Milcrest Healthcare Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1361N Issued in OH

Legal business name

MILCREST HEALTHCARE INC

Practice address

730 Millcrest Dr
Marysville, OH 43040-1833

Phone

(937) 642-1026

Fax

(937) 642-0177

NPI assigned

Jul 19, 2017

Organization subpart

No

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

Authorized official

Name

Hayley B Williams

Title

Attorney

Phone

(216) 706-3936

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Skilled nursing facility certification: CCN 365605

Legal name

MILCREST HEALTHCARE INC

Doing business as

MILCREST NURSING CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Aug 1, 1984

Last certification

Apr 10, 2025

Beds

50

Ownership / control type

Individual

Most recent change of ownership

Aug 1, 2017

Organization structure

CorporationProprietary

Incorporated

Apr 27, 2017 in OH

Enrollment address

730 Millcrest Dr
Marysville, OH 43040-1833

Nursing home name

MILCREST NURSING CENTER

Affiliated entity

COUNTRY CLUB REHABILITATION CAMPUS

Listed as

Milcrest Nursing CenterCCN 365605

Overall star rating

3 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Individual

Certified

Aug 1, 1984

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5046.4 residents per day on average

Chain

Country Club Rehabilitation Campus7 facilities in the chain

Penalties (3 years)

1Fines totaling $68,006

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Milcrest Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Milcrest Healthcare Inc

  • Assisted Living Facility
  • Marysville, OH
  • NPI 1902404890
  NPD tax ID

All disclosed owners & managing parties 3

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

Owners & managing parties with NPI records 1

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

• Lyle Terrance Olson, M.D.

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1053373217

  Adp of the SNF, W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lyle Terrance Olson, M.D.

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1053373217
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Lyle Terrance Olson, M.D.

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1053373217

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500508800000",
    "number": "1871016139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 SUNSET COVE DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442566788",
            "telephone_number": "216-536-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 MILLCREST DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401833",
            "telephone_number": "937-642-1026",
            "fax_number": "937-642-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILCREST HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2017-07-20",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "HAYLEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ATTORNEY",
        "authorized_official_telephone_number": "216-706-3936"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1361N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Halasa, DDS
• Mid-Ohio Radiology, Inc.
• Joshua B Middleton, RN
• Midwest Care Marysville LLC
• Midwest Footcare, Inc.
• Milcrest Healthcare Inc
• Michele Hope Miley-Scott, LCDC III, SWA
• Mill Valley Pediatrics, Inc.
• Millcrest Healthcare Group, Inc.
• Don Dudley Miller, DDS

• Skilled Nursing Facility in Marysville, OH
• Providers in Marysville, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; 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.

Verify at the official NPI Registry.