Organization Active NPI

SRCC Operations LLC

  • Skilled Nursing Facility
  • Columbus, OH
National Provider Identifier
1649047994
Registry record updated Nov 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SRCC OPERATIONS LLC
Practice address
433 Obetz Rd
Columbus, OH 43207-4098
Phone
(614) 491-2000
NPI assigned
Dec 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2024

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

Authorized official

Name
Alvaro Stout
Title
Administrator
Phone
(614) 791-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

433 Obetz Rd
Columbus, OH 43207-4098

Mailing address

433 Obetz Rd
Columbus, OH 43207-4098
Phone (614) 491-2000

Other names 1

  • Scioto Rehabilitation & Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240725003216 OH Part A Provider - Skilled Nursing Facility 6204372246 Practice locations: Columbus, OH

Skilled nursing facility certification: CCN 366259

Legal name
SRCC OPERATIONS LLC
Doing business as
SCIOTO REHABILITATION & CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 28, 2003
Last certification
Dec 31, 2024
Beds
125
Ownership / control type
Limited Liability Corporation
Multi-facility organization
srcc operations llc
Most recent change of ownership
Dec 27, 2023
Organization structure
LLCProprietary
Enrollment address
433 Obetz Rd
Columbus, OH 43207-4098
Nursing home name
SCIOTO REHABILITATION & CARE CENTER
Affiliated entity
DAVID OBERLANDER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Scioto Rehabilitation & Care CenterCCN 366259
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 - Limited Liability company
Certified
Feb 28, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
125110.5 residents per day on average
Chain
David Oberlander7 facilities in the chain
Penalties (3 years)
3Fines totaling $100,257

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1004423Scioto Rehabilitation and Care Center433 Obetz Road, Columbus, OH 43207Certificate of waiverSep 25, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Sholem Oberlander Individual 5% Or Greater Indirect Ownership Interest Dec 27, 2023 10%
Stephen M Canowitz Individual Operational/Managerial Control Dec 27, 2023
Adp of the SNF Dec 27, 2023
David Oberlander Individual 5% Or Greater Indirect Ownership Interest Dec 27, 2023 65%
Corporate OfficerManager Dec 27, 2023
DMT Spe I LLC Organization, Saint Petersburg, FL LLC, For-profit 5% Or Greater Mortgage Interest Dec 27, 2023 75%
Scioto Holdings LLC Organization, Columbus, OH Created for acquisition, LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 27, 2023 100%
Yehuda Wenger Individual 5% Or Greater Indirect Ownership Interest Dec 27, 2023 25%
Corporate OfficerManager Dec 27, 2023
Jennifer L Matteson Individual Operational/Managerial Control Dec 27, 2023
Adp of the SNF Dec 27, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 6

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

Affiliated clinicians 3

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": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731110400000",
    "number": "1649047994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 OBETZ RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432074098",
            "telephone_number": "614-491-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 OBETZ RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432074098",
            "telephone_number": "614-491-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRCC OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-07",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "ALVARO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "614-791-2000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scioto Rehabilitation & Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Scioto Rehabilitation & Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.