NPIMap

Organization Active NPI

The Laurels of Milford, LLC

  • Skilled Nursing Facility
  • Milford, OH
National Provider Identifier
1689179244
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THE LAURELS OF MILFORD, LLC
Practice address
934 State Route 28
Milford, OH 45150
Phone
(513) 831-1770
Fax
(513) 831-1924
NPI assigned
Mar 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Authorized official

Name
Mr. Anis Khan
Title
C.F.O.
Phone
(614) 794-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

934 State Route 28
Milford, OH 45150

Mailing address

8181 Worthington Rd
Westerville, OH 43082-8067
Phone (614) 794-8800

Other identifiers 1

IdentifierTypeStateIssuer
0292917MedicaidOH

Other names 1

  • The Laurels of Milford Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180718001168 OH Part A Provider - Skilled Nursing Facility 3678820982 Practice locations: Milford, OH

Skilled nursing facility certification: CCN 365443

Legal name
THE LAURELS OF MILFORD, LLC
Doing business as
THE LAURELS OF MILFORD
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 3, 1980
Last certification
Feb 15, 2023
Beds
136
Ownership / control type
Corporation
Organization structure
LLCProprietary
Incorporated
Jan 30, 2018 in OH
Enrollment address
934 State Route 28
Milford, OH 45150-1912
Nursing home name
THE LAURELS OF MILFORD
Affiliated entity
CIENA HEALTHCARE/LAUREL HEALTH CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Laurels of MilfordCCN 365443
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 3, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
136126.8 residents per day on average
Chain
Ciena Healthcare/Laurel Health Care81 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
36D0345596Laurels of Milford, LLC, the934 State Route 28, Milford, OH 45150Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Laurel Ohio Operations Group, LLC Organization, Westerville, OH Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 1, 2018 100%
Tiffany Broughton Individual Operational/Managerial Control Nov 21, 2018
Adp of the SNF Nov 21, 2018
David Stobb Individual Adp of the SNF Jun 30, 2018
Anis Khan Individual Managing Control - Governing BodyManager Jun 30, 2018
Adp of the SNF Jun 30, 2018
Laurel Acquisition Holding Corporation Organization, Southfield, MI Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 30, 2018 100%
Organization, Westerville, OH LLC, Holding company, For-profit Adp of the SNF Jun 30, 2018
Mohammad a. Qazi Individual 5% Or Greater Indirect Ownership InterestManager Jun 30, 2018 100%
Operational/Managerial Control Jun 30, 2018
Managing Control - Governing BodyManager Jun 30, 2018
Adp of the SNF Jun 30, 2018
Laurel Health Care Company Organization, Westerville, OH Corporation, Management services company, For-profit, Chain home office Operational/Managerial Control Jun 30, 2018
Adp of the SNF Mar 27, 2025
Organization, Glenview, IL LLC, For-profit Adp of the SNF Mar 27, 2025
Laurel Health Care Holdings, Inc. Organization, Westerville, OH Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jun 30, 2018 100%
Clermont Nursing Realty, LLC Organization, Westerville, OH LLC, For-profit Adp of the SNF Jun 30, 2018
Walter E Donnelly Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Zenith Financial Group, LLC Organization, Taylor, MI LLC Adp of the SNF Aug 1, 2022

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 39

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

View all 39

Practitioners & affiliated clinicians

Practitioners 4

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

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": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1689179244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8181 WORTHINGTON RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828067",
            "telephone_number": "614-794-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 STATE ROUTE 28",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "45150",
            "telephone_number": "513-831-1770",
            "fax_number": "513-831-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LAURELS OF MILFORD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ANIS",
        "authorized_official_title_or_position": "C.F.O.",
        "authorized_official_telephone_number": "614-794-8800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0292917",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Laurels of Milford",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Laurels of Milford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milford, OH

Sources for this page

Verify at the official NPI Registry.