AVALON BY OTTERBEIN PERRYSBURG
NPI 1003939786
Skilled Nursing Facility in Perrysburg, OH

Active since April 09, 2007CLIA 36D1072428 · Waiver
3/5
Overall Rating
3529 RIVERS EDGE DRIVE, PERRYSBURG, OH 43551(419) 874-2428(419) 872-8464 Get Directions Write a Review

NPPES record last updated: February 9, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Avalon By Otterbein Perrysburg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVALON BY OTTERBEIN PERRYSBURG (NPI 1003939786) is a healthcare organization registered as a skilled nursing facility in Perrysburg, Ohio and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through August 15, 2027 and lists James Chris Green, Treasurer & Cfo, as its authorized official.

NPPES Registry Identity

NPI1003939786
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameOTTERBEIN PERRYSBURG LLC
Location Address3529 RIVERS EDGE DRIVEPerrysburg, OH 43551
Mailing Address580 N State Route 741Lebanon, OH 45036-8839 · (513) 932-5401 · Fax (513) 932-1054
Fax(419) 872-8464
Organization SubpartNo
Authorized OfficialJames Chris GreenTreasurer & Cfo · (513) 933-5418
Enumeration DateApril 9, 2007
Last NPPES UpdateFebruary 9, 2015
NPI 1003939786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in OH · 2480N
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
3529 RIVERS EDGE DRIVE, Perrysburg, OH 43551

Other Names 1

Doing Business AsAvalon By Otterbein Perrysburg

Other Identifiers 2

Medicaid2768107OH
Medicare OSCAR/certification366354OH

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D1072428

Avalon By Otterbein Perrysburg · Perrysburg, OH
Active · expires Aug 15, 2027
CLIA Number36D1072428
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 16, 2025
Certificate Expiration DateAugust 15, 2027
Laboratory DirectorLisa M. Hart
Laboratory Phone(419) 872-8443
Laboratory LocationAvalon By Otterbein Perrysburg3529 Rivers Edge Drive, Perrysburg, OH 43551
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Avalon By Otterbein At Perrysburg (CMS certification number 366354), from CMS Care Compare.

Avalon By Otterbein At Perrysburg

Nursing home · Perrysburg, OH
3/5 CMS Overall Rating
OwnershipNon profit - Church related
CMS Certification Number366354
Certified Beds60 beds55 residents per day on average
Medicare & Medicaid Participant SinceOctober 2, 2007
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
96.83
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 3.26 · LPN 0.89 · RN 0.45
4.6 hrs per resident per day
Weekend Nurse Staffing
4.26 hrs per resident per day
Physical Therapist Staffing
0.06 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
42.3%
Registered Nurse Turnover
16.7%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
7
Infection-Control Citations
3
Fines
3 totaling $121,047.75
Medicare Payment Denials
0
Total Penalties
3
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Otterbein Perrysburg LLC's NPI number?

The NPI number for Otterbein Perrysburg LLC is 1003939786. It was assigned to this organization in the NPPES registry on April 9, 2007. The provider is doing business as Avalon By Otterbein Perrysburg.

Where is Otterbein Perrysburg LLC located?

Otterbein Perrysburg LLC is located at 3529 Rivers Edge Drive, Perrysburg, OH 43551. The listed phone number is (419) 874-2428.

What is Otterbein Perrysburg LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Otterbein Perrysburg LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1072428) is associated with this NPI, valid through August 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Otterbein Perrysburg LLC a Medicare-certified nursing home?

Yes. Avalon By Otterbein At Perrysburg is a Medicare-certified nursing home with 60 certified beds.

What quality rating does Otterbein Perrysburg LLC have?

CMS rates Avalon By Otterbein At Perrysburg 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Otterbein Perrysburg LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Otterbein Perrysburg LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Otterbein Perrysburg LLC was last updated on February 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.