NPIMap

Organization Active NPI

Shepherd of the Valley Lutheran Retirement Services, Inc.

  • Skilled Nursing Facility
  • Warren, OH
National Provider Identifier
1689769846
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
6329 Issued in OH
Legal business name
SHEPHERD OF THE VALLEY LUTHERAN RETIREMENT SERVICES, INC.
Practice address
4100 N River Rd NE
Warren, OH 44484-1041
Phone
(330) 856-9232
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Authorized official

Name
Victoria N. Brown
Title
Associate Director/Cfo
Phone
(330) 530-4038

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 6329 OH Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

4100 N River Rd NE
Warren, OH 44484-1041

Mailing address

5525 Silica Rd
Austintown, OH 44515-1002
Phone (330) 530-4038

Other identifiers 1

IdentifierTypeStateIssuer
2366103MedicaidOH

Other names 1

  • Shepherd of the Valley - Howland Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021211000007 OH Part A Provider - Skilled Nursing Facility 2961310180 Practice locations: Warren, OH

Skilled nursing facility certification: CCN 366258

Legal name
SHEPHERD OF THE VALLEY LUTHERAN RETIREMENT SERVICES, INC.
Doing business as
SHEPHERD OF THE VALLEY HOWLAND
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 14, 2003
Last certification
Jan 19, 2023
Beds
65
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Shepherd of the Valley
Organization structure
CorporationNon-profit
Incorporated
Jan 3, 1972 in OH
Enrollment address
4100 N River Rd NE
Warren, OH 44484-1041
Nursing home name
SHEPHERD OF THE VALLEY HOWLAND

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Shepherd of the Valley HowlandCCN 366258
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 14, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6551.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Shepherd of the Valley Lutheran Retirement Services Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Ownership & 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.

NameRoleSinceShare
Giuseppe B Deabate Individual Corporate OfficerPresident Jan 1, 2020
Corporate DirectorDirector Jan 1, 2019
Tamara Salvino Individual Corporate DirectorAssociate Director/Admin Nov 18, 1998
W-2 Managing Employee Nov 18, 1998
Robert Quaintance Individual Corporate DirectorSecretary Jan 1, 2023
Richard Limongi Individual Corporate DirectorCeo Jan 1, 2015
W-2 Managing EmployeeCeo Jan 1, 2015
Richard Thompson Individual Corporate DirectorTreasurer Jan 1, 2019
Paul Adamic Individual Corporate OfficerCfo Jun 20, 2022
W-2 Managing EmployeeCfo Jun 20, 2022
Chrisitne Filip Individual W-2 Managing EmployeeAccounting Director Jun 28, 2013
Adam Earnheardt Individual Corporate OfficerVice President Jan 1, 2020
Corporate DirectorDirector Jan 1, 2020

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Shepherd of the Valley LibertyGirard, OH, CCN 365298 Skilled nursing facility Operational/Managerial Control Jan 1, 2017
Shepherd of the Valley PolandPoland, OH, CCN 366453 Skilled nursing facility Operational/Managerial Control Jan 1, 2017
At Home With ShepherdAustintown, OH, CCN 367741 Home health agency 5% Or Greater Indirect Ownership Interest Jan 3, 1972

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

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

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1689769846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 SILICA RD",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445151002",
            "telephone_number": "330-530-4038",
            "fax_number": "330-530-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 N RIVER RD NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444841041",
            "telephone_number": "330-856-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERD OF THE VALLEY LUTHERAN RETIREMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR/CFO",
        "authorized_official_telephone_number": "330-530-4038"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "6329",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2366103",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shepherd of the Valley - Howland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.