Active NPI
Toledo Rehabilitation and Nursing Center LLC
- Skilled Nursing Facility
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- TOLEDO REHABILITATION AND NURSING CENTER LLC
- Practice address
- 1011 N Byrne Rd
Toledo, OH 43607-2710 - Phone
- (419) 536-7600
- NPI assigned
- Nov 3, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Isaak Markovits
- Title
- Cfo
- Phone
- (608) 448-6200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1011 N Byrne Rd
Toledo, OH 43607-2710
Mailing address
1080 McDonald Ave Ste 213
Brooklyn, NY 11230-2633
Phone (608) 448-6200
Other names 1
- Divine Rehabilitation and Nursing Center at Toledo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210115002123 | OH | Part A Provider - Skilled Nursing Facility | 1951714732 | Practice locations: Toledo, OH |
Skilled nursing facility certification: CCN 366328
- Legal name
- TOLEDO REHABILITATION AND NURSING CENTER LLC
- Doing business as
- DIVINE REHABILITATION AND NURSING AT TOLEDO
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 6, 2006
- Last certification
- May 23, 2024
- Beds
- 93
- Ownership / control type
- Corporation
- Multi-facility organization
- Divine Healthcare
- Organization structure
- LLC
- Incorporated
- Oct 11, 2020 in OH
- Enrollment address
- 1011 N Byrne Rd
Toledo, OH 43607-2710 - Nursing home name
- DIVINE REHABILITATION AND NURSING AT TOLEDO
- Affiliated entity
- DIVINE HEALTHCARE MANAGEMENT
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Divine Rehabilitation and Nursing at Toledo
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Sep 6, 2006
- Medicare certification status
- Active
- Certified beds
- 93
- Chain
- Divine Healthcare Management
- Special focus status
- SFF
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 4
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| DHM Oh Three Holdings LLC | 5% Or Greater Direct Ownership Interest | Dec 1, 2020 | 100% |
| Isaak Markovits | 5% Or Greater Indirect Ownership Interest | Dec 1, 2020 | 50% |
| Corporate Officer | Dec 1, 2020 | ||
| Operational/Managerial Control | Dec 1, 2020 | ||
| Ilan Richland | 5% Or Greater Indirect Ownership Interest | Dec 1, 2020 | 50% |
| Corporate Officer | Dec 1, 2020 |
Facilities with the same owner 2
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Canton, OH
- NPI 1235730748
DHM Oh Three Holdings LLC
-
- Skilled Nursing Facility
- Rockford, OH
- NPI 1376144782
DHM Oh Three Holdings LLC
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Independence, OH
- NPI 1184624934
-
- Family Medicine Physician
- Toledo, OH
- NPI 1407848062
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": "1604361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604361600000",
"number": "1710588124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1080 MCDONALD AVE STE 213",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112302633",
"telephone_number": "608-448-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 N BYRNE RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436072710",
"telephone_number": "419-536-7600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOLEDO REHABILITATION AND NURSING CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-03",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A",
"authorized_official_last_name": "MARKOVITS",
"authorized_official_first_name": "ISAAK",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "608-448-6200"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Divine Rehabilitation and Nursing Center at Toledo",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.