EDGEWOOD MANOR NURSING CENTER
NPI 1497743256
Skilled Nursing Facility in Port Clinton, OH

Active since October 06, 2005CLIA 36D0719063 · Waiver
1330 FULTON ST, PORT CLINTON, OH 43452(419) 734-5506(419) 734-2384 Get Directions Write a Review

NPPES record last updated: October 28, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edgewood Manor Nursing Center NPPES

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

EDGEWOOD MANOR NURSING CENTER (NPI 1497743256) is a healthcare organization registered as a skilled nursing facility in Port Clinton, Ohio and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Carol A Sparks, Director Of Reimbursement, as its authorized official.

NPPES Registry Identity

NPI1497743256
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOVENANT CARE OHIO, INC.
Location Address1330 FULTON STPort Clinton, OH 43452-9297
Mailing Address1330 Fulton StPort Clinton, OH 43452-9297 · (419) 734-5506 · Fax (419) 734-2384
Fax(419) 734-2384
Organization SubpartNo
Authorized OfficialCarol A SparksDirector Of Reimbursement · (949) 349-1200
Enumeration DateOctober 6, 2005
Last NPPES UpdateOctober 28, 2008
NPI 1497743256 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 · 1624NH
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.
1330 FULTON ST, Port Clinton, OH 43452

Other Names 1

Doing Business AsEdgewood Manor Nursing Center

Other Identifiers 2

Medicare OSCAR/certification365489
Medicaid2056304OH

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 36D0719063

Edgewood Manor Nursing Center · Port Clinton, OH
Active · expires Aug 31, 2026
CLIA Number36D0719063
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorFranklin E. Swinehart
Laboratory Phone(419) 734-5506
Laboratory LocationEdgewood Manor Nursing Center1330 S Fulton Street, Port Clinton, OH 43452
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Occupational Therapy Assistant
1330 FULTON ST
PORT CLINTON, OH 43452
Physical Therapy Assistant
1330 FULTON ST
PORT CLINTON, OH 43452
Physical Therapy Assistant
1330 FULTON ST
PORT CLINTON, OH 43452
Occupational Therapy Assistant
1330 FULTON ST
PORT CLINTON, OH 43452
Skilled Nursing Facility
1330 FULTON ST
PORT CLINTON, OH 43452

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 Covenant Care Ohio, Inc.'s NPI number?

The NPI number for Covenant Care Ohio, Inc. is 1497743256. It was assigned to this organization in the NPPES registry on October 6, 2005. The provider is doing business as Edgewood Manor Nursing Center.

Where is Covenant Care Ohio, Inc. located?

Covenant Care Ohio, Inc. is located at 1330 Fulton St, Port Clinton, OH 43452. The listed phone number is (419) 734-5506.

What is Covenant Care Ohio, Inc.'s specialty?

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

Does Covenant Care Ohio, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0719063) 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 Covenant Care Ohio, Inc. accept?

Health plans from UnitedHealthcare list Covenant Care Ohio, Inc. 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 Covenant Care Ohio, Inc. was last updated on October 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.