NPIMap

Organization Active NPI

Perrysburg SNF Healthcare LLC

  • Skilled Nursing Facility
  • Perrysburg, OH
National Provider Identifier
1629897640
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PERRYSBURG SNF HEALTHCARE LLC
Practice address
10540 Fremont Pike
Perrysburg, OH 43551-3356
Phone
(419) 874-3578
NPI assigned
Oct 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
John Mitchell
Title
Secretary
Phone
(385) 988-3319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

10540 Fremont Pike
Perrysburg, OH 43551-3356

Mailing address

262 N University Ave
Farmington, UT 84025-2975

Other names 1

  • THREE MEADOWS POST ACUTE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250613001946 OH Part A Provider - Skilled Nursing Facility 4183135551 Practice locations: Perrysburg, OH

Skilled nursing facility certification: CCN 365535

Legal name
PERRYSBURG SNF HEALTHCARE LLC
Doing business as
THREE MEADOWS POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1980
Last certification
May 15, 2025
Beds
120
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
May 1, 2023
Organization structure
LLCProprietary
Enrollment address
10540 Fremont Pike
Perrysburg, OH 43551-3356
Nursing home name
THREE MEADOWS POST ACUTE
Affiliated entity
PACS GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Three Meadows Post AcuteCCN 365535
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 1, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12094.3 residents per day on average
Chain
Pacs Group274 facilities in the chain
Penalties (3 years)
1Fines totaling $0

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
SNF Oh Holdco LLC Organization, Toledo, OH LLC, Holding company Adp of the SNF Dec 1, 2024
Jason H Murray Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 35.2%
John T Mitchell Individual Operational/Managerial Control Dec 1, 2024
Managing Control - Governing BodySecretary Dec 1, 2024
Organization, Toledo, OH LLC, Holding company Adp of the SNF Dec 1, 2024
Jessica Hiller-Blair Individual Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Organization, Toledo, OH LLC Adp of the SNF Dec 1, 2024
Kristopher R Brickman Individual Adp of the SNF Dec 1, 2024
Well PM Holdco JV LLC Organization, Toledo, OH LLC, Holding company Adp of the SNF Dec 1, 2024
Providence Group NH, LLC Organization, Farmington, UT LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 1, 2024 100%
Operational/Managerial Control Dec 1, 2024
Pacs Holdings, LLC Organization, Farmington, UT LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 100%
Providence Administrative Consulting Services Inc Organization, Farmington, UT Corporation, Consulting firm Adp of the SNF Dec 1, 2024
Joshua O Jergensen Individual Operational/Managerial Control Dec 1, 2024
Managing Control - Governing BodyPresident Dec 1, 2024
Pacs Group, Inc. Organization, Farmington, UT Corporation, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 100%
Organization, Toledo, OH LLC, Holding company Adp of the SNF Dec 1, 2024
Well Integra Master JV LLC Organization, Toledo, OH LLC, Holding company Adp of the SNF Dec 1, 2024
Welltower Inc Organization, Toledo, OH Corporation, Holding company Adp of the SNF Dec 1, 2024
Mark D Hancock Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 35.2%

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 186

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

View all 186

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 1

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": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1629897640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 N UNIVERSITY AVE",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10540 FREMONT PIKE",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513356",
            "telephone_number": "419-874-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRYSBURG SNF HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "385-988-3319"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THREE MEADOWS POST ACUTE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THREE MEADOWS POST ACUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.