MAIN STREET CARE CENTER
NPI 1710977376
Skilled Nursing Facility in Avon Lake, OH

Active since October 25, 2005CLIA 36D0861210 · Waiver
500 COMMUNITY DRIVE, AVON LAKE, OH 44012(440) 930-6600(440) 930-1801 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Main Street Care Center NPPES

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

MAIN STREET CARE CENTER (NPI 1710977376) is a healthcare organization registered as a skilled nursing facility in Avon Lake, Ohio and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Mark Sprenger, Executive Vp And Cio, as its authorized official.

NPPES Registry Identity

NPI1710977376
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLORAIN MANOR, INC.
Location Address500 COMMUNITY DRIVEAvon Lake, OH 44012
Mailing Address500 Community DriveAvon Lake, OH 44012 · (440) 930-6600 · Fax (440) 930-1801
Fax(440) 930-1801
Organization SubpartNo
Authorized OfficialMark SprengerExecutive Vp And Cio · (440) 989-5234
Enumeration DateOctober 25, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1710977376 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 · 0763
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.

500 COMMUNITY DRIVE, Avon Lake, OH 44012

Other Names 1

Doing Business AsMain Street Care Center

Other Identifiers 6

Other000000357006OH · Anthem Pt
Medicaid2726189OH
Other000000156480OH · Anthem
Medicaid0423090OH
Other000000357010OH · Anthem Ot
Other000000357011OH · Anthem St

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 36D0861210

Main Street Care Center · Avon Lake, OH
Active · expires Aug 31, 2026
CLIA Number36D0861210
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSarah Paradis
Laboratory Phone(440) 930-6600
Laboratory LocationMain Street Care Center500 Community Drive, Avon Lake, OH 44012
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710977376, enumerated as an "organization" on October 25, 2005.

The provider is located at 500 COMMUNITY DRIVE AVON LAKE, OH 44012 and the phone number is (440) 930-6600.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Anthem Blue Cross, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.