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BRYAN HEALTHCARE AND REHABILITATION CENTER LLC
NPI 1043976798
Skilled Nursing Facility in Bryan, OH

Active since November 16, 2021CLIA 36D0669601 · Waiver
1/5
Overall Rating
1104 WESLEY AVE, BRYAN, OH 43506(419) 636-5071 Get Directions Write a Review

NPPES record last updated: November 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bryan Healthcare And Rehabilitation Center Llc NPPES

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

BRYAN HEALTHCARE AND REHABILITATION CENTER LLC (NPI 1043976798), doing business as Bryan Healthcare And Rehabilitation Center, is a healthcare organization registered as a skilled nursing facility in Bryan, Ohio and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Jason Dipasqua, Coo, as its authorized official.

NPPES Registry Identity

NPI1043976798
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBRYAN HEALTHCARE AND REHABILITATION CENTER LLC
Location Address1104 WESLEY AVEBryan, OH 43506-2579
Mailing Address555 Anthony Wayne TrlWaterville, OH 43566-1516 · (330) 720-0406
Phone(419) 636-5071
Organization SubpartNo
Authorized OfficialJason DipasquaCoo · (330) 720-0406
Enumeration DateNovember 16, 2021
NPPES CertifiedNovember 16, 2021
✔ NPI 1043976798 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.
1104 WESLEY AVE, Bryan, OH 43506
Open in Google Maps ↗

Other Names 2

Doing Business AsBryan Healthcare And Rehabilitation Center
Former Legal Business NameSkld Bryan

Other Identifiers 1

Other1616NOH · Licensure

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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 36D0669601

Bryan Healthcare And Rehabilitation Center LLC · Bryan, OH
Active · expires Aug 31, 2026
CLIA Number36D0669601
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMariah K. Moore
Laboratory Phone(419) 636-5071
Laboratory LocationBryan Healthcare And Rehabilitation Center LLC1104 Wesley Avenue, Bryan, OH 43506
CLIA data matches this NPI record on: Address Name Phone
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 Bryan Healthcare And Rehabilitation (CMS certification number 365830), from CMS Care Compare.

Bryan Healthcare And Rehabilitation

Nursing home · Bryan, OH
1/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number365830
Certified Beds149 beds93 residents per day on average
Medicare & Medicaid Participant SinceMarch 28, 1991
Resident & Family CouncilResident and family councils
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
252.33
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 1.67 · LPN 1.13 · RN 0.37
3.16 hrs per resident per day
Weekend Nurse Staffing
2.79 hrs per resident per day
Physical Therapist Staffing
0.04 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
64.9%
Registered Nurse Turnover
83.3%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

CMS lists this facility in its Special Focus Facility program, which identifies nursing homes with a persistent pattern of inspection issues for increased oversight.
Facility-Reported Incidents
0
Substantiated Complaints
87
Infection-Control Citations
8
Fines
5 totaling $235,440.67
Medicare Payment Denials
3
Total Penalties
8
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 20

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

SHAUNA WRIGHT COTA/L
Occupational Therapy Assistant
1104 WESLEY AVE
BRYAN, OH 43506
Williams County (419) 630-2809
HARBORSIDE OF OHIO LIMITED PARTNERSHIP
Skilled Nursing Facility
1104 WESLEY AVE
BRYAN, OH 43506
Williams County (419) 636-5071
JAIMI GEREN COTA/L
Occupational Therapy Assistant
1104 WESLEY AVE
BRYAN, OH 43506
Williams County (419) 636-5071
KENDRA KORTOKRAX M.S., CCC-SLP
Speech-Language Pathologist
1104 WESLEY AVE
BRYAN, OH 43506
Williams County (419) 636-5071
MRS. KARA EICHER COTA/L
Occupational Therapy Assistant
1104 WESLEY AVE
BRYAN, OH 43506
Williams County (419) 636-5071
MRS. TIFFANY RAE POLETTA COTA/L
Occupational Therapy Assistant
1104 WESLEY AVE
BRYAN, OH 43506
Williams County (419) 636-5071
MRS. SARA DYE PTA
Physical Therapy Assistant
1104 WESLEY AVE
BRYAN, OH 43506
Williams County (419) 636-5071
JENNIFER JOHNSON COTA
Residential Treatment Facility, Physical Disabilities
1104 WESLEY AVE
BRYAN, OH 43506
Williams County (419) 636-5071

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 Bryan Healthcare And Rehabilitation Center LLC's NPI number?

The NPI number for Bryan Healthcare And Rehabilitation Center LLC is 1043976798. It was assigned to this organization in the NPPES registry on November 16, 2021. The provider is doing business as Bryan Healthcare and Rehabilitation Center. The provider was formerly known as SKLD Bryan.

Where is Bryan Healthcare And Rehabilitation Center LLC located?

Bryan Healthcare And Rehabilitation Center LLC is located at 1104 Wesley Ave, Bryan, OH 43506. The listed phone number is (419) 636-5071.

What is Bryan Healthcare And Rehabilitation Center LLC's specialty?

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

Does Bryan Healthcare And Rehabilitation Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0669601) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Bryan Healthcare And Rehabilitation Center LLC a Medicare-certified nursing home?

Yes. Bryan Healthcare And Rehabilitation is a Medicare-certified nursing home with 149 certified beds.

What quality rating does Bryan Healthcare And Rehabilitation Center LLC have?

CMS rates Bryan Healthcare And Rehabilitation 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Bryan Healthcare And Rehabilitation Center LLC accept?

Health plans from CareSource list Bryan Healthcare And Rehabilitation Center 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 Bryan Healthcare And Rehabilitation Center LLC was last updated on November 16, 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.