EMBASSY NEWARK, LLC
NPI 1013684927
Skilled Nursing Facility in Newark, OH

NPI Status: Active since August 27, 2021

Contact Information

75 MCMILLEN DR
NEWARK, OH
ZIP 43055
Phone: (740) 344-0357

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  • Organization
  • Skilled Nursing Facility
  • Accepts Insurance
  • CLIA Number: 36D0327659
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About EMBASSY NEWARK, LLC

This page provides the complete NPI Profile along with additional information for Embassy Newark, Llc, a provider established in Newark, Ohio operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1013684927 assigned on August 2021. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Nicholas Ciccone (Chief Compliance Officer)

NPI
1013684927
Provider Name
EMBASSY NEWARK, LLC
Entity Type
Organization
Location Address
75 MCMILLEN DR NEWARK, OH 43055
Location Phone
(740) 344-0357
Mailing Address
25201 CHAGRIN BLVD STE 190 BEACHWOOD, OH 44122
Mailing Phone
(216) 378-2050
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-27-2021
Last Update Date
08-27-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • HSA Eligible Bronze 6000 - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NICHOLAS CICCONE

Authorized Official Title
CHIEF COMPLIANCE OFFICER
Authorized Official Phone
(570) 885-5841

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1706NOTHER (01)OHLICENSURE

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D0327659
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
KAREN LUTHER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Embassy Newark, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for EMBASSY NEWARK, LLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1013684927, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
9
Unchanged
Pos 9
2
Doubled → 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 6 → 12 → 3 4 → 8 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 2 + 3 + 1 + 2 + 8 + 8 + 9 + 4 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1013684927.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Family Medicine (Geriatric Medicine)
75 MCMILLEN DR
NEWARK, OH 43055
Skilled Nursing Facility
75 MCMILLEN DR
NEWARK, OH 43055
Occupational Therapist
75 MCMILLEN DR
NEWARK, OH 43055
Physical Therapist
75 MCMILLEN DR
NEWARK, OH 43055
Occupational Therapy Assistant
75 MCMILLEN DR
NEWARK, OH 43055
Occupational Therapy Assistant
75 MCMILLEN DR
NEWARK, OH 43055
Occupational Therapy Assistant
75 MCMILLEN DR
NEWARK, OH 43055
Physical Therapy Assistant
75 MCMILLEN DR
NEWARK, OH 43055
Skilled Nursing Facility
75 MCMILLEN DR
NEWARK, OH 43055
Skilled Nursing Facility
75 MCMILLEN DR
NEWARK, OH 43055
Skilled Nursing Facility
75 MCMILLEN DR
NEWARK, OH 43055
Skilled Nursing Facility
75 MCMILLEN DR
NEWARK, OH 43055
Skilled Nursing Facility
75 MCMILLEN DR
NEWARK, OH 43055
Skilled Nursing Facility
75 MCMILLEN DR
NEWARK, OH 43055
Occupational Therapy Assistant
75 MCMILLEN DR
NEWARK, OH 43055
Skilled Nursing Facility
75 MCMILLEN DR
NEWARK, OH 43055

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013684927, enumerated as an "organization" on August 27, 2021.

The provider is located at 75 MCMILLEN DR NEWARK, OH 43055 and the phone number is (740) 344-0357.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: CareSource, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.