NPIMap

Organization Active NPI

Sanctuary Wadsworth LLC

  • Skilled Nursing Facility
  • Wadsworth, OH
National Provider Identifier
1780050393
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1700N Issued in OH
Legal business name
SANCTUARY WADSWORTH LLC
Practice address
365 Johnson Rd
Wadsworth, OH 44281-8609
Phone
(330) 335-1558
Fax
(330) 336-3273
NPI assigned
Aug 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Authorized official

Name
Hayley B Williams
Title
Attorney
Phone
(216) 706-3936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1700N OH Primary

Addresses

Primary practice location

365 Johnson Rd
Wadsworth, OH 44281-8609

Mailing address

365 Johnson Rd
Wadsworth, OH 44281-8609
Phone (330) 335-1558

Other identifiers 1

IdentifierTypeStateIssuer
0142869MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151214001526 OH Part A Provider - Skilled Nursing Facility 8022319284 Practice locations: Wadsworth, OH

Skilled nursing facility certification: CCN 365428

Legal name
SANCTUARY WADSWORTH LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 13, 1979
Last certification
Oct 12, 2023
Beds
79
Ownership / control type
Corporation
Most recent change of ownership
Sep 1, 2015
Organization structure
LLCProprietary
Incorporated
May 18, 2015 in OH
Enrollment address
365 Johnson Rd
Wadsworth, OH 44281-8609
Nursing home name
SANCTUARY WADSWORTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sanctuary WadsworthCCN 365428 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Nov 13, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7967.3 residents per day on average

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
36D0340339Sanctuary Wadsworth LLC365 Johnson Rd, Wadsworth, OH 44281Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Frank Biller Individual Corporate Officer May 18, 2015
Corporate Director May 18, 2015
Charles Mercer Individual W-2 Managing Employee May 18, 2015
Sanctuary Health Network LLC Organization, Parker, CO LLC 5% Or Greater Direct Ownership Interest May 18, 2015 100%

Practitioners & affiliated clinicians

Practitioners 3

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": "1439856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1780050393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 JOHNSON RD",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818609",
            "telephone_number": "330-335-1558",
            "fax_number": "330-336-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 JOHNSON RD",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818609",
            "telephone_number": "330-335-1558",
            "fax_number": "330-336-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCTUARY WADSWORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-18",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "HAYLEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ATTORNEY",
        "authorized_official_telephone_number": "216-706-3936"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1700N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0142869",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadsworth, OH

Sources for this page

Verify at the official NPI Registry.