Park Vista SNF Ops, LLC

Key facts

NPI

1639709249

Entity type

Organization (NPI type 2)

Primary specialty

Skilled Nursing Facility 314000000X

Legal business name

PARK VISTA SNF OPS, LLC

Practice address

1216 5TH Ave
Youngstown, OH 44504-1605

Phone

(330) 746-2944

Fax

(330) 742-3625

NPI assigned

Jan 23, 2020

Organization subpart

No

Authorized official

Name

Shlomo Mushell

Title

Ceo

Phone

(917) 251-5131

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Park Vista SNF Ops, LLC Assisted Living Facility · Youngstown, OH · NPI 1043895360
  NPPES parent name

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

• Park Vista SNF Ops, LLC Assisted Living Facility · Youngstown, OH · NPI 1043895360
  NPD tax ID

Practitioners 2

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

• Sanjul Prakash Patel, MD Internal Medicine Physician · Middleburg Heights, OH · NPI 1538785233
  NPD (past)
• Vivian I Starr, DO Internal Medicine Physician · Youngstown, OH · NPI 1851389282
  NPD (past)

Affiliated clinicians 1

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

• Vivian I Starr, DO Internal Medicine Physician · Youngstown, OH · NPI 1851389282
  Care Compare affiliation Nursing home

Medicare Care Compare: Nursing home

Listed as

Park Vista Nursing and Rehab CCN 365275

Overall star rating

★☆☆☆☆ 1 of 5

Health inspections

★☆☆☆☆ 1 of 5

Staffing

★☆☆☆☆ 1 of 5

Quality measures

★★★☆☆ 3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jan 24, 1972

Medicare certification status

Active (Provider of Services file)

Certified beds

114 · 88.5 residents per day on average

Penalties (3 years)

2 · fines totaling $24,876

Source: Medicare Care Compare, processed Aug 1, 2026.

Medicare participation

Medicare fee-for-service enrollment

Enrolled in OH

Skilled nursing facility certification: CCN 365275

Legal name

PARK VISTA SNF OPS LLC

Doing business as

PARK VISTA NURSING AND REHAB

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 24, 1972

Last certification

Feb 19, 2025

Beds

114

Ownership / control type

Corporation

Multi-facility organization

Lionstone Care

Most recent change of ownership

Feb 1, 2020

Organization structure

LLC · Proprietary

Incorporated

Sep 13, 2019 in OH

Enrollment address

1216 5TH Ave
Youngstown, OH 44504-1605

Nursing home name

PARK VISTA NURSING AND REHAB

All disclosed owners & managing parties 8

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

Medicare enrollment records

National Provider Directory

Tax ID family

Park Vista SNF Ops LLC (2 organizations share this tax ID)

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 5, 2021.

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622851200000",
    "number": "1639709249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 5TH AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041605",
            "telephone_number": "330-746-2944",
            "fax_number": "330-742-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 5TH AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041605",
            "telephone_number": "330-746-2944",
            "fax_number": "330-742-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK VISTA SNF OPS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2021-06-05",
        "certification_date": "2021-06-05",
        "status": "A",
        "authorized_official_last_name": "MUSHELL",
        "authorized_official_first_name": "SHLOMO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-251-5131"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0388892",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Maggie Paris, DIPLOMA
• Nicole M Parish, CNP, CNM
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• Park Vista SNF Ops, LLC
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• Kelsey Parker, OTR/L
• Mildred Ann Parker

All providers in Youngstown, OH · Skilled Nursing Facility in Ohio