Active NPI
Geneva Opco LLC
Doing business as Geneva Center for Rehabilitation & Nursing
- Skilled Nursing Facility
- Geneva, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- GENEVA OPCO LLC
- Doing business as
- Geneva Center for Rehabilitation & Nursing
- Practice address
- 1140 S Broadway
Geneva, OH 44041-9143 - Phone
- (440) 446-5809
- NPI assigned
- Apr 15, 2021
- Last updated
- Apr 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeffrey Goldstein
- Title
- Managing Member
- Phone
- (718) 688-8760
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
1140 S Broadway
Geneva, OH 44041-9143
Mailing address
1535 Rockaway Pkwy
Brooklyn, NY 11236-4001
Phone (718) 688-8760
Other names 1
- Geneva Center for Rehabilitation & Nursing
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210611000908 | OH | Part A Provider - Skilled Nursing Facility | 3577963610 | Practice locations: Geneva, OH |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1659952356. Details of each certification follow.
Skilled nursing facility certification: CCN 366326
- Legal name
- GENEVA OPCO LLC
- Doing business as
- GENEVA CENTER FOR REHABILITATION AND NURSING
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 14, 2006
- Last certification
- Jun 3, 2024
- Beds
- 80
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- AOM Healthcare
- Organization structure
- LLC
- Incorporated
- Mar 4, 2021 in OH
- Enrollment address
- 1140 S Broadway
Geneva, OH 44041-9143 - Nursing home name
- GENEVA CENTER FOR REHABILITATION AND NURSING
- Affiliated entity
- AOM HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Geneva Center for Rehabilitation and Nursing
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 14, 2006
- Medicare certification status
- Active
- Certified beds
- 80
- Chain
- Aom Healthcare
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D1048152 | Geneva Center for Rehabilitation and | Certificate of waiver | Nov 21, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Lea Sherman | 5% Or Greater Direct Ownership Interest | Mar 4, 2021 | 49% |
| Jeffery Goldstein | 5% Or Greater Direct Ownership Interest | Mar 4, 2021 | 49% |
| Corporate Officer | Mar 4, 2021 | ||
| W-2 Managing Employee | Mar 4, 2021 |
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Waterville, OH
- NPI 1720082423
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": "1618444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618444800000",
"number": "1659952356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1535 ROCKAWAY PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112364001",
"telephone_number": "718-688-8760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 S BROADWAY",
"city": "GENEVA",
"state": "OH",
"postal_code": "440419143",
"telephone_number": "440-446-5809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENEVA OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-15",
"last_updated": "2021-04-15",
"certification_date": "2021-04-15",
"status": "A",
"authorized_official_last_name": "GOLDSTEIN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "718-688-8760",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Geneva Center for Rehabilitation & Nursing",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Geneva, OH
- Gateway Support Services
- Generations Behavioral Health - Geneva LLC
- Generations Behavioral Health-Geneva LLC
- Geneva Area City Schools
- Geneva Chiropractic Clinic, Inc
- Geneva Spinal Health and Pain Management L.L.C.
- Geneva Village Retirement Community, LTD
- Skye George
- Angelina Gill, OTR/L
- Sarah Beth Gilmer
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.