NPIMap

Organization Active NPI

Majestic Care of Toledo SNF Operations LLC

  • Skilled Nursing Facility
  • Toledo, OH
National Provider Identifier
1740947431
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MAJESTIC CARE OF TOLEDO SNF OPERATIONS LLC
Practice address
131 N Wheeling St
Toledo, OH 43605-1544
Phone
(718) 380-8882
NPI assigned
Nov 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Authorized official

Name
Paul Pruitt
Title
Officer
Phone
(317) 288-4029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

131 N Wheeling St
Toledo, OH 43605-1544

Mailing address

777 E Main St Ste 210
Westfield, IN 46074-5301
Phone (317) 288-4029

Other names 1

  • Majestic Care of Toledo SNF Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220215002625 OH Part A Provider - Skilled Nursing Facility 8820481898 Practice locations: Toledo, OH

Skilled nursing facility certification: CCN 366188

Legal name
MAJESTIC CARE OF TOLEDO SNF OPERATIONS LLC
Doing business as
MAJESTIC CARE OF TOLEDO SNF
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 10, 2000
Last certification
Oct 19, 2023
Beds
85
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Majestic Care
Organization structure
LLCProprietary
Incorporated
Oct 14, 2021 in OH
Enrollment address
131 N Wheeling St
Toledo, OH 43605-1544
Nursing home name
MAJESTIC CARE OF TOLEDO SNF
Affiliated entity
MAJESTIC CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Majestic Care of Toledo SNFCCN 366188
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 10, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8579.6 residents per day on average
Chain
Majestic Care22 facilities in the chain
Penalties (3 years)
1Fines totaling $22,432

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
36D0673125Majestic Care of Toledo SNF131 North Wheeling Street, Toledo, OH 43605Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

777 E Main St
Ste 210
Westfield, IN 46074

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Cathleen Voyles-Baden Individual Operational/Managerial Control Dec 17, 2021
Adp of the SNF Dec 17, 2021
Majestic Management LLC Organization, Westfield, IN LLC, Management services company, For-profit Operational/Managerial Control Dec 17, 2021
Adp of the SNF Jul 11, 2025
Angela Rewa Individual Operational/Managerial Control Oct 23, 2023
Adp of the SNF Oct 23, 2023
Robert Laron Russell Individual Operational/Managerial Control Apr 8, 2024
Adp of the SNF Apr 8, 2024
131 North Wheeling Street LLC Organization, Westfield, IN LLC Operational/Managerial Control Jan 1, 2022
Adp of the SNF Dec 17, 2021
Sudheer K Polisetty Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Majestic Care of Toledo Realty Holdings LLC Organization, Flushing, NY LLC Adp of the SNF Dec 17, 2021
Paul Pruitt Individual Operational/Managerial Control May 1, 2023
Managing Control - Governing BodyCeo May 1, 2023
Adp of the SNF May 1, 2023
MDG Real Estate Global Limited Organization, Flushing, NY Corporation Adp of the SNF Dec 17, 2021
Margaret Chamberlain Individual Operational/Managerial Control Sep 11, 2023
Adp of the SNF Sep 11, 2023
Anzhelika Shatrov Individual Operational/Managerial Control Dec 2, 2024
Adp of the SNF Dec 2, 2024
David Marx Individual 5% Or Greater Indirect Ownership InterestSole Owner Dec 17, 2021 100%
Adp of the SNF Dec 17, 2021
Majestic Care of Toledo Operations Holdings LLC Organization, Flushing, NY Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 17, 2021 100%
Eric Wolfe Individual Operational/Managerial Control Sep 11, 2023
Adp of the SNF Sep 11, 2023

Owners & managing parties with NPI records 2

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

Facilities with the same owner 20

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

View all 20

Practitioners & affiliated clinicians

Practitioners 4

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

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": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1740947431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E MAIN ST STE 210",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460745301",
            "telephone_number": "317-288-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N WHEELING ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436051544",
            "telephone_number": "718-380-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC CARE OF TOLEDO SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "317-288-4029"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Majestic Care of Toledo SNF",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Majestic Care of Toledo SNF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.