NPIMap

Organization Active NPI

Concordia of Ohio

Doing business as Concordia at Sumner

  • Nursing Facility/Intermediate Care Facility
  • Copley, OH
National Provider Identifier
1659453876
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
2389N Issued in OH
Legal business name
CONCORDIA OF OHIO
Doing business as
Concordia at Sumner
Practice address
970 Sumner Pkwy
Copley, OH 44321-1693
Phone
(330) 664-1360
Fax
(330) 664-1197
NPI assigned
Oct 19, 2006
Last updated
Mar 6, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
CONCORDIA LUTHERN MINISTRIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Authorized official

Name
Ms. Charlene Kish, LNA
Title
Administrator
Phone
(330) 664-1360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 2389N OH Primary

Addresses

Primary practice location

970 Sumner Pkwy
Copley, OH 44321-1693

Mailing address

970 Sumner Pkwy
Copley, OH 44321-1693
Phone (330) 664-1360

Other identifiers 1

IdentifierTypeStateIssuer
0073403MedicaidOH

Other names 1

  • Concordia at Sumner Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121114000427 OH Part A Provider - Skilled Nursing Facility 3870744162 Practice locations: Copley, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659453876. Details of each certification follow.

Skilled nursing facility certification: CCN 366289

Legal name
CONCORDIA OF OHIO
Doing business as
CONCORDIA AT SUMNER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 10, 2004
Last certification
Feb 26, 2024
Beds
48
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Concordia Lutheran Ministries
Organization structure
CorporationNon-profit
Incorporated
Feb 9, 2012 in OH
Enrollment address
970 Sumner Parkway
Copley, OH 44321-1693
Nursing home name
CONCORDIA AT SUMNER
Affiliated entity
CONCORDIA LUTHERAN MINISTRIES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Concordia at SumnerCCN 366289 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 10, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4841.6 residents per day on average
Chain
Concordia Lutheran Ministries8 facilities in the chain

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
36D1026877Concordia at Sumner970 Sumner Parkway, Copley, OH 44321Certificate of waiverFeb 9, 2028

National Provider Directory

National Provider Directory
Tax ID family
Concordia at Sumner2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3880 Ridgewood Rd
Copley, OH 44321
Phone (330) 660-0242

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Michael Joseph Falbo Individual Corporate OfficerChief Financial Officer Jan 1, 2019
Corporate DirectorBoard Member Dec 31, 2014
Adp of the SNF Jan 1, 2019
Natalie G McKay Individual Corporate DirectorBoard Member Jan 1, 2022
Marc H Oster Individual Operational/Managerial Control Apr 1, 2021
Adp of the SNF Apr 1, 2021
Michele Partis Individual Corporate DirectorBoard Member Jan 1, 2019
Nancy Boughner Individual Corporate DirectorBoard Member Jan 1, 2018
Keith E Frndak Individual Corporate OfficerChief Executive Officer Nov 13, 2012
Corporate DirectorBoard Member President Nov 13, 2012
Adp of the SNF Nov 13, 2012
Concordia Care Network Organization, Cabot, PA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Sep 1, 2022 100%
Daniel Washburn Individual Corporate DirectorNursing Home Administrator Nov 13, 2012
Operational/Managerial Control Nov 13, 2012
Adp of the SNF Nov 13, 2012
Frederick W Heintz Individual Corporate Director Jan 1, 2018
Stephanie C. Barkley Individual Corporate DirectorBoard Member Jan 1, 2022
Brian Hortert Individual Corporate OfficerChief Operating Officer Apr 1, 2016
Corporate DirectorBoard Member Dec 20, 2019
Operational/Managerial Control Apr 1, 2016
Adp of the SNF Apr 1, 2016
Paul Rehkopf Individual Corporate DirectorBoard Member Jan 1, 2021

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 14

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

View all 14

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1659453876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 SUMNER PKWY",
            "city": "COPLEY",
            "state": "OH",
            "postal_code": "443211693",
            "telephone_number": "330-664-1360",
            "fax_number": "330-664-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 SUMNER PKWY",
            "city": "COPLEY",
            "state": "OH",
            "postal_code": "443211693",
            "telephone_number": "330-664-1360",
            "fax_number": "330-664-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORDIA OF OHIO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONCORDIA LUTHERN MINISTRIES",
        "enumeration_date": "2006-10-19",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "KISH",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "330-664-1360",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LNA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OH",
            "license": "2389N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0073403",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concordia at Sumner",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Copley, OH

Sources for this page

Verify at the official NPI Registry.