Organization Active NPI

Salem Healthcare and Rehabilitation Center

  • Skilled Nursing Facility
  • Salem, OH
National Provider Identifier
1992034557
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1140-N Issued in OH
Legal business name
SALEM HEALTHCARE AND REHABILITATION CENTER
Practice address
1985 E Pershing St
Salem, OH 44460-3411
Phone
(330) 332-1588
Fax
(330) 332-3119
NPI assigned
Dec 10, 2009
Last updated
Apr 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Authorized official

Name
Kenneth Nielson, MBA
Title
Manager
Phone
(407) 247-2788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1140-N OH Primary

Addresses

Primary practice location

1985 E Pershing St
Salem, OH 44460-3411

Mailing address

1985 East Pershing Street
Salem, OH 44460-3411
Phone (330) 332-1588

Other identifiers 1

IdentifierTypeStateIssuer
2987148MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130226000127 OH Part A Provider - Skilled Nursing Facility 3375798242 Practice locations: Salem, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992034557. Details of each certification follow.

Skilled nursing facility certification: CCN 365977

Legal name
SALEM HEALTHCARE AND REHABILITATION CENTER
Doing business as
CIRCLE OF CARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 7, 1994
Last certification
Apr 9, 2025
Beds
55
Ownership / control type
Partnership
Most recent change of ownership
Jan 1, 2013
Organization structure
LLCProprietary
Enrollment address
1985 E Pershing St
Salem, OH 44460-3411
Nursing home name
CIRCLE OF CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Circle of CareCCN 365977 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
Sep 7, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5539.5 residents per day on average
Penalties (3 years)
2Fines totaling $179,235

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
36D2055110Salem Healthcare & Rehabilitation1985 E Pershing St, Salem, OH 44460Certificate of waiverMar 5, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Richard Mark Shivers Individual Operational/Managerial Control Sep 1, 2021
Adp of the SNF May 13, 2025
Geoffrey Webster Individual Operational/Managerial Control Oct 13, 2025
Adp of the SNF Oct 13, 2025
Kenneth Nielson Individual 5% Or Greater Direct Ownership Interest Sep 17, 2012 50%
Corporate OfficerCfo Jan 1, 2013 50%
Michael Jordan Individual Operational/Managerial Control Mar 29, 2025
Adp of the SNF May 13, 2025
Abraham Backenroth Individual Operational/Managerial Control Mar 10, 2025
Managing Control - Governing BodyManaging Member Oct 6, 2025
Adp of the SNF Mar 10, 2023
Direct Ownership Interest Mar 10, 2025 100%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 1

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.

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": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1992034557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 EAST PERSHING STREET",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444603411",
            "telephone_number": "330-332-1588",
            "fax_number": "330-332-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 E PERSHING ST",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444603411",
            "telephone_number": "330-332-1588",
            "fax_number": "330-332-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM HEALTHCARE AND REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "NIELSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-247-2788",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1140-N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2987148",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OH

Sources for this page

Verify at the official NPI Registry.