Active NPI
Friendship Village of Columbus Ohio Inc
Doing business as Westerwood Rehabilitation
- Skilled Nursing Facility
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2835
- Legal business name
- FRIENDSHIP VILLAGE OF COLUMBUS OHIO INC
- Doing business as
- Westerwood Rehabilitation
- Practice address
- 5757 Ponderosa Dr
Columbus, OH 43231-3102 - Phone
- (614) 890-8287
- Fax
- (614) 891-6662
- NPI assigned
- Dec 5, 2006
- Last updated
- Dec 31, 2024
- 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
- Laura Chanak
- Title
- Director of Accounting
- Phone
- (614) 890-8282
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2835 | OH | Primary |
Addresses
Primary practice location
5757 Ponderosa Dr
Columbus, OH 43231-3102
Mailing address
5800 Forest Hills Blvd
Columbus, OH 43231-6916
Phone (614) 890-8282
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0383428 | Medicaid | OH | |
| 365399 | Other | OH | PTAN |
Other names 1
- Westerwood Rehabilitation
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081002000059 | OH | Part A Provider - Skilled Nursing Facility | 0244308419 | Practice locations: Columbus, OH |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1730247024. Details of each certification follow.
Skilled nursing facility certification: CCN 365399
- Legal name
- FRIENDSHIP VILLAGE OF COLUMBUS OHIO INC
- Doing business as
- WESTERWOOD REHABILITATION
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 3, 1978
- Last certification
- Apr 4, 2024
- Beds
- 75
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Incorporated
- Nov 3, 1978 in OH
- Enrollment address
- 5757 Ponderosa Dr
Columbus, OH 43231-3102 - Nursing home name
- WESTERWOOD REHABILITATION
- Affiliated entity
- UNITED CHURCH HOMES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Westerwood Rehabilitation
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Nov 3, 1978
- Medicare certification status
- Active
- Certified beds
- 75
- Chain
- United Church Homes
National Provider Directory
National Provider Directory- Tax ID family
- Friendship Village of Columbus
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Facility/Intermediate Care Facility
- Columbus, OH
- NPI 1952385320
Locations
5757 Ponderosa Dr
Columbus, OH 43231
Phone (614) 890-8282
Ownership & 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 |
|---|---|---|---|
| Aubrey a Eley | Corporate Director | May 21, 2014 | |
| W-2 Managing Employee | Jan 1, 2015 | 100% | |
| Operational/Managerial Control | May 13, 2014 | 100% | |
| Laura Chanak | Corporate Director | Oct 1, 2013 | |
| W-2 Managing Employee | Jan 1, 2015 | ||
| United Church Homes Management, Inc. | Operational/Managerial Control | Jan 1, 2015 | 50% |
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba SEM Haven
- Skilled Nursing Facility
- Milford, OH
- NPI 1235112871
United Church Homes Management, Inc.
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Gahanna, OH
- NPI 1174573224
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": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735603200000",
"number": "1730247024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5800 FOREST HILLS BLVD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432316916",
"telephone_number": "614-890-8282",
"fax_number": "614-890-2661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5757 PONDEROSA DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432313102",
"telephone_number": "614-890-8287",
"fax_number": "614-891-6662"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRIENDSHIP VILLAGE OF COLUMBUS OHIO INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2024-12-31",
"certification_date": "2024-12-31",
"status": "A",
"authorized_official_last_name": "CHANAK",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "DIRECTOR OF ACCOUNTING",
"authorized_official_telephone_number": "614-890-8282"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OH",
"license": "2835",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0383428",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "365399",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Westerwood Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.