OAK GROVE MANOR
NPI 1073687752
Skilled Nursing Facility in Mansfield, OH

Active since November 17, 2006CLIA 36D0873999 · Waiver
1670 CRIDER RD, MANSFIELD, OH 44903(419) 589-6222(419) 589-2576 Get Directions Write a Review

NPPES record last updated: March 21, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Oak Grove Manor NPPES

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

OAK GROVE MANOR (NPI 1073687752) is a healthcare organization registered as a skilled nursing facility in Mansfield, Ohio and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through August 3, 2027 and lists Oscar G Aleman, Controller, as its authorized official.

NPPES Registry Identity

NPI1073687752
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHEALTHCARE VENTURES OF OHIO LLC
Location Address1670 CRIDER RDMansfield, OH 44903-9268
Mailing Address1661 Old Henderson RdColumbus, OH 43220-3644 · (614) 459-2482 · Fax (614) 459-2641
Fax(419) 589-2576
Organization SubpartNo
Authorized OfficialOscar G AlemanController · (614) 459-2482
Enumeration DateNovember 17, 2006
Last NPPES UpdateMarch 21, 2012
NPI 1073687752 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 · 1783N
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.
1670 CRIDER RD, Mansfield, OH 44903

Other Names 1

Doing Business AsOak Grove Manor

Other Identifiers 2

Medicare ID-Type Unspecified36-5837OH · Medicare Provider#
Medicaid2561437OH

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 36D0873999

Oak Grove Manor · Mansfield, OH
Active · expires Aug 3, 2027
CLIA Number36D0873999
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 4, 2025
Certificate Expiration DateAugust 3, 2027
Laboratory DirectorLinda Lamson
Laboratory Phone(419) 589-6222
Laboratory LocationOak Grove Manor1670 Crider Road, Mansfield, OH 44903
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Skilled Nursing Facility
1670 CRIDER RD
MANSFIELD, OH 44903
Skilled Nursing Facility
1670 CRIDER RD
MANSFIELD, OH 44903
Intermediate Care Facility, Intellectual Disabilities
1670 CRIDER RD
MANSFIELD, OH 44903
Skilled Nursing Facility
1670 CRIDER RD
MANSFIELD, OH 44903

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 Healthcare Ventures Of Ohio LLC's NPI number?

The NPI number for Healthcare Ventures Of Ohio LLC is 1073687752. It was assigned to this organization in the NPPES registry on November 17, 2006. The provider is doing business as Oak Grove Manor.

Where is Healthcare Ventures Of Ohio LLC located?

Healthcare Ventures Of Ohio LLC is located at 1670 Crider Rd, Mansfield, OH 44903. The listed phone number is (419) 589-6222.

What is Healthcare Ventures Of Ohio LLC's specialty?

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

Does Healthcare Ventures Of Ohio LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0873999) is associated with this NPI, valid through August 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Healthcare Ventures Of Ohio LLC was last updated on March 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.