NPIMap

Organization Active NPI

Kenton Nursing & Rehabilitation Center LLC

Doing business as Kenton Nursing & Rehabilitation Center

  • Skilled Nursing Facility
  • Kenton, OH
National Provider Identifier
1831617745
Registry record updated Aug 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
KENTON NURSING & REHABILITATION CENTER LLC
Doing business as
Kenton Nursing & Rehabilitation Center
Practice address
117 Jacob Parrot Rd
Kenton, OH 43326-9506
Phone
(419) 674-4197
NPI assigned
Aug 31, 2017
Last updated
Aug 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2017

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

Authorized official

Name
Alexander Sherman
Title
Managing Member
Phone
(718) 688-8760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

117 Jacob Parrot Rd
Kenton, OH 43326-9506

Mailing address

1535 Rockaway Pkwy
Brooklyn, NY 11236-4001

Other identifiers 1

IdentifierTypeStateIssuer
1671NOtherODH HOME NUMBER

Other names 1

  • Kenton Nursing & Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180430001153 OH Part A Provider - Skilled Nursing Facility 3870857840 Practice locations: Kenton, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831617745. Details of each certification follow.

Skilled nursing facility certification: CCN 365843

Legal name
KENTON NURSING & REHABILITATION CENTER LLC
Doing business as
KENTON NURSING & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 14, 1991
Last certification
Jul 27, 2023
Beds
125
Ownership / control type
Individual
Most recent change of ownership
Sep 18, 2017
Organization structure
LLCProprietary
Incorporated
Jul 19, 2017 in OH
Enrollment address
117 Jacob Parrot Rd
Kenton, OH 43326-9506
Nursing home name
KENTON NURSING AND REHABILITATION CENTER
Affiliated entity
AOM HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Kenton Nursing and Rehabilitation CenterCCN 365843 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Jun 14, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12589.3 residents per day on average
Chain
Aom Healthcare20 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Zalman Wagschal Individual 5% Or Greater Indirect Ownership Interest Sep 18, 2017 16%
Samuel Sherman Individual 5% Or Greater Direct Ownership Interest Jan 15, 2024 20.5%
Corporate OfficerMember Sep 18, 2017
Jeffery Goldstein Individual 5% Or Greater Direct Ownership Interest Jan 15, 2024 20.5%
Corporate OfficerMember Sep 18, 2017
Serenity Equity Holdings LLC Organization, Brooklyn, NY Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Sep 18, 2017 16%
Sharon I Huston Individual W-2 Managing EmployeeAdministrator Sep 18, 2017
Alexander Sherman Individual 5% Or Greater Direct Ownership Interest Jan 15, 2024 17%
Corporate OfficerMember Sep 18, 2017
Zaleman Horowitz Individual 5% Or Greater Indirect Ownership Interest Sep 18, 2017 5%
ZW Aom Re LLC Organization, Brooklyn, NY Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Sep 18, 2017 16%
Aom Healthcare LLC Organization, Brooklyn, NY LLC Operational/Managerial Control Sep 18, 2018

Facilities with the same owner 8

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

Practitioners & affiliated clinicians

Practitioners 1

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 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": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504137600000",
    "number": "1831617745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 ROCKAWAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 JACOB PARROT RD",
            "city": "KENTON",
            "state": "OH",
            "postal_code": "433269506",
            "telephone_number": "419-674-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTON NURSING & REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2017-08-31",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "718-688-8760"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODH HOME NUMBER",
            "identifier": "1671N",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenton Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenton, OH

Sources for this page

Verify at the official NPI Registry.