NPIMap

Organization Active NPI

Astoria SNF, Inc.

Doing business as Astoria Skilled Nursing and Rehabilitation

  • Skilled Nursing Facility
  • Canton, OH
National Provider Identifier
1720304538
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2575N Issued in OH
Legal business name
ASTORIA SNF, INC.
Doing business as
Astoria Skilled Nursing and Rehabilitation
Practice address
3537 12TH St NW
Canton, OH 44708-3818
Phone
(330) 455-5500
Fax
(330) 455-5537
NPI assigned
Apr 19, 2010
Last updated
Nov 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Authorized official

Name
Timothy A Chesney
Title
Vice Presedent
Phone
(330) 758-4232

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 2575N OH
Skilled Nursing Facility 314000000X 2575N OH Primary

Addresses

Primary practice location

3537 12TH St NW
Canton, OH 44708-3818

Mailing address

3537 12TH St NW
Canton, OH 44708-3818
Phone (330) 455-5500

Other identifiers 1

IdentifierTypeStateIssuer
3075363MedicaidOH

Other names 1

  • Astoria Skilled Nursing and Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100726000881 OH Part A Provider - Skilled Nursing Facility 6507999612 Practice locations: Canton, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720304538. Details of each certification follow.

Skilled nursing facility certification: CCN 366391

Legal name
ASTORIA SNF, INC.
Doing business as
ASTORIA SKILLED NURSING AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 10, 2010
Last certification
Mar 11, 2024
Beds
83
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
Jun 30, 2008 in OH
Enrollment address
3537 12TH St NW
Canton, OH 44708-3818
Nursing home name
ASTORIA SKILLED NURSING AND REHABILITATION
Affiliated entity
MICHAEL SLYK

Care Compare: Nursing home

Medicare Care Compare
Listed as
Astoria Skilled Nursing and RehabilitationCCN 366391 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 10, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8366.0 residents per day on average
Chain
Michael Slyk7 facilities in the chain
Penalties (3 years)
4Fines totaling $190,519

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
36D2004164Astoria Nursing and Rehabilitation3537 12TH Street NW, Canton, OH 44708Certificate of waiverFeb 25, 2028

National Provider Directory

National Provider Directory

Locations

3537 12th St NW
Canton, OH 44708
Phone (330) 208-9317

628 Niles Cortland Rd SE
Ste 102
Warren, OH 44484
Phone (330) 856-8148

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
MSTC Development Inc Organization, Warren, OH Consulting firm Operational/Managerial Control Dec 1, 2018
Adp of the SNF Jul 3, 2025
Gwynn Ryder Individual Operational/Managerial ControlRegional Director of Operations Mar 28, 2025
Adp of the SNF Mar 28, 2025
Daniel D'Amico Individual Operational/Managerial Control May 18, 2018
Adp of the SNF May 18, 2018
Michael Slyk Individual 5% Or Greater Direct Ownership Interest Nov 1, 2020 100%
Adp of the SNF May 10, 2009
Elizabeth Jones Individual Adp of the SNF Jul 1, 2025
Jessica L Coleman Individual Adp of the SNF Jul 3, 2025
Jilltin of Meyers Lake, LLC Organization, Warren, OH Holding company Adp of the SNF Jul 1, 2025

Owners & managing parties with NPI records 1

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

Facilities with the same owner 6

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

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": "1271635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1720304538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3537 12TH ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447083818",
            "telephone_number": "330-455-5500",
            "fax_number": "330-455-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3537 12TH ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447083818",
            "telephone_number": "330-455-5500",
            "fax_number": "330-455-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTORIA SNF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-19",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "CHESNEY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESEDENT",
        "authorized_official_telephone_number": "330-758-4232"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OH",
            "license": "2575N",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "2575N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3075363",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Astoria Skilled Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.