Active NPI
Salem Healthcare and Rehabilitation Center
- Skilled Nursing Facility
- Salem, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1140-N
- 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, 2018
- 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
- Kenneth Nielson, MBA
- Title
- Manager
- Phone
- (407) 247-2788
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2987148 | 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 |
|---|---|---|---|---|
| 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
- LLC
- 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 Care
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Partnership
- Certified
- Sep 7, 1994
- Medicare certification status
- Active
- Certified beds
- 55
- 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 |
|---|---|---|---|
| 36D2055110 | Salem Healthcare & Rehabilitation | Certificate of waiver | Mar 5, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Richard Mark Shivers | Operational/Managerial Control | Sep 1, 2021 | |
| Adp of the SNF | May 13, 2025 | ||
| Geoffrey Webster | Operational/Managerial Control | Oct 13, 2025 | |
| Adp of the SNF | Oct 13, 2025 | ||
| Kenneth Nielson | 5% Or Greater Direct Ownership Interest | Sep 17, 2012 | 50% |
| Corporate Officer | Jan 1, 2013 | 50% | |
| Michael Jordan | Operational/Managerial Control | Mar 29, 2025 | |
| Adp of the SNF | May 13, 2025 | ||
| Abraham Backenroth | Operational/Managerial Control | Mar 10, 2025 | |
| Managing Control - Governing Body | 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.
-
- Family Medicine Physician
- Salem, OH
- NPI 1639268352
Adp of the SNF, Operational/Managerial Control
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.
-
- Family Medicine Physician
- Salem, OH
- NPI 1639268352
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
- Salem Community Hospital (Salem Home Medical)
- Salem Community Hospital (Salem Regional Medical Center)
- Salem Community Hospital (Salem Regional Medical Center)
- Salem Eyecare Center Inc
- Salem Family Care LLC
- Salem Radiologists, Inc.
- Salem Surgical Services
- Salem Women's Care, Inc
- Joseph C Salmen
- Sanctuary Skilled Home Health Care, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.