NPIMap

Organization Active NPI

Bradley Road Nursing Home, Inc.

  • Skilled Nursing Facility
  • Bay Village, OH
National Provider Identifier
1720133226
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
4413 Issued in OH
Legal business name
BRADLEY ROAD NURSING HOME, INC.
Practice address
605 Bradley Rd
Bay Village, OH 44140-1670
Phone
(440) 871-3474
Fax
(440) 871-4743
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Mr. John T. O'Neill, LNHA
Title
President
Phone
(440) 871-3474

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 5511 OH
Skilled Nursing Facility 314000000X 4413 OH Primary

Addresses

Primary practice location

605 Bradley Rd
Bay Village, OH 44140-1670

Mailing address

34100 Center Ridge Rd
Suite 10
North Ridgeville, OH 44039-5311
Phone (440) 327-9777

Other identifiers 2

IdentifierTypeStateIssuer
4413OtherOHOHIO DEPT. OF HEALTH
2515148MedicaidOH

Other names 1

  • Bradley Bay Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080208000348 OH Part A Provider - Skilled Nursing Facility 0749363109 Practice locations: Bay Village, OH

Skilled nursing facility certification: CCN 365264

Legal name
BRADLEY ROAD NURSING HOME, INC.
Doing business as
O'NEILL HEALTHCARE - BAY VILLAGE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 28, 1971
Last certification
Mar 13, 2024
Beds
138
Ownership / control type
Limited Liability Corporation
Multi-facility organization
O'Neill Healthcare
Organization structure
CorporationProprietary
Incorporated
Jan 10, 1990 in OH
Enrollment address
605 Bradley Rd
Bay Village, OH 44140-1670
Nursing home name
O'NEILL HEALTHCARE BAY VILLAGE
Affiliated entity
O'NEILL HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
O'Neill Healthcare Bay VillageCCN 365264
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 28, 1971
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
138112.3 residents per day on average
Chain
O'Neill Healthcare6 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
36D0339064Bradley Road Nursing Home Inc605 Bradley Road, Bay Village, OH 44140Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Bradley Bay - Laboratory2 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 6

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

NameRoleSinceShare
O'Neill Management, LLC Organization, North Ridgeville, OH LLC Operational/Managerial Control Jan 1, 1999
John Oneill Individual 5% Or Greater Indirect Ownership InterestPresident Jan 1, 2012 52.62%
Corporate OfficerPresident/Secretary Jan 10, 1991
Corporate DirectorPresident/Secretary Jan 10, 1991
Doreen Ziska Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2012 11.89%
Kevin Trockley Individual Contracted Managing EmployeeLicensed Nursing Home Administrator Jan 18, 2021 100%
Deborah Oneill Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2012 12.95%
Corporate OfficerVice President/Treasurer Jan 1, 2012
Corporate DirectorVice President/Treasurer Jan 1, 2011
Carlow LLC Organization, North Ridgeville, OH LLC 5% Or Greater Direct Ownership Interest Jan 1, 2012 100%

Facilities with the same owner 6

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

Practitioners & affiliated clinicians

Practitioners 3

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

Affiliated clinicians 4

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": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1720133226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34100 CENTER RIDGE RD",
            "address_2": "SUITE 10",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440395311",
            "telephone_number": "440-327-9777",
            "fax_number": "440-327-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 BRADLEY RD",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441401670",
            "telephone_number": "440-871-3474",
            "fax_number": "440-871-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY ROAD NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-871-3474",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "5511",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "4413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DEPT. OF HEALTH",
            "identifier": "4413",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2515148",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bradley Bay Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bay Village, OH

Sources for this page

Verify at the official NPI Registry.