NPIMap

Organization Active NPI

Pleasant Lake Nursing Home, Inc.

Doing business as Pleasant Lake Villa

  • Skilled Nursing Facility
  • Parma, OH
National Provider Identifier
1811098148
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
3882 Issued in OH
Legal business name
PLEASANT LAKE NURSING HOME, INC.
Doing business as
Pleasant Lake Villa
Practice address
7260 Ridge Rd
Parma, OH 44129-6636
Phone
(216) 898-8399
Fax
(216) 898-8455
NPI assigned
Sep 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bruce Daskal
Title
President/Ceo
Phone
(216) 898-8399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 3882 OH Primary

Addresses

Primary practice location

7260 Ridge Rd
Parma, OH 44129-6636

Mailing address

12380 Plaza Dr
Parma, OH 44130-1043
Phone (216) 898-8399

Other identifiers 1

IdentifierTypeStateIssuer
0682702MedicaidOH

Other names 1

  • PLEASANT LAKE VILLA Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100317000004 OH Part A Provider - Skilled Nursing Facility 4981739935 Practice locations: Parma, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811098148. Details of each certification follow.

Skilled nursing facility certification: CCN 365706

Legal name
PLEASANT LAKE NURSING HOME, INC.
Doing business as
PLEASANT LAKE VILLA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 18, 1987
Last certification
Jun 6, 2024
Beds
209
Ownership / control type
Corporation
Multi-facility organization
Legacy Health Services
Organization structure
CorporationProprietary
Incorporated
Sep 8, 1982 in OH
Enrollment address
7260 Ridge Rd
Parma, OH 44129-6636
Nursing home name
PLEASANT LAKE VILLA
Affiliated entity
LEGACY HEALTH SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pleasant Lake VillaCCN 365706 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Nov 18, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
209176.9 residents per day on average
Chain
Legacy Health Services10 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Pleasant Lake Nursing Home Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Lionsview Opco NR LLC Organization, Lawrence, NY LLC 5% Or Greater Indirect Ownership Interest Jul 6, 2022 15.6%
Chavos221 Holdings LLC Organization, Chicago, IL Holding company 5% Or Greater Indirect Ownership Interest Jul 6, 2022 40%
Barry Stump Individual Corporate OfficerTreasurer May 14, 1998
W-2 Managing EmployeeCfo May 7, 2019
CC Oh10 Opco LLC Organization, Lawrence, NY LLC 5% Or Greater Indirect Ownership Interest Jul 6, 2022 39.4%
Sapphire143 Holdings LLC Organization, Valley Stream, NY Holding company 5% Or Greater Indirect Ownership Interest Jul 6, 2022 19.5%
Living26 Irrv TR Organization, Lawrence, NY 5% Or Greater Indirect Ownership Interest Jul 6, 2022 18%
Living26 Holdings LLC Organization, Lawrence, NY Holding company 5% Or Greater Indirect Ownership Interest Jul 6, 2022 19.5%
Eliav Sharvit Individual Corporate OfficerSecretary Jun 22, 2007
Oh 10 Holdco LLC Organization, Evanston, IL Holding company 5% Or Greater Direct Ownership Interest Jul 6, 2022 100%
Sapphire143 Irrv TR Organization, Valley Stream, NY 5% Or Greater Indirect Ownership Interest Jul 6, 2022 18%
Lionsview SC LLC Organization, Lawrence, NY LLC 5% Or Greater Indirect Ownership Interest Jul 6, 2022 5%
Chavos221 Irrv TR Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jul 6, 2022 38%

Facilities with the same owner 10

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

  • 3G Operating Company LLC

    dba Wickliffe Country Place

    • Skilled Nursing Facility
    • Wickliffe, OH
    • NPI 1699773283

    CC Oh10 Opco LLC, Chavos221 Holdings LLC, Chavos221 Irrv TR, Lionsview Opco NR LLC, Lionsview SC LLC, Living26 Irrv TR, Oh 10 Holdco LLC, Sapphire143 Holdings LLC, Sapphire143 Irrv TR

    CMS ownership
  • Broadview Nursing Home Inc

    dba Broadview Multi-Care Center

    • Skilled Nursing Facility
    • Parma, OH
    • NPI 1508853383

    CC Oh10 Opco LLC, Chavos221 Holdings LLC, Lionsview Opco NR LLC, Lionsview SC LLC, Living26 Irrv TR, Oh 10 Holdco LLC, Sapphire143 Holdings LLC, Sapphire143 Irrv TR

