NPIMap

Organization Active NPI

White Oak Rehabilitation and Nursing at Divine LLC

  • Skilled Nursing Facility
  • Toledo, OH
National Provider Identifier
1790266005
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WHITE OAK REHABILITATION AND NURSING AT DIVINE LLC
Practice address
4420 South Ave
Toledo, OH 43615-6417
Phone
(419) 531-4201
Fax
(419) 531-3607
NPI assigned
Aug 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Hayley Williams
Title
General Counsel
Phone
(216) 706-3936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

4420 South Ave
Toledo, OH 43615-6417

Mailing address

4420 South Ave
Toledo, OH 43615-6417
Phone (419) 531-4201

Other names 1

  • Continuing Healthcare of Toledo, LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181205000480 OH Part A Provider - Skilled Nursing Facility 6507100369 Practice locations: Toledo, OH

Skilled nursing facility certification: CCN 365488

Legal name
CONTINUING HEALTHCARE OF TOLEDO LLC
Doing business as
CONTINUING HEALTHCARE OF TOLEDO
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 9, 1980
Last certification
Aug 15, 2024
Beds
75
Ownership / control type
Limited Liability Corporation
Multi-facility organization
DIVINE HEALTHCARE MANAGEMENT
Most recent change of ownership
Sep 20, 2018
Organization structure
LLCProprietary
Incorporated
Aug 16, 2018 in OH
Enrollment address
4420 South Ave
Toledo, OH 43615-6417
Nursing home name
CONTINUING HEALTHCARE OF TOLEDO
Affiliated entity
DIVINE HEALTHCARE MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Continuing Healthcare of ToledoCCN 365488 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 9, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7566.1 residents per day on average
Chain
Divine Healthcare Management9 facilities in the chain
Penalties (3 years)
1Fines totaling $21,598

Processed by Care Compare on Aug 1, 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
Isaak Markovits Individual 5% Or Greater Indirect Ownership InterestManager and Member Jul 1, 2021 50%
Corporate OfficerPresident Jul 1, 2021 50%
Corporate DirectorDirector Jul 1, 2021 50%
W-2 Managing EmployeeCfo Jul 1, 2021 100%
Ilan Richland Individual 5% Or Greater Indirect Ownership InterestManager and Member Jul 1, 2021 50%
Corporate OfficerVice President Jul 1, 2021 50%
Corporate DirectorDirector Jul 1, 2021 50%
Divine Rehabilitation and Nursing at Swan Creek LLC Organization, Toledo, OH Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Jul 1, 2021 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 1

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": "1535068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1790266005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 SOUTH AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436156417",
            "telephone_number": "419-531-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 SOUTH AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436156417",
            "telephone_number": "419-531-4201",
            "fax_number": "419-531-3607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAK REHABILITATION AND NURSING AT DIVINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-24",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "HAYLEY",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "216-706-3936"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Continuing Healthcare of Toledo, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.