Main Street Care Center, LTD.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2462N Issued in OH

Legal business name

MAIN STREET CARE CENTER, LTD.

Practice address

500 Community Dr
Avon Lake, OH 44012-3313

Phone

(440) 930-6600

Fax

(440) 930-1801

NPI assigned

Jan 23, 2008

Last updated

Mar 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark Sprenger

Title

Executive VP and Cio

Phone

(440) 989-5200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780861682. Details of each certification follow.

• CCN 365865 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 365865

Legal name

MAIN STREET CARE CENTER, LTD.

Doing business as

MAIN STREET CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 1, 1992

Last certification

Jun 6, 2024

Beds

120

Ownership / control type

Corporation

Multi-facility organization

Sprenger Healthcare

Organization structure

LLCProprietary

Incorporated

May 31, 2007 in OH

Enrollment address

500 Community Dr
Avon Lake, OH 44012-3313

Nursing home name

MAIN STREET CARE CENTER

Affiliated entity

SPRENGER HEALTH CARE SYSTEMS

Listed as

Main Street Care CenterCCN 365865 · All quality measures

Overall star rating

3 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

May 1, 1992

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

120111.4 residents per day on average

Chain

Sprenger Health Care Systems12 facilities in the chain

Penalties (3 years)

1Fines totaling $16,801

Processed by Care Compare on Aug 1, 2026.

Locations

All disclosed owners & managing parties 44

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

Owners & managing parties with NPI records 1

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

• Bassem Zraik, MD

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1548542491

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 12

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

• Amherst Manor, Inc.

  • Skilled Nursing Facility
  • Amherst, OH
  • NPI 1598755951

  Bluesky Healthcare Inc, CMS & Co. Management Services, Inc.

  CMS ownership
• Anchor Lodge Nursing Home, Inc.

  • Skilled Nursing Facility
  • Lorain, OH
  • NPI 1962492751

  Bluesky Healthcare Inc, CMS & Co. Management Services, Inc.

  CMS ownership
• Autumn Aegis, Inc

  • Skilled Nursing Facility
  • Lorain, OH
  • NPI 1639169493

  Bluesky Healthcare Inc, CMS & Co. Management Services, Inc.

  CMS ownership
• Elms Retirement Village, Inc.

  • Skilled Nursing Facility
  • Wellington, OH
  • NPI 1518957000

  Bluesky Healthcare Inc, CMS & Co. Management Services, Inc.

  CMS ownership
• GV Manor Inc

  • Skilled Nursing Facility
  • Twinsburg, OH
  • NPI 1477699742

  Bluesky Healthcare Inc, CMS & Co. Management Services, Inc.

  CMS ownership
• Heather Knoll Retirement Village Inc

  • Skilled Nursing Facility
  • Tallmadge, OH
  • NPI 1376533877

  Bluesky Healthcare Inc, CMS & Co. Management Services, Inc.

  CMS ownership
• Rose Lane Health and Rehabilitation Inc.

  dba Rose Lane Nursing and Rehabilitation

  • Skilled Nursing Facility
  • Massillon, OH
  • NPI 1487959391

  Bluesky Healthcare Inc, CMS & Co. Management Services, Inc.

  CMS ownership
• Sprenger Hospice, Inc.

  • Community Based Hospice Care Agency
  • Lorain, OH
  • NPI 1629320270

  Bluesky Healthcare Inc

  CMS ownership
• Village of the Falls, Inc.

  • Skilled Nursing Facility
  • Olmsted Falls, OH
  • NPI 1639713712

  CMS & Co. Management Services, Inc.

  CMS ownership
• Hendersonville Health and Rehabilitation

  • Skilled Nursing Facility
  • Flat Rock, NC
  • NPI 1578715504

  Bluesky Healthcare Inc

  CMS ownership
• Sprenger Healthcare of Bluffton, Inc

  • Skilled Nursing Facility
  • Okatie, SC
  • NPI 1649764119

  CMS & Co. Management Services, Inc.

  CMS ownership
• Sprenger Healthcare of Port Royal, Inc

  • Skilled Nursing Facility
  • Port Royal, SC
  • NPI 1649782921

  CMS & Co. Management Services, Inc.

  CMS ownership

Practitioners 5

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.

• Valerie Ann Erdman, D.O.

  • Internal Medicine Physician
  • Beachwood, OH
  • NPI 1598083628
  NPD (past)
• Anthony Miniaci, DO

  • Internal Medicine Physician
  • Independence, OH
  • NPI 1679073001
  NPD (past)
• Christopher Joseph Thomas, DO

  • Internal Medicine Physician
  • Mason, OH
  • NPI 1427579283
  NPD (past)
• Maidana Vacca, M.D.

  • Internal Medicine Physician
  • Independence, OH
  • NPI 1326297706
  NPD (past)
• Bassem Zraik, MD

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1548542491
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Anthony Miniaci, DO

  • Internal Medicine Physician
  • Independence, OH
  • NPI 1679073001

  Nursing home

  Care Compare affiliation
• Maidana Vacca, M.D.

  • Internal Medicine Physician
  • Independence, OH
  • NPI 1326297706

  Nursing home

  Care Compare affiliation
• Bassem Zraik, MD

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1548542491

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1780861682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 OBERLIN AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440532838",
            "telephone_number": "440-989-5200",
            "fax_number": "440-989-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 COMMUNITY DR",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440123313",
            "telephone_number": "440-930-6600",
            "fax_number": "440-930-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET CARE CENTER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "SPRENGER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE VP AND CIO",
        "authorized_official_telephone_number": "440-989-5200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "2462N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2789380",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Lightfoot
• Lorain Manor, Inc. (Main Street Care Center)
• Rachel Lovati, PT DPT
• Lisa A Loveless, OTR/L
• Christin Lucas
• Christina D Makowski, M.A.,CCC-SLP
• Catherine Malinda
• Anita Maraldo
• Florence Beth Matyas, MD
• Stephanie Elizabeth Mauer, DACCHM, LAC

• Skilled Nursing Facility in Avon Lake, OH
• Providers in Avon Lake, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.

Verify at the official NPI Registry.