Selfridge Leasing, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SELFRIDGE LEASING, LLC

Doing business as

Valley Oaks Care Center

Practice address

500 Selfridge Street
East Liverpool, OH 43924

Phone

(330) 385-5001

Fax

(866) 629-9730

NPI assigned

Nov 30, 2011

Last updated

Aug 17, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Eli M. Gunzburg, MBA, LNHA

Title

Managing Member

Phone

(440) 658-1040

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Valley Oaks Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720355076. Details of each certification follow.

• CCN 366306 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 366306

Legal name

SELFRIDGE LEASING, LLC

Doing business as

VALLEY OAKS CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Feb 1, 2005

Last certification

Jan 18, 2024

Beds

67

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Oct 28, 2011 in OH

Enrollment address

500 Selfridge St
East Liverpool, OH 43920-1978

Nursing home name

VALLEY OAKS CARE CENTER

Listed as

Valley Oaks Care CenterCCN 366306 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

1 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Feb 1, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6744.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

Owners & managing parties with NPI records 1

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

• Gretchen Leigh Nickell, DO

  • Internal Medicine Physician
  • East Liverpool, OH
  • NPI 1639130552

  Adp of the SNF

  CMS ownership

Practitioners 2

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.

• Gretchen Leigh Nickell, DO

  • Internal Medicine Physician
  • East Liverpool, OH
  • NPI 1639130552
  NPD (past)
• Mohinder Pal Singh, M.D

  • Internal Medicine Physician
  • East Liverpool, OH
  • NPI 1215945258
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Gretchen Leigh Nickell, DO

  • Internal Medicine Physician
  • East Liverpool, OH
  • NPI 1639130552

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1720355076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29225 CHAGRIN BLVD.",
            "address_2": "SUITE 230",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "440-658-1040",
            "fax_number": "866-629-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SELFRIDGE STREET",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "43924",
            "telephone_number": "330-385-5001",
            "fax_number": "866-629-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELFRIDGE LEASING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "GUNZBURG",
        "authorized_official_first_name": "ELI",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "440-658-1040",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA, LNHA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0058723",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CCN",
            "identifier": "366306",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Oaks Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in East Liverpool, OH
• Providers in East Liverpool, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.

Verify at the official NPI Registry.