Active NPI
Oregon Opco, LLC
- Skilled Nursing Facility
- Oregon, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- OREGON OPCO, LLC
- Practice address
- 904 Isaac Streets Dr
Oregon, OH 43616-3204 - Phone
- (419) 691-2483
- Fax
- (419) 697-5401
- NPI assigned
- Dec 9, 2014
- 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. Stacey Paul Rogers
- Title
- Chief Financial Officer
- Phone
- (502) 429-8062
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
904 Isaac Streets Dr
Oregon, OH 43616-3204
Mailing address
7400 New la Grange Rd Ste 100
Louisville, KY 40222-4870
Phone (502) 429-8062
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962800839 | Medicaid | MI |
Other names 1
- Arbors at Oregon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150728005526 | OH | Part A Provider - Skilled Nursing Facility | 3971817487 | Practice locations: Oregon, OH |
Skilled nursing facility certification: CCN 365523
- Legal name
- OREGON OPCO LLC
- Doing business as
- ARBORS AT OREGON
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 23, 1980
- Last certification
- Aug 5, 2024
- Beds
- 87
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- PRESTIGE HEALTHCARE
- Most recent change of ownership
- Jul 1, 2015
- Organization structure
- LLC
- Incorporated
- Nov 19, 2014 in DE
- Enrollment address
- 904 Isaac Streets Dr
Oregon, OH 43616-3204 - Nursing home name
- ARBORS AT OREGON
- Affiliated entity
- ARBORS AT OHIO
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Arbors at Oregon
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Apr 23, 1980
- Medicare certification status
- Active
- Certified beds
- 87
- Chain
- Arbors at Ohio
- Penalties (3 years)
- 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0861967 | Oregon Opco LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Arbors at Oregon
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Oregon, OH
- NPI 1164593778
Ownership & related parties
All disclosed owners & managing parties 12
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 |
|---|---|---|---|
| Ark Opco Group, LLC | 5% Or Greater Direct Ownership Interest | Jul 1, 2015 | 100% |
| Cody Healthcare S Corp | 5% Or Greater Indirect Ownership Interest | Jul 1, 2015 | 47.55% |
| B&Y Trust | 5% Or Greater Indirect Ownership Interest | Jul 1, 2015 | 47.55% |
| Prestige Administrative Services, LLC | Operational/Managerial Control | Jan 1, 2016 | |
| Craig a Flashner | Corporate Officer | Jul 1, 2015 | |
| Operational/Managerial Control | Jul 1, 2015 | ||
| Kristine Ranel Kirk | W-2 Managing Employee | Sep 1, 2016 | |
| Robert L Norcross | Contracted Managing Employee | Jul 1, 2015 | |
| Craig Flashner 2007 Trust | 5% Or Greater Indirect Ownership Interest | Jul 1, 2015 | 47.55% |
| B&Y Healthcare S Corp | 5% Or Greater Indirect Ownership Interest | Jul 1, 2015 | 47.55% |
| Stacey Paul Rogers | Contracted Managing Employee | Jul 1, 2015 | |
| Noble Healthcare Management, LLC | Operational/Managerial Control | Jul 1, 2015 | |
| Yitzchok a Perlstein | Corporate Officer | Jul 1, 2015 | |
| Operational/Managerial Control | Jul 1, 2015 |
Facilities with the same owner 77
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Carroll, OH
- NPI 1528466471
Ark Opco Group, LLC, B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Noble Healthcare Management, LLC, Prestige Administrative Services, LLC
-
- Skilled Nursing Facility
- Delaware, OH
- NPI 1033517891
Ark Opco Group, LLC, B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Noble Healthcare Management, LLC, Prestige Administrative Services, LLC
-
- Skilled Nursing Facility
- Fairlawn, OH
- NPI 1568860310
Ark Opco Group, LLC, B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Noble Healthcare Management, LLC, Prestige Administrative Services, LLC
-
- Skilled Nursing Facility
- Gallipolis, OH
- NPI 1881082006
Ark Opco Group, LLC, B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Noble Healthcare Management, LLC, Prestige Administrative Services, LLC
-
- Skilled Nursing Facility
- Mansfield, OH
- NPI 1033517990
Ark Opco Group, LLC, B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Noble Healthcare Management, LLC, Prestige Administrative Services, LLC
-
- Skilled Nursing Facility
- Marietta, OH
- NPI 1265830012
Ark Opco Group, LLC, B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Noble Healthcare Management, LLC, Prestige Administrative Services, LLC
-
- Skilled Nursing Facility
- Minerva, OH
- NPI 1740688688
Ark Opco Group, LLC, B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Noble Healthcare Management, LLC, Prestige Administrative Services, LLC
-
- Skilled Nursing Facility
- Milford, OH
- NPI 1265830053
Ark Opco Group, LLC, B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Noble Healthcare Management, LLC, Prestige Administrative Services, LLC
-
- Skilled Nursing Facility
- Pomeroy, OH
- NPI 1770981649
Ark Opco Group, LLC, B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Noble Healthcare Management, LLC, Prestige Administrative Services, LLC
-
- Skilled Nursing Facility
- Springfield, OH
- NPI 1467850305
Ark Opco Group, LLC, B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Noble Healthcare Management, LLC, Prestige Administrative Services, LLC
-
- Skilled Nursing Facility
- Stow, OH
- NPI 1093113961
Ark Opco Group, LLC, B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Noble Healthcare Management, LLC, Prestige Administrative Services, LLC
-
- Skilled Nursing Facility
- Streetsboro, OH
- NPI 1457759326
Ark Opco Group, LLC, B&Y Healthcare S Corp, B&Y Trust, Cody Healthcare S Corp, Craig Flashner 2007 Trust, Noble Healthcare Management, LLC, Prestige Administrative Services, LLC
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
- Maumee, OH
- NPI 1922147818
-
- Family Medicine Physician
- Maumee, OH
- NPI 1538145925
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": "1418083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1437091200000",
"number": "1962800839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 NEW LA GRANGE RD STE 100",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402224870",
"telephone_number": "502-429-8062",
"fax_number": "502-429-0650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 ISAAC STREETS DR",
"city": "OREGON",
"state": "OH",
"postal_code": "436163204",
"telephone_number": "419-691-2483",
"fax_number": "419-697-5401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OREGON OPCO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-09",
"last_updated": "2015-07-17",
"status": "A",
"authorized_official_last_name": "ROGERS",
"authorized_official_first_name": "STACEY",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "502-429-8062",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1962800839",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Arbors at Oregon",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Oregon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.