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SHANE HILL DIVINE OPCO LLC
NPI 1629866439
Assisted Living Facility in Rockford, OH

Active since April 30, 2025
10731 STATE ROUTE 118, ROCKFORD, OH 45882(330) 620-7828 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shane Hill Divine Opco Llc NPPES

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

SHANE HILL DIVINE OPCO LLC (NPI 1629866439) is a healthcare organization registered as an assisted living facility in Rockford, Ohio and active in the NPI registry since April 2025. The organization lists Jeffrey Degyansky, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1629866439
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSHANE HILL DIVINE OPCO LLC
Location Address10731 STATE ROUTE 118Rockford, OH 45882-8947
Mailing Address5915 Landerbrook Dr Ste 350Mayfield Heights, OH 44124-4063
Phone(330) 620-7828
Organization SubpartNo
Authorized OfficialJeffrey DegyanskyChief Operating Officer · (330) 620-7828
Enumeration DateApril 30, 2025
NPPES CertifiedApril 30, 2025
✔ NPI 1629866439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
10731 STATE ROUTE 118, Rockford, OH 45882
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Other Providers at the Same Location NPPES 6

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

THE LAURELS OF ROCKFORD, INC.
Skilled Nursing Facility
10731 STATE ROUTE 118
ROCKFORD, OH 45882
Mercer County (419) 363-2620
SHANE HILL REHABILITATION AND NURSING CENTER LLC
Skilled Nursing Facility
10731 STATE ROUTE 118
ROCKFORD, OH 45882
Mercer County (419) 363-2620
ROCKFORD OPCO LLC
Skilled Nursing Facility
10731 STATE ROUTE 118
ROCKFORD, OH 45882
Mercer County (419) 363-2620
SHANE HILL DIVINE OPCO LLC
Skilled Nursing Facility
10731 STATE ROUTE 118
ROCKFORD, OH 45882
Mercer County (330) 620-7828
THE LAURELS OF ROCKFORD, INC.
Durable Medical Equipment & Medical Supplies (Parenteral & Enteral Nutrition)
10731 STATE ROUTE 118
ROCKFORD, OH 45882
Mercer County (419) 363-2620
ROCKFORD AL OPCO LLC
Assisted Living Facility
10731 STATE ROUTE 118
ROCKFORD, OH 45882
Mercer County (419) 363-2620

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 Shane Hill Divine Opco LLC's NPI number?

The NPI number for Shane Hill Divine Opco LLC is 1629866439. It was assigned to this organization in the NPPES registry on April 30, 2025.

Where is Shane Hill Divine Opco LLC located?

Shane Hill Divine Opco LLC is located at 10731 State Route 118, Rockford, OH 45882. The listed phone number is (330) 620-7828.

What is Shane Hill Divine Opco LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Shane Hill Divine Opco LLC was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.