CT Ohio Jamestown LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CT OHIO JAMESTOWN LLC

Doing business as

Jamestown Place Health and Rehab

Practice address

4960 Old US Route 35 E
Jamestown, OH 45335-1712

Phone

(937) 675-3311

Fax

(937) 675-2333

NPI assigned

Apr 19, 2018

Last updated

Apr 15, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rafael A Moerman

Title

Manager

Phone

(516) 865-1500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jamestown Place Health and Rehab Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962999516. Details of each certification follow.

• CCN 365368 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 365368

Legal name

CT OHIO JAMESTOWN LLC

Doing business as

JAMESTOWN PLACE HEALTH AND REHAB

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 1, 1977

Last certification

Oct 4, 2022

Beds

50

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Pavilion Management

Organization structure

LLCProprietary

Incorporated

Mar 6, 2018 in GA

Enrollment address

4960 Old US Route 35 E
Jamestown, OH 45335-1712

Nursing home name

JAMESTOWN PLACE HEALTH AND REHAB

Affiliated entity

SIMCHA HYMAN & NAFTALI ZANZIPER

Listed as

Jamestown Place Health and RehabCCN 365368 · All quality measures

Overall star rating

2 of 5

Health inspections

1 of 5

Staffing

2 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Nov 1, 1977

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5031.4 residents per day on average

Chain

Simcha Hyman & Naftali Zanziper79 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 23

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

Owners & managing parties with NPI records 1

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

• Mark A. Crager, MD

  • General Practice Physician
  • Washington Court House, OH
  • NPI 1609827740

  Adp of the SNF

  CMS ownership

Facilities with the same owner 9

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

• CT Ohio Beavercreek, LLC

  dba Beavercreek Health and Rehab

  • Skilled Nursing Facility
  • Beavercreek, OH
  • NPI 1790272540

  Acm Ashem Holdings, LLC, FTK Flyer Oh, LLC, Npnh1 LLC, SHS Keren LLC, Zanziper Family Trust

  CMS ownership
• CT Ohio Bellbrook, LLC

  • Skilled Nursing Facility
  • Bellbrook, OH
  • NPI 1316434160

  Acm Ashem Holdings, LLC, FTK Flyer Oh, LLC, Npnh1 LLC, SHS Keren LLC, Zanziper Family Trust

  CMS ownership
• CT Ohio Dayton-Centerville LLC

  dba Centerville Health and Rehab

  • Skilled Nursing Facility
  • Dayton, OH
  • NPI 1396232146

  Acm Ashem Holdings, LLC, FTK Flyer Oh, LLC, Npnh1 LLC, SHS Keren LLC, Zanziper Family Trust

  CMS ownership
• CT Ohio Englewood LLC

  dba Englewood Health and Rehab

  • Skilled Nursing Facility
  • Englewood, OH
  • NPI 1699262253

  Acm Ashem Holdings, LLC, FTK Flyer Oh, LLC, Npnh1 LLC, SHS Keren LLC, Zanziper Family Trust

  CMS ownership
• CT Ohio Portsmouth LLC

  dba Portsmouth Health and Rehab

  • Skilled Nursing Facility
  • Portsmouth, OH
  • NPI 1457848210

  Acm Ashem Holdings, LLC, FTK Flyer Oh, LLC, Npnh1 LLC, SHS Keren LLC

  CMS ownership
• CT Ohio Xenia LLC

  dba Xenia Health and Rehab

  • Skilled Nursing Facility
  • Xenia, OH
  • NPI 1801383666

  Acm Ashem Holdings, LLC, FTK Flyer Oh, LLC, Npnh1 LLC, SHS Keren LLC, Zanziper Family Trust

  CMS ownership
• Pavilion at Canal Fulton, LLC

  dba The Pavilion at Canal Fulton for Nursing and Rehabilitation, LLC

  • Skilled Nursing Facility
  • Canal Fulton, OH
  • NPI 1396565214

  Acm Ashem Holdings, LLC, Npnh1 LLC, SHS Keren LLC

  CMS ownership
• Pavilion at Piketon for Nursing and Rehabilitation LLC

  dba The Pavilion at Piketon

  • Skilled Nursing Facility
  • Piketon, OH
  • NPI 1598260952

  Acm Ashem Holdings, LLC

  CMS ownership
• Pavilion at Stow, LLC

  dba The Pavilion at Stow for Nursing and Rehabilitation

  • Skilled Nursing Facility
  • Stow, OH
  • NPI 1508686429

  Acm Ashem Holdings, LLC, Npnh1 LLC, SHS Keren LLC

  CMS ownership

Practitioners 2

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.

• Mark A. Crager, MD

  • General Practice Physician
  • Washington Court House, OH
  • NPI 1609827740
  NPD (past)
• Kevin L Sharrett, MD

  • Family Medicine Physician
  • Xenia, OH
  • NPI 1528007754
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1962999516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 US HIGHWAY 35 E",
            "city": "JAMESTOWN",
            "state": "OH",
            "postal_code": "453351712",
            "telephone_number": "937-675-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4960 OLD US ROUTE 35 E",
            "city": "JAMESTOWN",
            "state": "OH",
            "postal_code": "453351712",
            "telephone_number": "937-675-3311",
            "fax_number": "937-675-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CT OHIO JAMESTOWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "MOERMAN",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-865-1500"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141351",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jamestown Place Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jamestown Place Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Jamestown, OH
• Providers in Jamestown, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.

Verify at the official NPI Registry.