MOTHER ANGELINE MCCRORY MANOR, INC.
NPI 1730243932
Skilled Nursing Facility in Columbus, OH

Active since December 21, 2006CLIA 36D0329216 · Waiver
2/5
Overall Rating
5199 E BROAD ST, COLUMBUS, OH 43213(614) 751-5700(614) 751-8311 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mother Angeline Mccrory Manor, Inc. NPPES

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

MOTHER ANGELINE MCCRORY MANOR, INC. (NPI 1730243932) is a healthcare organization registered as a skilled nursing facility in Columbus, Ohio and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Jenna R Fawley, Administrator, as its authorized official.

NPPES Registry Identity

NPI1730243932
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMOTHER ANGELINE MCCRORY MANOR, INC.
Location Address5199 E BROAD STColumbus, OH 43213-3800
Mailing Address5199 E Broad StColumbus, OH 43213-3800 · (614) 751-5700 · Fax (614) 751-8311
Fax(614) 751-8311
Organization SubpartNo
Authorized OfficialJenna R FawleyAdministrator · (614) 751-5700
Enumeration DateDecember 21, 2006
Last NPPES UpdateSeptember 10, 2024
NPPES CertifiedSeptember 10, 2024
NPI 1730243932 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 · 2422N
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.
5199 E BROAD ST, Columbus, OH 43213

Other Identifiers 1

Medicaid2542636OH

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 36D0329216

Mother Angeline Mccrory Manor · Columbus, OH
Active · expires Aug 31, 2026
CLIA Number36D0329216
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorTom Widney
Laboratory Phone(614) 751-8565
Laboratory LocationMother Angeline Mccrory Manor5199 East Broad Street, Columbus, OH 43213
CLIA data matches this NPI record on: Address Name
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 Mother Angeline Mccrory Manor (CMS certification number 365436), from CMS Care Compare.

Mother Angeline Mccrory Manor

Nursing home · Columbus, OH
2/5 CMS Overall Rating
OwnershipNon profit - Church related
CMS Certification Number365436
Certified Beds126 beds112 residents per day on average
Medicare & Medicaid Participant SinceMarch 19, 1980
Resident & Family CouncilResident and family councils
Continuing care retirement community Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
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.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
82.67
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 2.72 · LPN 1.14 · RN 0.68
4.53 hrs per resident per day
Weekend Nurse Staffing
4.1 hrs per resident per day
Physical Therapist Staffing
0.05 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
60.8%
Registered Nurse Turnover
58.8%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
9
Infection-Control Citations
1
Fines
2 totaling $4,285.31
Medicare Payment Denials
0
Total Penalties
2
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 2

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

Occupational Therapist
5199 E BROAD ST
COLUMBUS, OH 43213
Nurse Practitioner (Family)
5199 E BROAD ST
COLUMBUS, OH 43213

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 Mother Angeline Mccrory Manor, Inc.'s NPI number?

The NPI number for Mother Angeline Mccrory Manor, Inc. is 1730243932. It was assigned to this organization in the NPPES registry on December 21, 2006.

Where is Mother Angeline Mccrory Manor, Inc. located?

Mother Angeline Mccrory Manor, Inc. is located at 5199 E Broad St, Columbus, OH 43213. The listed phone number is (614) 751-5700.

What is Mother Angeline Mccrory Manor, Inc.'s specialty?

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

Does Mother Angeline Mccrory Manor, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0329216) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Mother Angeline Mccrory Manor, Inc. a Medicare-certified nursing home?

Yes. Mother Angeline Mccrory Manor is a Medicare-certified nursing home with 126 certified beds.

What quality rating does Mother Angeline Mccrory Manor, Inc. have?

CMS rates Mother Angeline Mccrory Manor 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Mother Angeline Mccrory Manor, Inc. accept?

Health plans from Molina Healthcare and UnitedHealthcare list Mother Angeline Mccrory Manor, 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 Mother Angeline Mccrory Manor, Inc. was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.