Organization Active NPI

Scarlet Oaks Nursing and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Cincinnati, OH
National Provider Identifier
1700250131
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SCARLET OAKS NURSING AND REHABILITATION CENTER LLC
Practice address
440 Lafayette Ave
Cincinnati, OH 45220-1022
Phone
(513) 861-0400
NPI assigned
Nov 23, 2015
Last updated
Nov 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Authorized official

Name
Jacob Stern
Title
Manager/Member
Phone
(732) 659-1353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

440 Lafayette Ave
Cincinnati, OH 45220-1022

Mailing address

100 Route 70
Suite 3
Lakewood, NJ 08701-7406
Phone (732) 659-1353

Other identifiers 1

IdentifierTypeStateIssuer
365978OtherMEDICARE ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160413000436 OH Part A Provider - Skilled Nursing Facility 2961700638 Practice locations: Cincinnati, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700250131. Details of each certification follow.

Skilled nursing facility certification: CCN 365978

Legal name
SCARLET OAKS NURSING AND REHABILITATION CENTER LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 9, 1994
Last certification
Jan 23, 2025
Beds
70
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Feb 1, 2016
Organization structure
LLCProprietary
Incorporated
Nov 20, 2015 in OH
Enrollment address
440 Lafayette Ave
Cincinnati, OH 45220-1022
Nursing home name
SCARLET OAKS NURSING AND REHABILITATION CENTER
Affiliated entity
CCH HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Scarlet Oaks Nursing and Rehabilitation CenterCCN 365978 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 9, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7064.4 residents per day on average
Chain
CCH Healthcare33 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Scarlet Oaks Nursing and Rehabilitation Center 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.

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Susan Oliverio Individual W-2 Managing EmployeeDirector of Nursing Feb 1, 2016
Scarlet Oaks Healthcare LLC Organization, Lakewood, NJ LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Feb 1, 2016 100%
Jacob Stern Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2016 100%
Operational/Managerial ControlManager Feb 1, 2016
Scarlet Realty LLC Organization, Lakewood, NJ LLC, For-profit 5% Or Greater Security Interest Feb 1, 2016 100%
Cynthia Moore Individual W-2 Managing EmployeeAdministrator Feb 1, 2016

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

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.

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": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1700250131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ROUTE 70",
            "address_2": "SUITE 3",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087017406",
            "telephone_number": "732-659-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 LAFAYETTE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452201022",
            "telephone_number": "513-861-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCARLET OAKS NURSING AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "732-659-1353"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "365978",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.