NPIMap

Organization Active NPI

2473 North Road NE Opco, LLC

  • Skilled Nursing Facility
  • Warren, OH
National Provider Identifier
1720608334
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
2473 NORTH ROAD NE OPCO, LLC
Practice address
2473 North Rd NE
Warren, OH 44483-3054
Phone
(330) 372-2251
NPI assigned
Apr 23, 2020
Last updated
Apr 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Authorized official

Name
Hayley Williams
Title
Attorney
Phone
(216) 706-3936

Specialties & licenses 1

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

Addresses

Primary practice location

2473 North Rd NE
Warren, OH 44483-3054

Mailing address

2121 S Green Rd Ste 100
South Euclid, OH 44121-3318
Phone (330) 372-2251

Other identifiers 1

IdentifierTypeStateIssuer
1253NOtherOHLICENSURE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200610002002 OH Part A Provider - Skilled Nursing Facility 3375964703 Practice locations: Warren, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720608334. Details of each certification follow.

Skilled nursing facility certification: CCN 365539

Legal name
2473 NORTH ROAD NE OPCO, LLC
Doing business as
WARREN NURSING & REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 18, 1980
Last certification
Apr 11, 2024
Beds
107
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Garden Springs Healthcare
Organization structure
LLCProprietary
Incorporated
Dec 23, 2019 in OH
Enrollment address
2473 North Rd NE
Warren, OH 44483-3054
Nursing home name
WARREN NURSING & REHAB
Affiliated entity
GARDEN SPRINGS HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Warren Nursing & RehabCCN 365539 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 18, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10768.7 residents per day on average
Chain
Garden Springs Healthcare5 facilities in the chain
Special focus status
SFF Candidate
Penalties (3 years)
3Fines totaling $20,137

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
36D2288681Warren Nursing and Rehab Laboratory2473 North Rd, N E, Suite 101, Warren, OH 44483AccreditationAug 26, 2026

National Provider Directory

National Provider Directory

Locations

2121 S Green Rd
Ste 100
South Euclid, OH 44121

2473 North Rd NE
Warren, OH 44483
Phone (330) 372-0788

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Ilya Rafi Mahilnitski Individual 5% Or Greater Direct Ownership Interest Jan 1, 2023 15%
Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023
Bruce McNabb Individual Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023
Sharon Laverne George Individual Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023
Yfr Equities LLC Organization, South Euclid, OH LLC 5% Or Greater Direct Ownership Interest May 1, 2020 7.5%
Adp of the SNF Jan 1, 2023
Meb Irrv TR Organization, South Euclid, OH 5% Or Greater Direct Ownership Interest May 1, 2020 5%
Adp of the SNF May 1, 2020
Matis Mark Friedman Individual 5% Or Greater Indirect Ownership Interest May 1, 2020 40.5%
Operational/Managerial Control May 1, 2020
Adp of the SNF May 1, 2020
Philipson Family Limited Liability Company, LLC Organization, Spring Valley, NY LLC 5% Or Greater Direct Ownership Interest May 1, 2020 20%
Adp of the SNF May 1, 2020
Castle Rock Nursing Member, LLC Organization, South Euclid, OH LLC 5% Or Greater Direct Ownership Interest May 1, 2020 40.5%
Adp of the SNF May 1, 2020
Organization, Warren, OH LLC Adp of the SNF May 1, 2020
Mikols Gottlieb Individual 5% Or Greater Direct Ownership Interest May 1, 2020 10%
Adp of the SNF Jan 1, 2023
Alyssa Barenbaum Individual Indirect Ownership Interest May 1, 2020 2%

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 30

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

View all 30

Practitioners & affiliated clinicians

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.

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": "1587600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1720608334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 S GREEN RD STE 100",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441213318",
            "telephone_number": "330-372-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2473 NORTH RD NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444833054",
            "telephone_number": "330-372-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2473 NORTH ROAD NE OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "HAYLEY",
        "authorized_official_title_or_position": "ATTORNEY",
        "authorized_official_telephone_number": "216-706-3936"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "1253N",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.