NPIMap

Organization Active NPI

Embassy Longmeadow LLC

Doing business as Longmeadow Care Center

  • Skilled Nursing Facility
  • Ravenna, OH
National Provider Identifier
1912374083
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1628N Issued in OH
Legal business name
EMBASSY LONGMEADOW LLC
Doing business as
Longmeadow Care Center
Practice address
565 Bryn Mawr St
Ravenna, OH 44266-9696
Phone
(330) 297-5781
Fax
(330) 297-6921
NPI assigned
Aug 25, 2015
Last updated
Sep 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1628N OH Primary

Addresses

Primary practice location

565 Bryn Mawr St
Ravenna, OH 44266-9696

Mailing address

24579 Broadway Ave
Oakwood Village, OH 44146-6338
Phone (330) 297-5781

Other names 1

  • Longmeadow Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160505000107 OH Part A Provider - Skilled Nursing Facility 2567761059 Practice locations: Ravenna, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912374083. Details of each certification follow.

Skilled nursing facility certification: CCN 365354

Legal name
EMBASSY LONGMEADOW LLC
Doing business as
LONGMEADOW CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 22, 1978
Last certification
Apr 1, 2025
Beds
99
Ownership / control type
Corporation
Most recent change of ownership
Sep 1, 2015
Organization structure
LLCProprietary
Incorporated
Nov 1, 2014 in OH
Enrollment address
565 Bryn Mawr St
Ravenna, OH 44266-9696
Nursing home name
LONGMEADOW CARE CENTER
Affiliated entity
EMBASSY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Longmeadow Care CenterCCN 365354 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 22, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9956.3 residents per day on average
Chain
Embassy Healthcare33 facilities in the chain
Penalties (3 years)
2Fines totaling $47,486

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
36D0946911Embassy Longmeadow LLC565 Bryn Mawr Street, Ravenna, OH 44266Certificate of waiverJun 3, 2028
36D2337668Longmeadow Care Center565 Bryn Mawr St Suite 001, Ravenna, OH 44266Certificate of waiverJan 26, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Christian Health Network II LLC Organization, Cuyahoga Falls, OH Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Nov 1, 2014 30%
Jill D Hoffman Individual W-2 Managing EmployeePayroll Feb 1, 2015 100%
Aaron B Handler Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2020 70%
Corporate OfficerPresident and Managing Member Sep 1, 2015 100%
Corporate DirectorPresident and Managing Member Sep 1, 2015 100%
Embassy Healthcare Holdings Inc Organization, Cleveland, OH Corporation 5% Or Greater Direct Ownership Interest Jan 1, 2020 70%

Facilities with the same owner 29

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 29

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.

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": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1912374083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24579 BROADWAY AVE",
            "city": "OAKWOOD VILLAGE",
            "state": "OH",
            "postal_code": "441466338",
            "telephone_number": "330-297-5781",
            "fax_number": "330-297-6921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 BRYN MAWR ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442669696",
            "telephone_number": "330-297-5781",
            "fax_number": "330-297-6921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBASSY LONGMEADOW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-09-29",
        "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": "1628N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Longmeadow Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ravenna, OH

Sources for this page

Verify at the official NPI Registry.