Active NPI
Barberton SNF Healthcare LLC
- Skilled Nursing Facility
- Barberton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- BARBERTON SNF HEALTHCARE LLC
- Practice address
- 85 3Rd St SE
Barberton, OH 44203-4208 - Phone
- (330) 753-5005
- NPI assigned
- Oct 1, 2024
- 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
- John Mitchell
- Title
- Secretary
- Phone
- (385) 988-3319
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
85 3Rd St SE
Barberton, OH 44203-4208
Mailing address
262 N University Ave
Farmington, UT 84025-2975
Other names 1
- BARBERTON POST ACUTE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250421002492 | OH | Part A Provider - Skilled Nursing Facility | 3375068596 | Practice locations: Barberton, OH |
Skilled nursing facility certification: CCN 365340
- Legal name
- BARBERTON SNF HEALTHCARE, LLC
- Doing business as
- BARBERTON POST ACUTE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1979
- Last certification
- Jan 15, 2025
- Beds
- 104
- Ownership / control type
- Corporation
- Multi-facility organization
- PACS PROVIDENCE
- Most recent change of ownership
- May 1, 2023
- Organization structure
- LLC
- Enrollment address
- 85 Third Street SE
Barberton, OH 44203-4208 - Nursing home name
- BARBERTON POST ACUTE
- Affiliated entity
- PACS GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Barberton Post Acute
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jul 1, 1979
- Medicare certification status
- Active
- Certified beds
- 104
- Chain
- Pacs Group
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 |
|---|---|---|---|
| 36D0721553 | Barberton Post Acute | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Jonathan Vogt | Adp of the SNF | Dec 1, 2024 | |
| Jason H Murray | 5% Or Greater Indirect Ownership Interest | Dec 1, 2024 | 35.2% |
| John T Mitchell | Corporate Officer | Dec 1, 2024 | |
| Kelly Aneshansel | Operational/Managerial Control | Dec 1, 2024 | |
| Adp of the SNF | Dec 1, 2024 | ||
| Frederick G Apt | Corporate Officer | Dec 1, 2024 | |
| Providence Group NH, LLC | 5% Or Greater Direct Ownership Interest | Dec 1, 2024 | 100% |
| Joshua O Jergensen | Corporate Officer | Dec 1, 2024 | |
| Mark D Hancock | 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.
-
- Skilled Nursing Facility
- Bucyrus, OH
- NPI 1922826684
Providence Group NH, LLC
-
- Skilled Nursing Facility
- Centerville, OH
- NPI 1407674153
Providence Group NH, LLC
-
- Skilled Nursing Facility
- Chillicothe, OH
- NPI 1033937578
Providence Group NH, LLC
-
- Skilled Nursing Facility
- Cincinnati, OH
- NPI 1952957409
Providence Group NH, LLC
-
- Skilled Nursing Facility
- Beavercreek, OH
- NPI 1669291878
Providence Group NH, LLC
-
- Skilled Nursing Facility
- Dublin, OH
- NPI 1104644541
Providence Group NH, LLC
-
- Skilled Nursing Facility
- Hillsboro, OH
- NPI 1801615893
Providence Group NH, LLC
-
- Skilled Nursing Facility
- Kettering, OH
- NPI 1760201859
Providence Group NH, LLC
-
- Skilled Nursing Facility
- Marietta, OH
- NPI 1447079538
Providence Group NH, LLC
-
- Skilled Nursing Facility
- Marion, OH
- NPI 1992524920
Providence Group NH, LLC
-
- Skilled Nursing Facility
- Mentor, OH
- NPI 1871312819
Providence Group NH, LLC
-
- Skilled Nursing Facility
- Miamisburg, OH
- NPI 1841019882
Providence Group NH, LLC
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Doylestown, OH
- NPI 1578562013
-
- Hospitalist Physician
- Canton, OH
- NPI 1225537905
Affiliated clinicians 2
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": "1727740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727740800000",
"number": "1669290318",
"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": "85 3RD ST SE",
"city": "BARBERTON",
"state": "OH",
"postal_code": "442034208",
"telephone_number": "330-753-5005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARBERTON SNF HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-01",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"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": "BARBERTON POST ACUTE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Barberton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.