St. Edward Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1181N Issued in OH

Legal business name

ST. EDWARD HOME

Practice address

3131 Smith Rd
Fairlawn, OH 44333-2613

Phone

(330) 666-1183

Fax

(330) 666-2721

NPI assigned

Nov 21, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Brian Renkas, CPA

Title

V.P. Finance/Cfo

Phone

(330) 666-1183

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Village at St. Edward Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Skilled nursing facility certification: CCN 365836

Legal name

ST. EDWARD HOME

Doing business as

THE VILLAGE AT ST EDWARD

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 1, 1991

Last certification

Dec 12, 2024

Beds

81

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 14, 1970 in OH

Enrollment address

3131 Smith Rd
Fairlawn, OH 44333-2613

Nursing home name

VILLAGE AT ST EDWARD NRSG CARE

Listed as

Village at St Edward NRSG CareCCN 365836

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jul 1, 1991

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8176.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Tax ID family

St Edward Home2 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.

• St. Edward Home

  • Assisted Living Facility
  • Fairlawn, OH
  • NPI 1649027459
  NPD tax ID

All disclosed owners & managing parties 17

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.

• Joan Maser, LISW

  • Clinical Social Worker
  • Solon, OH
  • NPI 1972224715

  Corporate Director

  CMS ownership

Practitioners 2

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

• William Balint Kerek, MD

  • Internal Medicine Physician
  • Akron, OH
  • NPI 1558349159
  NPD (past)
• John P Wagner, DO

  • Family Medicine Physician
  • Stow, OH
  • NPI 1104869080
  NPD (past)

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1902889306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 SMITH RD",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443332613",
            "telephone_number": "330-666-1183",
            "fax_number": "330-666-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 SMITH RD",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443332613",
            "telephone_number": "330-666-1183",
            "fax_number": "330-666-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. EDWARD HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "RENKAS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "V.P. FINANCE/CFO",
        "authorized_official_telephone_number": "330-666-1183",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1181N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0127900",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Village at St. Edward",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Village at St. Edward",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Fay Spicer
• Destiney Spragling
• Tracey Rae Sproul, LSW
• Rashmi Srivastava, M.D.
• St. Edward Home
• Alvin Stallworth
• Danell Stanford
• Sharm Starks
• Amanda Lynn Staudt, CNP
• Nathan Kyle Stefan, OD

• Skilled Nursing Facility in Fairlawn, OH
• Providers in Fairlawn, 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 Dec 28, 2020; 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.