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

Active since August 27, 2021CLIA 36D0327659 · Waiver
75 MCMILLEN DR, NEWARK, OH 43055(740) 344-0357 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Embassy Newark, Llc NPPES

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

EMBASSY NEWARK, LLC (NPI 1013684927) is a healthcare organization registered as a skilled nursing facility in Newark, Ohio and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Nicholas Ciccone, Chief Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1013684927
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEMBASSY NEWARK, LLC
Location Address75 MCMILLEN DRNewark, OH 43055-1808
Mailing Address25201 Chagrin Blvd Ste 190Beachwood, OH 44122-5633 · (216) 378-2050
Organization SubpartNo
Authorized OfficialNicholas CicconeChief Compliance Officer · (570) 885-5841
Enumeration DateAugust 27, 2021
NPPES CertifiedAugust 27, 2021
NPI 1013684927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
75 MCMILLEN DR, Newark, OH 43055

Other Identifiers 1

Other1706NOH · Licensure

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 36D0327659

Embassy Of Newark · Newark, OH
Active · expires Aug 31, 2026
CLIA Number36D0327659
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKaren Luther
Laboratory Phone(740) 344-0357
Laboratory LocationEmbassy Of Newark75 Mcmillen Dr, Newark, OH 43055
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapy Assistant
75 MCMILLEN DR
NEWARK, OH 43055
Occupational Therapy Assistant
75 MCMILLEN DR
NEWARK, OH 43055
Skilled Nursing Facility
75 MCMILLEN DR
NEWARK, OH 43055
Physical Therapist
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 NPPES & CMS

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

What is Embassy Newark, LLC's NPI number?

The NPI number for Embassy Newark, LLC is 1013684927. It was assigned to this organization in the NPPES registry on August 27, 2021.

Where is Embassy Newark, LLC located?

Embassy Newark, LLC is located at 75 Mcmillen Dr, Newark, OH 43055. The listed phone number is (740) 344-0357.

What is Embassy Newark, LLC's specialty?

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

Does Embassy Newark, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0327659) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Embassy Newark, LLC accept?

Health plans from CareSource list Embassy Newark, 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 Embassy Newark, LLC was last updated on August 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.