NPIMap

Organization Active NPI

Swanton Valley Rehabilitation and Healthcare Center LLC

  • Skilled Nursing Facility
  • Swanton, OH
National Provider Identifier
1740753201
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SWANTON VALLEY REHABILITATION AND HEALTHCARE CENTER LLC
Practice address
401 W Airport Hwy
Swanton, OH 43558-1445
Phone
(419) 825-1111
NPI assigned
Jan 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Authorized official

Name
Mo Weintraub, LNHA
Title
Member
Phone
(973) 768-7704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

401 W Airport Hwy
Swanton, OH 43558-1445

Mailing address

14 Oliver St
Lakewood, NJ 08701-2339

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190401002205 OH Part A Provider - Skilled Nursing Facility 2961743919 Practice locations: Swanton, OH

Skilled nursing facility certification: CCN 365745

Legal name
SWANTON VALLEY REHABILITATION AND HEALTHCARE CENTER LLC
Doing business as
SWANTON VALLEY REHABILITATION AND HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 28, 1989
Last certification
Dec 5, 2024
Beds
92
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Feb 1, 2019
Organization structure
LLCProprietary
Enrollment address
401 W Airport Hwy
Swanton, OH 43558-1445
Nursing home name
SWANTON VALLEY REHABILITATION AND HEALTHCARE CENTE
Affiliated entity
CROWN HEALTHCARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Swanton Valley Rehabilitation and Healthcare CenteCCN 365745
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 28, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9277.8 residents per day on average
Chain
Crown Healthcare Group9 facilities in the chain
Penalties (3 years)
1Fines totaling $18,880

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Kevin Daubenmire Individual 5% Or Greater Indirect Ownership Interest Dec 16, 2022 25%
Operational/Managerial Control Feb 6, 2025
Managing Control - Governing BodyManager of Themanager Feb 6, 2025
Adp of the SNF Feb 6, 2025
Organization, Toms River, NJ LLC Adp of the SNF Jun 3, 2020
Jackie Gregory Individual Operational/Managerial Control Jun 20, 2022
Adp of the SNF Jun 20, 2022
Mrs Family Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Feb 6, 2025 20.9%
Adp of the SNF Feb 6, 2025
Indirect Ownership Interest Feb 6, 2025 20.9%
Organization, Toms River, NJ LLC Adp of the SNF Feb 2, 2026
Organization, Toms River, NJ LLC, Holding company Adp of the SNF Jun 3, 2020
Mark Neuman Individual Corporate OfficerSecretary Feb 1, 2019
Indirect Ownership Interest Feb 1, 2019 1.47%
Organization, Toms River, NJ LLC Adp of the SNF Dec 13, 2024
Individual Indirect Ownership Interest Feb 1, 2019 2%
Crown Ohio Holdco II LLC Organization, Toms River, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 1, 2019 100%
Indirect Ownership Interest Oct 29, 2021 100%
Meir Singer Individual Corporate OfficerTreasurer Feb 1, 2019
Indirect Ownership Interest Feb 1, 2019 1.47%
Yisrael Friedman Individual Indirect Ownership Interest Feb 1, 2019 1.46%
Mdatas Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Feb 1, 2019 20.9%
Adp of the SNF Feb 6, 2025
Indirect Ownership Interest Feb 6, 2025 20.9%
Elkins Way LLC Organization, Toms River, NJ LLC, Holding company Operational/Managerial Control Dec 31, 2022
Anu Garg Individual Operational/Managerial Control Apr 1, 2022
Adp of the SNF Apr 1, 2022
Fejcc Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Feb 1, 2019 20.9%
Adp of the SNF Feb 6, 2025
Indirect Ownership Interest Feb 6, 2025 20.9%
Organization, Toms River, NJ LLC Adp of the SNF Jan 13, 2019
Capital Finance LLC Organization, Baltimore, MD LLC, Financial institution, Owned by another organization or individual 5% Or Greater Security Interest Feb 6, 2025
Operational/Managerial Control Feb 6, 2025
Crown II TBD Holdco LLC Organization, Toms River, NJ LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Oct 29, 2021 100%
Moshe Weintraub Individual 5% Or Greater Indirect Ownership Interest Feb 6, 2025 10%
Indirect Ownership Interest Feb 6, 2025 7%

Owners & managing parties with NPI records 1

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

  • Anu Garg, MD
    • Geriatric Medicine (Internal Medicine) Physician
    • Toledo, OH
    • NPI 1336316306

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1740753201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 OLIVER ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W AIRPORT HWY",
            "city": "SWANTON",
            "state": "OH",
            "postal_code": "435581445",
            "telephone_number": "419-825-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWANTON VALLEY REHABILITATION AND HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "WEINTRAUB",
        "authorized_official_first_name": "MO",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "973-768-7704",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swanton, OH

Sources for this page

Verify at the official NPI Registry.