NPIMap

Organization Active NPI

City of Wooster

  • Skilled Nursing Facility
  • Wooster, OH
National Provider Identifier
1851665566
Registry record updated May 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CITY OF WOOSTER
Practice address
1761 Beall Ave
Wooster, OH 44691-2342
Phone
(330) 263-8100
Fax
(330) 263-8497
NPI assigned
Feb 27, 2012
Organization subpart
Yes
Parent organization
CITY OF WOOSTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 26, 2013

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

Authorized official

Name
Mr. Scott A Boyes
Title
Chief Financial Officer
Phone
(330) 263-8148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1761 Beall Ave
Wooster, OH 44691-2342

Mailing address

1761 Beall Ave
Wooster, OH 44691-2342
Phone (330) 263-8100

Other names 1

  • Wooster Community Hospital SNF Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120511000521 OH Part A Provider - Skilled Nursing Facility 7810886710 Practice locations: Wooster, OH

Skilled nursing facility certification: CCN 366405

Legal name
CITY OF WOOSTER
Doing business as
WOOSTER COMMUNITY HOSPITAL SNF
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Mar 29, 2013
Last certification
Jan 4, 2024
Beds
22
Ownership / control type
City
Organization structure
OtherNon-profit
Incorporated
Sep 23, 1947 in OH
Enrollment address
1761 Beall Ave
Wooster, OH 44691-2342
Nursing home name
WOOSTER COMMUNITY HOSPITAL SNF

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Wooster Community Hospital SNFCCN 366405
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
Government - City
Certified
Mar 29, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
2219.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
City of Wooster6 organizations share this tax ID, including this one
Part of
City of Wooster

Other organizations with this tax ID 5

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

Locations

2255 Gateway Dr
Wooster, OH 44691
Phone (330) 263-5266

510 N Market St
Wooster, OH 44691
Phone (330) 263-5266

3333 Burbank Rd
Wooster, OH 44691
Phone (330) 263-5266

1799 Beall Ave
Wooster, OH 44691
Phone (330) 263-8756

2326 Eagle Pass
#B
Wooster, OH 44691
Phone (330) 262-0650

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Barbara Bush Individual Operational/Managerial Control Sep 2, 2014
Adp of the SNF Sep 2, 2014
Scott Boyes Individual Corporate OfficerPresident/Ceo Apr 12, 1999
Jerry Packard Individual Corporate DirectorBoard Member Jul 27, 2005
Tai-CHI Kwok Individual Operational/Managerial Control Dec 24, 2014
Adp of the SNF Dec 24, 2004
Danny Wakefield Individual Corporate DirectorBoard Member Feb 24, 1999
David Reynolds Individual Corporate DirectorBoard Member Jan 23, 2019
Craig T Forcell Individual Corporate DirectorBoard Member Dec 1, 2017
Yvonne Williams Individual Corporate DirectorBoard Member Jan 1, 1981
Charles R Kiper Individual Corporate DirectorBoard Member Apr 27, 2011
Alan Ganci Individual Operational/Managerial Control Feb 28, 2024
Adp of the SNF Feb 28, 2024
Tod J Carmony Individual Corporate DirectorBoard Member Jan 31, 2018
City of Wooster Organization, Wooster, OH 5% Or Greater Direct Ownership Interest Nov 16, 2011 100%
Adp of the SNF Nov 16, 2011
Gregory Long Individual Corporate DirectorBoard Member Feb 22, 2012
Robert Reynolds Individual Corporate Director Jan 1, 2024
Jason Rohr Individual Corporate OfficerCfo Jun 20, 2024
Adp of the SNF Jun 20, 2024
Kyle Adams Individual Corporate DirectorBoard Member Dec 5, 2022
Thomas Capek Individual Corporate DirectorBoard Member Jan 1, 1980
Tammy Brooks Individual Corporate DirectorBoard Member Feb 13, 2015

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wooster Community HospitalWooster, OH, CCN 360036 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 23, 1966
Wooster Community HospitalWooster, OH, CCN 36T036 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Wooster Community Hospital Home Health ServicesWooster, OH, CCN 367624 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jan 10, 1995

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 3

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.

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": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369526400000",
    "number": "1851665566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 BEALL AVE",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912342",
            "telephone_number": "330-263-8100",
            "fax_number": "330-263-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 BEALL AVE",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912342",
            "telephone_number": "330-263-8100",
            "fax_number": "330-263-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WOOSTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF WOOSTER",
        "enumeration_date": "2012-02-27",
        "last_updated": "2013-05-26",
        "status": "A",
        "authorized_official_last_name": "BOYES",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "330-263-8148",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wooster Community Hospital SNF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.