NPIMap

Organization Active NPI

3G Operating Company LLC

Doing business as Wickliffe Country Place

  • Skilled Nursing Facility
  • Wickliffe, OH
National Provider Identifier
1699773283
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2772 Issued in OH
Legal business name
3G OPERATING COMPANY LLC
Doing business as
Wickliffe Country Place
Practice address
1919 Bishop Rd
Wickliffe, OH 44092-2518
Phone
(440) 944-9400
Fax
(330) 944-2491
NPI assigned
Jul 8, 2005
Last updated
Sep 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Authorized official

Name
Mr. Barry Stump
Title
Cfo
Phone
(216) 898-8399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2772 OH Primary

Addresses

Primary practice location

1919 Bishop Rd
Wickliffe, OH 44092-2518

Mailing address

1919 Bishop Rd
Wickliffe, OH 44092-2518
Phone (440) 944-9400

Other names 1

  • Wickliffe Country Place Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080207000096 OH Part A Provider - Skilled Nursing Facility 9436247582 Practice locations: Wickliffe, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699773283. Details of each certification follow.

Skilled nursing facility certification: CCN 365381

Legal name
3G OPERATING COMPANY LLC
Doing business as
WICKLIFFE COUNTRY PLACE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 13, 1978
Last certification
Sep 26, 2024
Beds
170
Ownership / control type
Limited Liability Corporation
Multi-facility organization
OH 10 Holdco, LLC
Organization structure
LLCProprietary
Incorporated
Jun 22, 2007 in OH
Enrollment address
1919 Bishop Rd
Wickliffe, OH 44092-2518
Nursing home name
WICKLIFFE COUNTRY PLACE
Affiliated entity
LEGACY HEALTH SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Wickliffe Country PlaceCCN 365381 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 13, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
170124.3 residents per day on average
Chain
Legacy Health Services10 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
36D0334890Wickliffe Country Place1919 Bishop Rd, Wickliffe, OH 44092Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
3G Operating Company LLC2 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.

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Lionsview Opco NR LLC Organization, Lawrence, NY LLC 5% Or Greater Indirect Ownership Interest Jul 6, 2022 15.6%
Chavos221 Holdings LLC Organization, Chicago, IL Holding company 5% Or Greater Indirect Ownership Interest Jul 6, 2022 40%
Barry Stump Individual Corporate OfficerTreasurer Jun 22, 2007
W-2 Managing EmployeeCfo Jun 22, 2007
CC Oh10 Opco LLC Organization, Lawrence, NY LLC 5% Or Greater Indirect Ownership Interest Jul 6, 2022 39.4%
Sapphire143 Holdings LLC Organization, Valley Stream, NY Holding company 5% Or Greater Indirect Ownership Interest Jul 6, 2022 19.5%
Living26 Irrv TR Organization, Lawrence, NY 5% Or Greater Indirect Ownership Interest Jul 6, 2022 18%
Eliav Sharvit Individual Corporate OfficerSecretary Jun 22, 2007
Oh 10 Holdco LLC Organization, Evanston, IL Holding company 5% Or Greater Direct Ownership Interest Jul 6, 2022 100%
Sapphire143 Irrv TR Organization, Valley Stream, NY 5% Or Greater Indirect Ownership Interest Jul 6, 2022 18%
Living26 Holdings LLC Organization, Lawrence, NY Holding company 5% Or Greater Indirect Ownership Interest Jul 6, 2022 19.5%
Lionsview SC LLC Organization, Lawrence, NY LLC 5% Or Greater Indirect Ownership Interest Jul 6, 2022 5%
Chavos221 Irrv TR Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jul 6, 2022 38%

Facilities with the same owner 10

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

  • Broadview Nursing Home Inc

    dba Broadview Multi-Care Center

    • Skilled Nursing Facility
    • Parma, OH
    • NPI 1508853383

    CC Oh10 Opco LLC, Chavos221 Holdings LLC, Lionsview Opco NR LLC, Lionsview SC LLC, Living26 Holdings LLC, Living26 Irrv TR, Oh 10 Holdco LLC, Sapphire143 Holdings LLC, Sapphire143 Irrv TR

    CMS ownership
  • C a S Health Investors, Inc.

    dba Cedarwood Plaza

    • Skilled Nursing Facility
    • Cleveland HTS, OH
    • NPI 1366543654

    CC Oh10 Opco LLC, Chavos221 Holdings LLC, Chavos221 Irrv TR, Lionsview Opco NR LLC, Lionsview SC LLC, Living26 Holdings LLC, Living26 Irrv TR, Oh 10 Holdco LLC, Sapphire143 Holdings LLC, Sapphire143 Irrv TR

