Organization Active NPI

Wexner Heritage Village

  • Skilled Nursing Facility
  • Columbus, OH
National Provider Identifier
1932197704
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0967NH Issued in OH
Legal business name
WEXNER HERITAGE VILLAGE
Practice address
1151 College Ave
Columbus, OH 43209-2827
Phone
(614) 231-4900
Fax
(614) 384-2278
NPI assigned
Oct 6, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2010

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

Authorized official

Name
Mr. David Rosen, LNHA
Title
Chief Executive Officer
Phone
(614) 231-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0967NH OH Primary

Addresses

Primary practice location

1151 College Ave
Columbus, OH 43209-2827

Mailing address

1151 College Ave
Columbus, OH 43209-2827
Phone (614) 231-4900

Other identifiers 1

IdentifierTypeStateIssuer
0034322MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100517000614 OH Part A Provider - Skilled Nursing Facility 4284762923 Practice locations: Columbus, OH

Skilled nursing facility certification: CCN 365026

Legal name
WEXNER HERITAGE VILLAGE
Doing business as
WEXNER HERITAGE HOUSE
Certification status
Active
Provider type (POS)
Nursing home โ€“ SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Mar 5, 2024
Beds
99
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 2, 1969 in OH
Enrollment address
1151 College Ave
Columbus, OH 43209-2827
Nursing home name
WEXNER HERITAGE HOUSE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Wexner Heritage HouseCCN 365026 ยท All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9986.1 residents per day on average
Penalties (3 years)
2Fines totaling $47,740

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Wexner Heritage House2 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.

Ownership & related parties

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.

NameRoleSinceShare
Chris Christian Individual Corporate OfficerChief Operating Officer Jul 1, 2019
W-2 Managing EmployeeChief Operating Officer Jul 1, 2019
Operational/Managerial ControlChief Operating Officer Jul 1, 2019
Gary Rosen Individual Corporate OfficerChief Executive Officer Aug 17, 2021
W-2 Managing EmployeeChief Executive Officer Aug 17, 2021
George Miu Individual W-2 Managing EmployeeExecutive Director Sep 13, 2021
Operational/Managerial ControlExecutive Director Sep 13, 2021

Practitioners & affiliated clinicians

Practitioners 2

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": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1932197704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 COLLEGE AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432092827",
            "telephone_number": "614-231-4900",
            "fax_number": "614-338-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 COLLEGE AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432092827",
            "telephone_number": "614-231-4900",
            "fax_number": "614-384-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEXNER HERITAGE VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "614-231-4900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "0967NH",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0034322",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.