Active NPI
Altercare, Inc.
Doing business as The Northridge Health Center
- Skilled Nursing Facility
- North Ridgeville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 3546
- Legal business name
- ALTERCARE, INC.
- Doing business as
- The Northridge Health Center
- Practice address
- 35990 Westminister Ave
North Ridgeville, OH 44039-1373 - Phone
- (440) 327-8511
- Fax
- (440) 327-8798
- NPI assigned
- Jan 24, 2007
- Last updated
- Aug 26, 2007
- 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
- Dr. Robert A. Wickes, DVM
- Title
- President
- Phone
- (330) 468-1200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 3546 | OR | Primary |
Addresses
Primary practice location
35990 Westminister Ave
North Ridgeville, OH 44039-1373
Mailing address
35990 Westminister Ave
North Ridgeville, OH 44039-1373
Phone (440) 327-8511
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3546 | Other | OH | OHIO DEPT. OF HEALTH |
| 0572376 | Medicaid | OH |
Other names 1
- The Northridge Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080801000622 | OH | Part A Provider - Skilled Nursing Facility | 2567536931 | Practice locations: North Ridgeville, OH |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1851446371. Details of each certification follow.
Skilled nursing facility certification: CCN 365645
- Legal name
- ALTERCARE, INC.
- Doing business as
- THE NORTHRIDGE HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 20, 1984
- Last certification
- Feb 6, 2025
- Beds
- 96
- Ownership / control type
- Individual
- Multi-facility organization
- EMBASSY HEALTHCARE
- Organization structure
- Corporation
- Incorporated
- Aug 5, 1983 in OH
- Enrollment address
- 35990 Westminister Ave
North Ridgeville, OH 44039-1373
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Northridge Rehabilitation and Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Dec 20, 1984
- Medicare certification status
- Active
- Certified beds
- 96
National Provider Directory
National Provider Directory- Tax ID family
- Altercare Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Northridge Health Center
- Clinical Medical Laboratory
- North Ridgeville, OH
- NPI 1285936658
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Raymond Hephner | 5% Or Greater Direct Ownership Interest | Aug 1, 1984 | 7.3% |
| Corporate Officer | Aug 1, 1983 | ||
| Corporate Director | Aug 1, 1984 | ||
| James Ringer | 5% Or Greater Direct Ownership Interest | Aug 1, 1983 | 5.48% |
| James Joseph | 5% Or Greater Direct Ownership Interest | Aug 1, 1984 | 6.9% |
| Corporate Officer | Aug 1, 1983 | ||
| Corporate Director | Aug 1, 1984 | ||
| Robert Wickes Estate | 5% Or Greater Direct Ownership Interest | Aug 1, 1984 | 23% |
| Jennifer Penny | 5% Or Greater Direct Ownership Interest | Aug 1, 1983 | 8.74% |
| Aaron B Handler | W-2 Managing Employee | May 1, 2009 | |
| Peter Bernharat | 5% Or Greater Indirect Ownership Interest | Nov 9, 2021 | 23% |
| Ronald Papajcik | 5% Or Greater Direct Ownership Interest | Aug 1, 1984 | 2.27% |
| Corporate Officer | Aug 1, 1983 | ||
| Corporate Director | Aug 1, 1984 | ||
| Steven Heiser | 5% Or Greater Direct Ownership Interest | Aug 1, 1983 | 5% |
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba Northridge Health Center
- Clinical Medical Laboratory
- North Ridgeville, OH
- NPI 1285936658
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Internal Medicine Physician
- Middleburg Heights, OH
- NPI 1225008618
-
- Internal Medicine Physician
- Avon, OH
- NPI 1659363752
-
- Internal Medicine Physician
- North Chicago, IL
- NPI 1710398540
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Middleburg Heights, OH
- NPI 1225008618
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188086400000",
"number": "1851446371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35990 WESTMINISTER AVE",
"city": "NORTH RIDGEVILLE",
"state": "OH",
"postal_code": "440391373",
"telephone_number": "440-327-8511",
"fax_number": "440-327-8598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35990 WESTMINISTER AVE",
"city": "NORTH RIDGEVILLE",
"state": "OH",
"postal_code": "440391373",
"telephone_number": "440-327-8511",
"fax_number": "440-327-8798"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALTERCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2007-08-26",
"status": "A",
"authorized_official_last_name": "WICKES",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "330-468-1200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DVM"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OR",
"license": "3546",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO DEPT. OF HEALTH",
"identifier": "3546",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0572376",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Northridge Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Ridgeville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2007; 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.