||
| Managing Control - Governing Body |
Jan 25, 2021 | ||
| Mohammad a Qazi Living Trust Dated 09/26/97 |
5% Or Greater Indirect Ownership Interest | Feb 8, 2021 | 100% |
| |
Adp of the SNF | Apr 4, 2025 | |
| Laurel Health Care Company |
Operational/Managerial Control | Jan 25, 2021 | 100% |
| Adp of the SNF | Apr 4, 2025 | ||
| Laurel Health Care Holdings, Inc. |
5% Or Greater Direct Ownership Interest | Feb 8, 2021 | 100% |
| Elijah Williams |
Operational/Managerial Control | Nov 17, 2025 | |
| Trustee of the SNF | Nov 17, 2025 | ||
| Adp of the SNF | Nov 17, 2025 | ||
| James P. Johnston |
Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200729003146 | OH | Part a Provider - Skilled Nursing Facility | 2567887151 | Practice locations: Columbus, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
441 Norton Rd
Columbus, OH 43228
Mailing address
8181 Worthington Rd
Westerville, OH 43082-8067
Phone (614) 794-8800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0414498 | Medicaid | OH |
Other names
- The Laurels of West Columbus
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.