Active NPI
Wexner Heritage Village
- Skilled Nursing Facility
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0967NH
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0034322 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 House
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 99
- Penalties (3 years)
- 2
National Provider Directory
National Provider Directory- Tax ID family
- Wexner Heritage House
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Columbus, OH
- NPI 1689606899
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Chris Christian | Corporate Officer | Jul 1, 2019 | |
| W-2 Managing Employee | Jul 1, 2019 | ||
| Operational/Managerial Control | Jul 1, 2019 | ||
| Gary Rosen | Corporate Officer | Aug 17, 2021 | |
| W-2 Managing Employee | Aug 17, 2021 | ||
| George Miu | W-2 Managing Employee | Sep 13, 2021 | |
| Operational/Managerial Control | 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.
-
- Family Medicine Physician
- Columbus, OH
- NPI 1225130917
-
- Geriatric Medicine (Internal Medicine) Physician
- Columbus, OH
- NPI 1194981308
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Columbus, OH
- NPI 1194981308
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; 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.