    CMS ownership
  • Continuum Care Hospice LLC

    dba Continuum Care Hospice

    • Community Based Hospice Care Agency
    • Parma, OH
    • NPI 1891994653

    Chavos221 Holdings LLC, Lionsview Opco NR LLC, Lionsview SC LLC

    CMS ownership
  • Euclid Hill Health Investors, Inc.

    dba Hillside Plaza

    • Skilled Nursing Facility
    • Cleveland, OH
    • NPI 1528169836

    CC Oh10 Opco LLC, Chavos221 Holdings LLC, Chavos221 Irrv TR, Lionsview Opco NR LLC, Lionsview SC LLC, Living26 Holdings LLC, Living26 Irrv TR, Oh 10 Holdco LLC, Sapphire143 Holdings LLC, Sapphire143 Irrv TR

    CMS ownership
  • Franklin Boulevard Nursing Home, Inc.

    dba Franklin Plaza

    • Skilled Nursing Facility
    • Cleveland, OH
    • NPI 1235230533

    CC Oh10 Opco LLC, Chavos221 Holdings LLC, Chavos221 Irrv TR, Lionsview Opco NR LLC, Lionsview SC LLC, Living26 Holdings LLC, Living26 Irrv TR, Oh 10 Holdco LLC, Sapphire143 Holdings LLC, Sapphire143 Irrv TR

    CMS ownership
  • Mapleview Operating Company LLC

    dba Mapleview Country Villa

    • Skilled Nursing Facility
    • Chardon, OH
    • NPI 1790179497

    CC Oh10 Opco LLC, Chavos221 Holdings LLC, Chavos221 Irrv TR, Lionsview Opco NR LLC, Lionsview SC LLC, Living26 Holdings LLC, Living26 Irrv TR, Oh 10 Holdco LLC, Sapphire143 Holdings LLC, Sapphire143 Irrv TR

    CMS ownership
  • Middleburg-Legacy Place, LLC

    dba Parkside Villa

    • Skilled Nursing Facility
    • Cleveland, OH
    • NPI 1619078938

    CC Oh10 Opco LLC, Chavos221 Holdings LLC, Chavos221 Irrv TR, Lionsview Opco NR LLC, Lionsview SC LLC, Living26 Holdings LLC, Living26 Irrv TR, Oh 10 Holdco LLC, Sapphire143 Holdings LLC, Sapphire143 Irrv TR

    CMS ownership
  • Oregon Health Investors, Company

    dba Orchard Villa

    • Skilled Nursing Facility
    • Oregon, OH
    • NPI 1114028420

    CC Oh10 Opco LLC, Chavos221 Holdings LLC, Chavos221 Irrv TR, Lionsview Opco NR LLC, Lionsview SC LLC, Living26 Holdings LLC, Living26 Irrv TR, Oh 10 Holdco LLC, Sapphire143 Holdings LLC, Sapphire143 Irrv TR

    CMS ownership
  • Pleasant Lake Nursing Home, Inc.

    dba Pleasant Lake Villa

    • Skilled Nursing Facility
    • Parma, OH
    • NPI 1811098148

    CC Oh10 Opco LLC, Chavos221 Holdings LLC, Chavos221 Irrv TR, Lionsview Opco NR LLC, Lionsview SC LLC, Living26 Irrv TR, Oh 10 Holdco LLC, Sapphire143 Holdings LLC, Sapphire143 Irrv TR

    CMS ownership
  • Ridge-Pleasant Valley, Inc.

    dba Pleasantview Care Center

    • Skilled Nursing Facility
    • Parma, OH
    • NPI 1255432589

    CC Oh10 Opco LLC, Chavos221 Holdings LLC, Chavos221 Irrv TR, Lionsview Opco NR LLC, Lionsview SC LLC, Living26 Holdings LLC, Living26 Irrv TR, Oh 10 Holdco LLC, Sapphire143 Holdings LLC, Sapphire143 Irrv TR

    CMS ownership

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 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": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1699773283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 BISHOP RD",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "440922518",
            "telephone_number": "440-944-9400",
            "fax_number": "330-944-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 BISHOP RD",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "440922518",
            "telephone_number": "440-944-9400",
            "fax_number": "330-944-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3G OPERATING COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "STUMP",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "216-898-8399",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "2772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wickliffe Country Place",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wickliffe Country Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wickliffe, OH

Sources for this page

Verify at the official NPI Registry.