Organization Active NPI

Carroll Healthcare Center Inc

  • Nursing Facility/Intermediate Care Facility
  • Carroliton, OH
National Provider Identifier
1861478174
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
5021 Issued in OH
Legal business name
CARROLL HEALTHCARE CENTER INC
Practice address
648 Longhorn Street NW
Carroliton, OH 44615-9471
Phone
(330) 627-5501
Fax
(330) 627-3649
NPI assigned
Dec 19, 2005
Last updated
Aug 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Authorized official

Name
Mr. Stacey Allen Howell
Title
Nha
Phone
(330) 965-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 5021 OH Primary

Addresses

Primary practice location

648 Longhorn Street NW
Carroliton, OH 44615-9471

Mailing address

648 Longhorn St NW
Carrollton, OH 44615-9469
Phone (330) 627-5501

Other identifiers 1

IdentifierTypeStateIssuer
0430028MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071119000228 OH Part A Provider - Skilled Nursing Facility 2860580222 Practice locations: Carrollton, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861478174. Details of each certification follow.

Skilled nursing facility certification: CCN 365579

Legal name
CARROLL HEALTHCARE CENTER INC
Doing business as
CARROLL HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 11, 1982
Last certification
May 8, 2025
Beds
52
Ownership / control type
Corporation
Multi-facility organization
inspira health group
Organization structure
CorporationProprietary
Incorporated
May 23, 1978 in OH
Enrollment address
648 Longhorn St NW
Carrollton, OH 44615-9469
Nursing home name
CARROLL HEALTHCARE CENTER INC

Care Compare: Nursing home

Medicare Care Compare
Listed as
Carroll Healthcare Center IncCCN 365579 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 11, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5248.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0342667Carroll Healthcare Center Inc648 Longhorn Street, NW, Carrollton, OH 44615Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
Individual Adp of the SNF Aug 5, 2024
JCTH Holdings, Inc. Organization, Canfield, OH Corporation, Management services company, For-profit Operational/Managerial Control Sep 10, 2007
Individual Adp of the SNF Nov 16, 2020
Organization, Carrollton, OH LLC, For-profit Adp of the SNF Apr 16, 2018
Michael T Huber Individual 5% Or Greater Direct Ownership Interest Dec 21, 2018 25%
Corporate DirectorDirector Dec 21, 2018
Managing Control - Governing BodyDirector Dec 21, 2018
Adp of the SNF Dec 21, 2018
Wesbanco Bank, Inc. Organization, Weirton, WV Corporation, Financial institution, For-profit, Owned by another organization or individual 5% Or Greater Mortgage Interest Nov 4, 2015 50%
Individual Adp of the SNF Apr 1, 1995
Organization, Canfield, OH LLC, For-profit Adp of the SNF Apr 15, 2025
Individual Adp of the SNF Oct 12, 2015
Individual Adp of the SNF Jan 31, 2017
Nicholas Berardino Individual 5% Or Greater Direct Ownership Interest Dec 21, 2018 25%
Corporate OfficerCfo Dec 21, 2018
Operational/Managerial Control Dec 21, 2018
Managing Control - Governing BodyDirector Dec 21, 2018
Adp of the SNF Dec 21, 2018
Individual Adp of the SNF May 5, 1996
Brian McClain Individual Operational/Managerial Control Jan 22, 2019
Adp of the SNF Apr 9, 2025
Individual Adp of the SNF Feb 1, 2007
Larry Petrozzi Individual 5% Or Greater Direct Ownership Interest Dec 21, 2018 25%
Corporate DirectorDirector Dec 21, 2018
Managing Control - Governing BodyDirector Dec 21, 2018
Adp of the SNF Dec 21, 2018
Individual Adp of the SNF May 1, 1995
Individual Adp of the SNF Oct 25, 2002
Individual Adp of the SNF Oct 24, 2017
Joseph Cilone Individual 5% Or Greater Direct Ownership InterestPresident Dec 21, 2018 25%
Corporate OfficerPresident Jan 1, 2014 20%
Corporate DirectorPresident Jan 1, 2014 100%
Operational/Managerial Control Jan 1, 2014
Managing Control - Governing BodyDirector Jan 1, 2014
Adp of the SNF Dec 21, 2018
Nicole Jones Individual Operational/Managerial Control Oct 8, 2018
Adp of the SNF Nov 2, 1982
Individual Adp of the SNF Apr 1, 2020
Kaitlyn Mangan Individual Operational/Managerial Control Mar 27, 2018
Adp of the SNF Mar 27, 2018
Individual Adp of the SNF May 24, 2004

Owners & managing parties with NPI records 1

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

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1861478174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 LONGHORN ST NW",
            "city": "CARROLLTON",
            "state": "OH",
            "postal_code": "446159469",
            "telephone_number": "330-627-5501",
            "fax_number": "330-627-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 LONGHORN STREET NW",
            "city": "CARROLITON",
            "state": "OH",
            "postal_code": "446159471",
            "telephone_number": "330-627-5501",
            "fax_number": "330-627-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL HEALTHCARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2019-08-20",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "NHA",
        "authorized_official_telephone_number": "330-965-9200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OH",
            "license": "5021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0430028",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.