NPIMap

Organization Active NPI

Medina Operations, LLC

Doing business as Life Care Center of Medina

  • Skilled Nursing Facility
  • Medina, OH
National Provider Identifier
1679536445
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
4983 Issued in OH
Legal business name
MEDINA OPERATIONS, LLC
Doing business as
Life Care Center of Medina
Practice address
2400 Columbia Rd
Medina, OH 44256-9414
Phone
(330) 483-3131
Fax
(330) 483-3132
NPI assigned
Apr 11, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Cindy S Cross
Title
Assistant Secretary
Phone
(423) 473-5867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 4983 OH Primary

Addresses

Primary practice location

2400 Columbia Rd
Medina, OH 44256-9414

Mailing address

3001 Keith St NW
Cleveland, TN 37312-3713
Phone (423) 473-5751

Other identifiers 2

IdentifierTypeStateIssuer
2675805MedicaidOH
2213778MedicaidOH

Other names 1

  • Life Care Center of Medina Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040910000874 OH Part A Provider - Skilled Nursing Facility 3072580950 Practice locations: Medina, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679536445. Details of each certification follow.

Skilled nursing facility certification: CCN 365085

Legal name
MEDINA OPERATIONS, LLC
Doing business as
LIFE CARE CENTER OF MEDINA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Jan 25, 2024
Beds
149
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Medina Operations LLC
Most recent change of ownership
Jan 1, 2006
Organization structure
LLCProprietary
Enrollment address
2400 Columbia Rd
Medina, OH 44256-9414
Nursing home name
LIFE CARE CENTER OF MEDINA
Affiliated entity
LIFE CARE CENTERS OF AMERICA

Care Compare: Nursing home

Medicare Care Compare
Listed as
Life Care Center of MedinaCCN 365085 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
149108.9 residents per day on average
Chain
Life Care Centers of America194 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Medina Operations LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2400 Columbia Rd
Medina, OH 44256
Phone (330) 483-3131

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Forrest L Preston Individual 5% Or Greater Direct Ownership InterestMember Jun 12, 1987 99%
Adp of the SNF Aug 31, 2000
Indirect Ownership Interest Dec 31, 1987 1%
Terry Henry Individual Corporate DirectorAssistant Treasurer of MGMT. Co. Aug 16, 1999
Staci Lehmkuhl Individual Operational/Managerial Control Feb 26, 2025
Managing Control - Governing BodyAdministrator Feb 26, 2025
Adp of the SNF Mar 25, 2025
Todd Fletcher Individual Operational/Managerial Control Dec 13, 2024
Organization, Cleveland, TN LLC, For-profit Adp of the SNF Mar 25, 2025
Developers Investment Company Inc Organization, Cleveland, TN Corporation, For-profit Operational/Managerial Control Jan 1, 2006
Direct Ownership Interest Dec 31, 1987 1%
Aubrey Preston Individual Operational/Managerial Control Dec 13, 2024
Medina Operations, LLC Organization, Cleveland, TN LLC, For-profit Operational/Managerial Control Apr 27, 1988
Adp of the SNF Aug 31, 2000
Joan E Thurmond Individual Corporate OfficerAssist. Secretary of MGMT. Co. Sep 22, 2000
Cindy S Cross Individual Corporate OfficerVP / Assist Secretary of MGMT. Co. Apr 21, 1994
Yatish Goyal Individual Operational/Managerial Control Apr 20, 2012
Adp of the SNF Mar 25, 2025
Organization, Cleveland, TN LLC, For-profit Adp of the SNF Aug 31, 2000
Richard Swanker Individual Corporate OfficerChief Tax Officer of MGMT. Co. Apr 1, 2011
Corporate DirectorDirector of MGMT. Co. Jan 1, 2022
Life Care Centers of America, Inc. Organization, Cleveland, TN Corporation, Management services company, For-profit, Chain home office Operational/Managerial Control Feb 1, 1988 100%
Adp of the SNF Mar 25, 2025
Zofia M. Long Individual Operational/Managerial Control Mar 15, 2004
Managing Control - Governing BodyDivision Vice President Mar 15, 2004
Lisa M Lay Individual Corporate OfficerSecretary of MGMT. Co. Feb 9, 2018
Corporate DirectorDirector of MGMT. Co. Apr 24, 2017
James Ziegler Individual Operational/Managerial Control Dec 13, 2024
Sherri Graefnitz Individual Operational/Managerial Control Jul 13, 2015
Managing Control - Governing BodyDirector of Nursing Jul 13, 2015

Owners & managing parties with NPI records 26

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

View all 26

Facilities with the same owner 193

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

View all 193

Practitioners & affiliated clinicians

Practitioners 4

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 4

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": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1679536445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123713",
            "telephone_number": "423-473-5751",
            "fax_number": "423-339-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 COLUMBIA RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569414",
            "telephone_number": "330-483-3131",
            "fax_number": "330-483-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINA OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "423-473-5867"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "4983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2675805",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2213778",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "284 Merchant St",
            "city": "Ste Genevieve",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636701610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Life Care Center of Medina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.