Active NPI
Ohio Living Quaker Heights
- Skilled Nursing Facility
- Waynesville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- OHIO LIVING QUAKER HEIGHTS
- Practice address
- 514 High St
Waynesville, OH 45068-9784 - Phone
- (937) 897-6050
- Fax
- (937) 897-6052
- NPI assigned
- Feb 22, 2006
- 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
- Laurence C Gumina
- Title
- Ceo
- Phone
- (614) 888-7800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
514 High St
Waynesville, OH 45068-9784
Mailing address
9200 Worthington Rd Ste 300
Westerville, OH 43082-7240
Phone (614) 888-7800
Other practice location 1
514 High St
Waynesville, OH 45068-9784
Phone (937) 897-6050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0194196 | Medicaid | OH | |
| 1511N | Other | OH | OHIO DEPARTMENT OF HEALTH |
Other names 1
- OHIO LIVING QUAKER HEIGHTS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091118000077 | OH | Part A Provider - Skilled Nursing Facility | 6709924475 | Practice locations: Waynesville, OH |
Skilled nursing facility certification: CCN 365974
- Legal name
- OHIO LIVING QUAKER HEIGHTS
- Doing business as
- DBA MOBILEXUSA
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1994
- Last certification
- Nov 8, 2023
- Beds
- 66
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- OHIO LIVING
- Organization structure
- Corporation
- Incorporated
- Jun 20, 1904 in OH
- Enrollment address
- 514 High St
Waynesville, OH 45068-9784 - Nursing home name
- OHIO LIVING QUAKER HEIGHTS
- Affiliated entity
- OHIO LIVING COMMUNITIES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Ohio Living Quaker Heights
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jul 1, 1994
- Medicare certification status
- Active
- Certified beds
- 66
- Chain
- Ohio Living Communities
National Provider Directory
National Provider Directory- Tax ID family
- Ohio Living Quaker Heights
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Waynesville, OH
- NPI 1376073627
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Ownership & related parties
All disclosed owners & managing parties 15
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 |
|---|---|---|---|
| Terry White | Corporate Director | Oct 1, 2019 | |
| Adp of the SNF | Nov 19, 2024 | ||
| Melissa Ingwersen | Corporate Director | Jul 1, 2022 | |
| Adp of the SNF | Nov 19, 2024 | ||
| Laurence C Gumina | Corporate Officer | Oct 1, 2019 | |
| Adp of the SNF | Apr 1, 2025 | ||
| Adp of the SNF | Mar 31, 2025 | ||
| Intelycare Inc | Adp of the SNF | Sep 14, 2019 | |
| Robert B Stillman | Corporate Officer | Apr 15, 2013 | |
| James Joyce | Corporate Director | Jul 1, 2010 | |
| Drew Burnett | Operational/Managerial Control | May 2, 2022 | |
| Adp of the SNF | May 2, 2022 | ||
| Holly Papanek | Operational/Managerial Control | May 1, 2019 | |
| Adp of the SNF | May 1, 2019 | ||
| Leslie Belfance | Corporate Officer | Jan 1, 2023 | |
| Sandra M. Adam | Corporate Director | Oct 1, 2019 | |
| Adp of the SNF | Nov 14, 2024 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Dayton, OH
- NPI 1245303932
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Waynesville, OH
- NPI 1619953742
-
- Internal Medicine Physician
- Dayton, OH
- NPI 1245303932
-
- Physician Assistant
- Centerville, OH
- NPI 1023665619
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Cincinnati, OH
- NPI 1639185770
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": "1140566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765843200000",
"number": "1821063975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 WORTHINGTON RD STE 300",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430827240",
"telephone_number": "614-888-7800",
"fax_number": "614-888-6864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 HIGH ST",
"city": "WAYNESVILLE",
"state": "OH",
"postal_code": "450689784",
"telephone_number": "937-897-6050",
"fax_number": "937-897-6052"
}
],
"practiceLocations": [
{
"address_1": "514 High St",
"address_purpose": "LOCATION",
"city": "Waynesville",
"state": "OH",
"postal_code": "450689784",
"country_code": "US",
"telephone_number": "937-897-6050",
"fax_number": "937-897-6052",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "OHIO LIVING QUAKER HEIGHTS",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-22",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A",
"authorized_official_last_name": "GUMINA",
"authorized_official_first_name": "LAURENCE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "614-888-7800"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0194196",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO DEPARTMENT OF HEALTH",
"identifier": "1511N",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "OHIO LIVING QUAKER HEIGHTS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Waynesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.