Hennis Care Centre of Dover Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1645N Issued in OH

Legal business name

HENNIS CARE CENTRE OF DOVER INC.

Practice address

1720 N Cross St
Dover, OH 44622-1043

Phone

(330) 364-8849

Fax

(330) 364-9158

NPI assigned

Jun 6, 2006

Last updated

Jan 11, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Harold D Baker, ACCOUNTANT

Title

Controller

Phone

(330) 364-8849

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689613523. Details of each certification follow.

• CCN 365838 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 365838

Legal name

HENNIS CARE CENTRE OF DOVER INC.

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 25, 1991

Last certification

Apr 17, 2025

Beds

120

Ownership / control type

Individual

Organization structure

CorporationProprietary

Incorporated

Oct 17, 2001 in OH

Enrollment address

1720N Cross St
Dover, OH 44622-1043

Nursing home name

HENNIS CARE CENTRE OF DOVER

Listed as

Hennis Care Centre of DoverCCN 365838 · 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 - Individual

Certified

Mar 25, 1991

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

12083.1 residents per day on average

Penalties (3 years)

1Fines totaling $9,527

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Hennis Care Center of Dover2 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.

• Hennis Care Center of Dover

  • Clinical Medical Laboratory
  • Dover, OH
  • NPI 1629304472
  NPD tax ID

All disclosed owners & managing parties 10

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

Owners & managing parties with NPI records 1

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

• Brian W. McClain, MD

  • Internal Medicine Physician
  • Canton, OH
  • NPI 1821038043

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Richard William Jones Jr., M.D.

  • Internal Medicine Physician
  • Canton, OH
  • NPI 1841442803
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Richard William Jones Jr., M.D.

  • Internal Medicine Physician
  • Canton, OH
  • NPI 1841442803

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1689613523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 N CROSS ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446221043",
            "telephone_number": "330-364-8849",
            "fax_number": "330-364-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 N CROSS ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446221043",
            "telephone_number": "330-364-8849",
            "fax_number": "330-364-9158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENNIS CARE CENTRE OF DOVER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "330-364-8849",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ACCOUNTANT"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "1645R",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1645N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2277316",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Haywood, LCDC III
• Philip W Heagerty, LSW
• Hannah Heavelyn, PHARMD
• Hunter David Henneberger, PT, DPT
• Hennis Care Center of Dover
• Kristen Ann Henry, D.P.M.
• Max Hensel, MD
• Nahomy Hernandez
• Lisa A Hicks
• Courtney Hidey, RN

• Skilled Nursing Facility in Dover, OH
• Providers in Dover, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.

Verify at the official NPI Registry.