Organization Active NPI

Minerva Opco, LLC

Doing business as Arbors at Minerva

  • Skilled Nursing Facility
  • Minerva, OH
National Provider Identifier
1740688688
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MINERVA OPCO, LLC
Doing business as
Arbors at Minerva
Practice address
400 Carolyn CT
Minerva, OH 44657-8703
Phone
(330) 868-4104
Fax
(330) 868-7714
NPI assigned
Dec 9, 2014
Last updated
Jul 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Authorized official

Name
Mr. Stacey Paul Rogers
Title
Chief Financial Officer
Phone
(502) 429-8062

Specialties & licenses 1

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

Addresses

Primary practice location

400 Carolyn CT
Minerva, OH 44657-8703

Mailing address

7400 New la Grange Rd Ste 100
Louisville, KY 40222-4870
Phone (502) 429-8062

Other identifiers 1

IdentifierTypeStateIssuer
1740688688MedicaidMI

Other names 1

  • Arbors at Minerva Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150626000877 OH Part A Provider - Skilled Nursing Facility 4880906288 Practice locations: Minerva, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740688688. Details of each certification follow.

Skilled nursing facility certification: CCN 365674

Legal name
MINERVA OPCO, LLC
Doing business as
ARBORS AT MINERVA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 11, 1986
Last certification
Aug 22, 2024
Beds
92
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Prestige Healthcare
Organization structure
LLCProprietary
Incorporated
Nov 19, 2014 in DE
Enrollment address
400 Carolyn CT
Minerva, OH 44657-8703
Nursing home name
ARBORS AT MINERVA
Affiliated entity
ARBORS AT OHIO

Care Compare: Nursing home

Medicare Care Compare
Listed as
Arbors at MinervaCCN 365674 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 11, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9272.9 residents per day on average
Chain
Arbors at Ohio16 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
36D0667320Minerva Opco, LLC400 Carolyn Court, Minerva, OH 44657Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Ark Opco Group, LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2015 100%
Cody Healthcare S Corp Organization, Agoura Hills, CA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2015 47.55%
B&Y Trust Organization, Brooklyn, NY 5% Or Greater Indirect Ownership Interest Jul 1, 2015 47.55%
Prestige Administrative Services, LLC Organization, Louisville, KY LLC, For-profit Operational/Managerial Control Jan 1, 2016
Craig a Flashner Individual Corporate OfficerLLC Member Jul 1, 2015
Operational/Managerial ControlLLC Member / Governing Body Jul 1, 2015
Kristine Ranel Kirk Individual W-2 Managing EmployeeBusiness Manager Sep 1, 2016
Robert L Norcross Individual Contracted Managing EmployeeCeo Jul 1, 2015
Craig Flashner 2007 Trust Organization, Agoura Hills, CA 5% Or Greater Indirect Ownership Interest Jul 1, 2015 47.55%
B&Y Healthcare S Corp Organization, Brooklyn, NY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2015 47.55%
Stacey Paul Rogers Individual Contracted Managing EmployeeCfo Jul 1, 2015
Noble Healthcare Management, LLC Organization, Louisville, KY For-profit Operational/Managerial Control Jul 1, 2015
Yitzchok a Perlstein Individual Corporate OfficerLLC Member Jul 1, 2015
Operational/Managerial ControlLLC Member / Governing Body Jul 1, 2015

Facilities with the same owner 77

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

View all 77

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.

Affiliated clinicians 1

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": "1418083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1740688688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 NEW LA GRANGE RD STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224870",
            "telephone_number": "502-429-8062",
            "fax_number": "502-429-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CAROLYN CT",
            "city": "MINERVA",
            "state": "OH",
            "postal_code": "446578703",
            "telephone_number": "330-868-4104",
            "fax_number": "330-868-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINERVA OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-09",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "502-429-8062",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740688688",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arbors at Minerva",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minerva, OH

Sources for this page

Verify at the official NPI Registry.