Organization Active NPI

The Laurels of Blanchester, LLC

  • Skilled Nursing Facility
  • Blanchester, OH
National Provider Identifier
1992032148
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1739N Issued in OH
Legal business name
THE LAURELS OF BLANCHESTER, LLC
Practice address
839 Cherry St
Blanchester, OH 45107
Phone
(937) 783-4911
NPI assigned
Nov 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Authorized official

Name
Mr. Anis Khan
Title
Cfo
Phone
(614) 794-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1739N OH Primary

Addresses

Primary practice location

839 Cherry St
Blanchester, OH 45107

Mailing address

839 Cherry St
Blanchester, OH 45107-1315
Phone (937) 783-4911

Other identifiers 1

IdentifierTypeStateIssuer
2994925MedicaidOH

Other names 1

  • THE LAURELS OF BLANCHESTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091203000005 OH Part A Provider - Skilled Nursing Facility 6800935990 Practice locations: Blanchester, OH

Skilled nursing facility certification: CCN 365552

Legal name
THE LAURELS OF BLANCHESTER, LLC
Doing business as
THE LAURELS OF BLANCHESTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 6, 1981
Last certification
May 8, 2025
Beds
50
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Cienna Health Care
Most recent change of ownership
Dec 1, 2009
Organization structure
LLCProprietary
Incorporated
Aug 28, 2009 in MI
Enrollment address
839 Cherry St
Blanchester, OH 45107-1315
Nursing home name
LAURELS OF BLANCHESTER, THE
Affiliated entity
CIENA HEALTHCARE/LAUREL HEALTH CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Laurels of Blanchester, theCCN 365552
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 6, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5047.2 residents per day on average
Chain
Ciena Healthcare/Laurel Health Care81 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0955194Laurels of Blanchester839 East Cherry Street, Blanchester, OH 45107Certificate of waiverDec 20, 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
David Stobb Individual Adp of the SNF Feb 1, 2016
Anis Khan Individual Operational/Managerial Control Feb 1, 2016
Managing Control - Governing BodyManager Feb 1, 2016
Adp of the SNF Feb 1, 2016
Laurel Acquisition Holding Corporation Organization, Westerville, OH Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2016 100%
Mohammad a. Qazi Individual Operational/Managerial Control Feb 1, 2016
Managing Control - Governing BodyManager Feb 1, 2016
Lori Byrom Individual Operational/Managerial Control Jun 25, 2001
Adp of the SNF Apr 4, 2025
Mohammad a Qazi Living Trust Dated 09/26/97 Organization, West Bloomfield, MI For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2016 100%
Laurel Health Care Company Organization, Westerville, OH Corporation, Management services company, For-profit, Chain home office Operational/Managerial Control Feb 1, 2016
Adp of the SNF Apr 4, 2025
Laurel Health Care Holdings, Inc. Organization, Westerville, OH Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 1, 2016 100%
Catherine Laruffa Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Select Rehabilitation, LLC Organization, Glenview, IL LLC, For-profit Adp of the SNF Jul 1, 2024
Zenith Financial Group, LLC Organization, Taylor, MI LLC, For-profit Adp of the SNF Aug 1, 2022

Owners & managing parties with NPI records 2

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

Facilities with the same owner 67

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

View all 67

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": "1257724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1992032148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 CHERRY ST",
            "city": "BLANCHESTER",
            "state": "OH",
            "postal_code": "451071315",
            "telephone_number": "937-783-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 CHERRY ST",
            "city": "BLANCHESTER",
            "state": "OH",
            "postal_code": "45107",
            "telephone_number": "937-783-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LAURELS OF BLANCHESTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-09",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ANIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "614-794-8800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1739N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2994925",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE LAURELS OF BLANCHESTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blanchester, OH

Sources for this page

Verify at the official NPI Registry.