Active NPI
Walnut Hills Retirement Communities Inc
- Skilled Nursing Facility
- Walnut Creek, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 4017
- 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
- Last updated
- Aug 7, 2008
- 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
- Jeremy Kauffman
- Title
- Administrator/Vice-President
- Phone
- (330) 893-3200
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 1607R | OH | |
| Skilled Nursing Facility | 314000000X | 4017 | OH | Primary |
Addresses
Primary practice location
4748 Olde Pump Street
Walnut Creek, OH 44687
Mailing address
PO Box 127
Walnut Creek, OH 44687-0127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080610000508 | OH | Part A Provider - Skilled Nursing Facility | 0446320907 | Practice locations: Walnut Creek, OH |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1760645485. Details of each certification follow.
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
- Incorporated
- Mar 24, 2008 in IN
- Enrollment address
- 4748 Old Pump Street
Walnut Creek, OH 44687-9800 - Nursing home name
- WALNUT HILLS NURSING HOME
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Walnut Hills Nursing Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Church related
- Certified
- Mar 20, 2003
- Medicare certification status
- Active
- Certified beds
- 56
National Provider Directory
National Provider Directory- Tax ID family
- Walnut Hills Nursing Home
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Walnut Creek, OH
- NPI 1619078839
Ownership & related parties
All disclosed owners & managing parties 1
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 |
|---|---|---|---|
| Jeremy a Kauffman | Contracted Managing Employee | Jul 1, 2010 | 100% |
| Corporate Officer | Sep 2, 2010 | 100% | |
| Corporate Director | Sep 2, 2010 | 100% |
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Family Medicine Physician
- Copley, OH
- NPI 1962941641
-
- Internal Medicine Physician
- Barberton, OH
- NPI 1568567410
-
- Speech-Language Pathologist
- Walnut Creek, OH
- NPI 1659860336
-
- Family Medicine Physician
- Wooster, OH
- NPI 1396240065
-
- Internal Medicine Physician
- Canton, OH
- NPI 1972066611
-
- Speech-Language Pathologist
- Coshocton, OH
- NPI 1154833077
-
- Speech-Language Pathologist
- Walnut Creek, OH
- NPI 1306363296
Affiliated clinicians 8
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": "1214956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218067200000",
"number": "1760645485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 127",
"city": "WALNUT CREEK",
"state": "OH",
"postal_code": "446870127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4748 OLDE PUMP STREET",
"city": "WALNUT CREEK",
"state": "OH",
"postal_code": "44687",
"telephone_number": "330-893-3200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALNUT HILLS RETIREMENT COMMUNITIES INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-02",
"last_updated": "2008-08-07",
"status": "A",
"authorized_official_last_name": "KAUFFMAN",
"authorized_official_first_name": "JEREMY",
"authorized_official_title_or_position": "ADMINISTRATOR/VICE-PRESIDENT",
"authorized_official_telephone_number": "330-893-3200"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "OH",
"license": "1607R",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OH",
"license": "4017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.