Active NPI
350 Lahm Drive Operating Company Inc
- Skilled Nursing Facility
- Hopedale, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2076N
- Legal business name
- 350 LAHM DRIVE OPERATING COMPANY INC
- Practice address
- 350 Lahm Dr
Hopedale, OH 43976-9761 - Phone
- (740) 937-2900
- Fax
- (740) 937-2939
- NPI assigned
- Sep 30, 2005
- 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
- Mr. Kevin Case, LNHA
- Title
- Administrator
- Phone
- (740) 937-2900
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 2076N | OH | |
| Skilled Nursing Facility | 314000000X | 2076N | OH | Primary |
Addresses
Primary practice location
350 Lahm Dr
Hopedale, OH 43976-9761
Mailing address
350 Lahm Dr
Hopedale, OH 43976-9761
Phone (740) 937-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2524469 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051203000038 | OH | Part A Provider - Skilled Nursing Facility | 4284654336 | Practice locations: Hopedale, OH |
Skilled nursing facility certification: CCN 366052
- Legal name
- 350 LAHM DRIVE OPERATING COMPANY INC
- Doing business as
- GABLES CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 3, 1996
- Last certification
- Apr 12, 2024
- Beds
- 86
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- Corporation
- Incorporated
- Apr 2, 2004 in OH
- Enrollment address
- 350 Lahm Drive
Hopedale, OH 43976-9761 - Nursing home name
- GABLES CARE CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Gables Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Apr 3, 1996
- Medicare certification status
- Active
- Certified beds
- 86
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0913486 | Gables Care Center | Certificate of waiver | Apr 1, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Kenneth J Bernsen | 5% Or Greater Direct Ownership Interest | Jan 1, 2005 | 25% |
| Corporate Officer | Jan 1, 2005 | 25% | |
| Corporate Director | Jan 1, 2005 | 25% | |
| W-2 Managing Employee | Jan 1, 2005 | 100% | |
| Kara Bernsen | 5% Or Greater Direct Ownership Interest | Jan 1, 2005 | 25% |
| Corporate Officer | Jan 1, 2005 | 25% | |
| Corporate Director | Jan 1, 2005 | 25% | |
| Joshua Huff | 5% Or Greater Direct Ownership Interest | Jan 1, 2005 | 25% |
| Corporate Officer | Jan 1, 2005 | 25% | |
| Corporate Director | Jan 1, 2005 | 25% | |
| Capital Health Services Inc | 5% Or Greater Direct Ownership Interest | Sep 1, 2005 | 100% |
| Sarah Manning | 5% Or Greater Direct Ownership Interest | Jan 1, 2005 | 25% |
| Corporate Officer | Jan 1, 2005 | 25% | |
| Corporate Director | Jan 1, 2005 | 25% |
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Bowerston, OH
- NPI 1154674513
Capital Health Services Inc
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Steubenville, OH
- NPI 1609867258
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Steubenville, OH
- NPI 1609867258
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354579200000",
"number": "1790772291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 LAHM DR",
"city": "HOPEDALE",
"state": "OH",
"postal_code": "439769761",
"telephone_number": "740-937-2900",
"fax_number": "740-937-2939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 LAHM DR",
"city": "HOPEDALE",
"state": "OH",
"postal_code": "439769761",
"telephone_number": "740-937-2900",
"fax_number": "740-937-2939"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "350 LAHM DRIVE OPERATING COMPANY INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-30",
"last_updated": "2012-12-04",
"status": "A",
"authorized_official_last_name": "CASE",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "740-937-2900",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LNHA"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "OH",
"license": "2076N",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OH",
"license": "2076N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2524469",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hopedale, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.