Walnut Hills Retirement Communities Inc
Organization Active NPI Skilled Nursing Facility · Walnut Creek, OH
NPI 1760645485 · NPPES record last updated Aug 7, 2008
Key facts
- NPI
- 1760645485
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 4017 (OH)
- Legal business name
- WALNUT HILLS RETIREMENT COMMUNITIES INC
- Practice address
- 4748 Olde Pump Street
Walnut Creek, OH 44687 - Phone
- (330) 893-3200
- NPI assigned
- Jul 2, 2008
- Organization subpart
- No
Authorized official
- Name
- Jeremy Kauffman
- Title
- Administrator/Vice-President
- Phone
- (330) 893-3200
Corporate family (same tax ID) 1
Practitioners 7
-
Dean Deperro Sr., DO
-
Katrina Karr Pfander, MS, CCC-SLP
Affiliated clinicians 8
-
Zachary T Boyd, M.D.
-
Todd James Corley, CNP
-
Dean Deperro Sr., DO
-
R Kim Kornhaus, MD
-
Carrie Schlabach, FNP-C
Medicare Care Compare: Nursing home
- Listed as
- Walnut Hills Nursing Home
- Overall star rating
- ★★★★☆ 4 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Church related
- Certified
- Mar 20, 2003
- Medicare certification status
- Active
- Certified beds
- 56 · 41.8 residents per day on average
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Skilled nursing facility certification: CCN 366268
- Legal name
- WALNUT HILLS RETIREMENT COMMUNITIES INC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 20, 2003
- Last certification
- Nov 7, 2024
- Beds
- 56
- Ownership / control type
- Church Related
- Organization structure
- Corporation · Non-profit
- Incorporated
- Mar 24, 2008 in IN
- Enrollment address
- 4748 Old Pump Street
Walnut Creek, OH 44687-9800 - Nursing home name
- WALNUT HILLS NURSING HOME
All disclosed owners & managing parties 1
| Name | Role | Since | Share |
|---|---|---|---|
| Jeremy a Kauffman |
Contracted Managing Employee | Jul 1, 2010 | 100% |
| Corporate Officer |
Sep 2, 2010 | 100% | |
| Corporate Director |
Sep 2, 2010 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080610000508 | OH | Part a Provider - Skilled Nursing Facility | 0446320907 | Practice locations: Walnut Creek, OH |
National Provider Directory
- Tax ID family
- Walnut Hills Nursing Home
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 1607R | OH | |
| Skilled Nursing Facility | 314000000X | 4017 | OH | Yes |
Addresses
Primary practice location
4748 Olde Pump Street
Walnut Creek, OH 44687
Mailing address
PO Box 127
Walnut Creek, OH 44687-0127
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2900678 | Medicaid | OH |
Other providers in Walnut Creek, OH
- East Holmes Family Care Inc
- Megan Graber
- Holly Miller
- Eleanor Runyan
- Walnut Hills Retirement Communties Inc.
- Joel David Wilson
All providers in Walnut Creek, OH · Skilled Nursing Facility in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.