    CMS ownership
  • C a S Health Investors, Inc.

    dba Cedarwood Plaza

    • Skilled Nursing Facility
    • Cleveland HTS, OH
    • NPI 1366543654

    CC Oh10 Opco LLC, Chavos221 Holdings LLC, Chavos221 Irrv TR, Lionsview Opco NR LLC, Lionsview SC LLC, Living26 Irrv TR, Oh 10 Holdco LLC, Sapphire143 Holdings LLC, Sapphire143 Irrv TR

    CMS ownership
  • Continuum Care Hospice LLC

    dba Continuum Care Hospice

    • Community Based Hospice Care Agency
    • Parma, OH
    • NPI 1891994653

    Chavos221 Holdings LLC, Lionsview Opco NR LLC, Lionsview SC LLC

    CMS ownership
  • Euclid Hill Health Investors, Inc.

    dba Hillside Plaza

    • Skilled Nursing Facility
    • Cleveland, OH
    • NPI 1528169836

    CC Oh10 Opco LLC, Chavos221 Holdings LLC, Chavos221 Irrv TR, Lionsview Opco NR LLC, Lionsview SC LLC, Living26 Irrv TR, Oh 10 Holdco LLC, Sapphire143 Holdings LLC, Sapphire143 Irrv TR

    CMS ownership
  • Franklin Boulevard Nursing Home, Inc.

    dba Franklin Plaza

    • Skilled Nursing Facility
    • Cleveland, OH
    • NPI 1235230533

    CC Oh10 Opco LLC, Chavos221 Holdings LLC, Chavos221 Irrv TR, Lionsview Opco NR LLC, Lionsview SC LLC, Living26 Irrv TR, Oh 10 Holdco LLC, Sapphire143 Holdings LLC, Sapphire143 Irrv TR

    CMS ownership
  • Mapleview Operating Company LLC

    dba Mapleview Country Villa

    • Skilled Nursing Facility
    • Chardon, OH
    • NPI 1790179497

    CC Oh10 Opco LLC, Chavos221 Holdings LLC, Chavos221 Irrv TR, Lionsview Opco NR LLC, Lionsview SC LLC, Living26 Irrv TR, Oh 10 Holdco LLC, Sapphire143 Holdings LLC, Sapphire143 Irrv TR

    CMS ownership
  • Middleburg-Legacy Place, LLC

    dba Parkside Villa

    • Skilled Nursing Facility
    • Cleveland, OH
    • NPI 1619078938

    CC Oh10 Opco LLC, Chavos221 Holdings LLC, Chavos221 Irrv TR, Lionsview Opco NR LLC, Lionsview SC LLC, Living26 Irrv TR, Oh 10 Holdco LLC, Sapphire143 Holdings LLC, Sapphire143 Irrv TR

    CMS ownership
  • Oregon Health Investors, Company

    dba Orchard Villa

    • Skilled Nursing Facility
    • Oregon, OH
    • NPI 1114028420

    CC Oh10 Opco LLC, Chavos221 Holdings LLC, Chavos221 Irrv TR, Lionsview Opco NR LLC, Lionsview SC LLC, Living26 Irrv TR, Oh 10 Holdco LLC, Sapphire143 Holdings LLC, Sapphire143 Irrv TR

    CMS ownership
  • Ridge-Pleasant Valley, Inc.

    dba Pleasantview Care Center

    • Skilled Nursing Facility
    • Parma, OH
    • NPI 1255432589

    CC Oh10 Opco LLC, Chavos221 Holdings LLC, Chavos221 Irrv TR, Lionsview Opco NR LLC, Lionsview SC LLC, Living26 Irrv TR, Oh 10 Holdco LLC, Sapphire143 Holdings LLC, Sapphire143 Irrv TR

    CMS ownership

Practitioners & affiliated clinicians

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.

Affiliated clinicians 5

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811098148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12380 PLAZA DR",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441301043",
            "telephone_number": "216-898-8399",
            "fax_number": "216-898-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7260 RIDGE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441296636",
            "telephone_number": "216-898-8399",
            "fax_number": "216-898-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT LAKE NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DASKAL",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "216-898-8399"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "3882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0682702",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLEASANT LAKE VILLA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.