Organization Active NPI

Lost Creek Center for Living LLC

Doing business as Lost Creek Rehabilitation And Nursing Center

  • Skilled Nursing Facility
  • Lima, OH
National Provider Identifier
1912653510
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LOST CREEK CENTER FOR LIVING LLC
Doing business as
Lost Creek Rehabilitation And Nursing Center
Practice address
804 S Mumaugh Rd
Lima, OH 45804-3569
Phone
(419) 225-9040
NPI assigned
Feb 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Mordechai Wesiz
Title
Cfo
Phone
(347) 631-4068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

804 S Mumaugh Rd
Lima, OH 45804-3569

Mailing address

50 Chestnut Ridge Rd Ste 107
Montvale, NJ 07645-1823
Phone (908) 327-6980

Other names 1

  • Lost Creek Rehabilitation And Nursing Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220414001051 OH Part A Provider - Skilled Nursing Facility 7719373018 Practice locations: Lima, OH

Skilled nursing facility certification: CCN 365600

Legal name
LOST CREEK CENTER FOR LIVING LLC
Doing business as
LOST CREEK REHABILITATION AND NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1983
Last certification
Jun 9, 2025
Beds
54
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Garden Healthcare
Organization structure
LLCProprietary
Incorporated
Sep 20, 2021 in OH
Enrollment address
804 S Mumaugh Rd
Lima, OH 45804-3569
Nursing home name
LOST CREEK REHABILITATION AND NURSING CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lost Creek Rehabilitation and Nursing CenterCCN 365600 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 1, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5443.1 residents per day on average
Penalties (3 years)
2Fines totaling $55,088

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Organization, Lawrence, NY LLC, Holding company Adp of the SNF Oct 22, 2025
Individual Adp of the SNF Feb 15, 2022
Organization, Brooklyn, NY LLC Adp of the SNF Oct 22, 2025
Organization, Lima, OH LLC Adp of the SNF Feb 15, 2022
Organization, Montvale, NJ LLC, Holding company Adp of the SNF Oct 22, 2025
Organization, Brooklyn, NY Adp of the SNF Oct 22, 2025
Lynsey Stewart Individual Operational/Managerial Control Dec 30, 2024
Managing Control - Governing Body Dec 30, 2024
Adp of the SNF Dec 30, 2024
Individual Adp of the SNF Feb 15, 2022
Salim W Hanna Individual Operational/Managerial Control Feb 15, 2022
Managing Control - Governing Body Feb 15, 2022
Adp of the SNF Feb 15, 2022
Larry Katz Individual 5% Or Greater Direct Ownership Interest Feb 15, 2022 100%
Corporate OfficerCeo Feb 15, 2022 100%
Operational/Managerial ControlCeo Feb 15, 2022 100%
Managing Control - Governing Body Feb 15, 2022
Adp of the SNF Feb 15, 2022
Organization, Montvale, NJ LLC Adp of the SNF Apr 9, 2025

Owners & managing parties with NPI records 1

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

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": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1912653510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CHESTNUT RIDGE RD STE 107",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451823",
            "telephone_number": "908-327-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 S MUMAUGH RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458043569",
            "telephone_number": "419-225-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOST CREEK CENTER FOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "WESIZ",
        "authorized_official_first_name": "MORDECHAI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "347-631-4068"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lost Creek Rehabilitation And Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lost Creek Rehabilitation And Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.