AVALON BY OTTERBEIN MONCLOVA
NPI 1801919584
Skilled Nursing Facility in Monclova, OH

Active since April 09, 2007CLIA 36D1083200 · Waiver
2/5
Overall Rating
5069 OTTERBEIN WAY, MONCLOVA, OH 43542(419) 878-0550(419) 878-3169 Get Directions Write a Review

NPPES record last updated: February 9, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Avalon By Otterbein Monclova NPPES

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

AVALON BY OTTERBEIN MONCLOVA (NPI 1801919584) is a healthcare organization registered as a skilled nursing facility in Monclova, Ohio and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through April 28, 2028 and lists James Chris Green, Treasurer & Cfo, as its authorized official.

NPPES Registry Identity

NPI1801919584
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameOTTERBEIN MONCLOVA, LLC
Location Address5069 OTTERBEIN WAYMonclova, OH 43542
Mailing Address580 N State Route 741Lebanon, OH 45036-8839 · (513) 933-5401 · Fax (513) 932-1054
Fax(419) 878-3169
Organization SubpartNo
Authorized OfficialJames Chris GreenTreasurer & Cfo · (513) 933-5418
Enumeration DateApril 9, 2007
Last NPPES UpdateFebruary 9, 2015
NPI 1801919584 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 · 2503N
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.

5069 OTTERBEIN WAY, Monclova, OH 43542

Other Names 1

Doing Business AsAvalon By Otterbein Monclova

Other Identifiers 2

Medicare OSCAR/certification366361OH
Medicaid2819454OH

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 36D1083200

Avalon By Otterbein Monclova · Monclova, OH
Active · expires Apr 28, 2028
CLIA Number36D1083200
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateApril 29, 2026
Certificate Expiration DateApril 28, 2028
Laboratory DirectorLisa M. Hart
Laboratory Phone(419) 878-0550
Laboratory LocationAvalon By Otterbein Monclova5069 Otterbein Way, Monclova, OH 43542
CLIA data matches this NPI record on: Address Name Phone
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 Otterbein Monclova (CMS certification number 366361), from CMS Care Compare.

Otterbein Monclova

Nursing home · Monclova, OH
2/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number366361
Certified Beds60 beds53 residents per day on average
Medicare & Medicaid Participant SinceMay 20, 2008
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
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.
5/5
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.
119.33
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 3.11 · LPN 1.1 · RN 0.42
4.62 hrs per resident per day
Weekend Nurse Staffing
4.27 hrs per resident per day
Physical Therapist Staffing
0.01 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
43.6%
Registered Nurse Turnover
50%
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
21
Infection-Control Citations
0
Fines
2 totaling $102,403.62
Medicare Payment Denials
1
Total Penalties
3
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 10

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

Physical Therapist
5069 OTTERBEIN WAY
MONCLOVA, OH 43542
Physical Medicine & Rehabilitation
5069 OTTERBEIN WAY
MONCLOVA, OH 43542
Occupational Therapy Assistant
5069 OTTERBEIN WAY
MONCLOVA, OH 43542
Occupational Therapy Assistant
5069 OTTERBEIN WAY
MONCLOVA, OH 43542
Occupational Therapy Assistant
5069 OTTERBEIN WAY
MONCLOVA, OH 43542
Physical Therapy Assistant
5069 OTTERBEIN WAY
MONCLOVA, OH 43542
Physical Therapy Assistant
5069 OTTERBEIN WAY
MONCLOVA, OH 43542
Occupational Therapy Assistant
5069 OTTERBEIN WAY
MONCLOVA, OH 43542

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 Otterbein Monclova, LLC's NPI number?

The NPI number for Otterbein Monclova, LLC is 1801919584. It was assigned to this organization in the NPPES registry on April 9, 2007. The provider is doing business as Avalon By Otterbein Monclova.

Where is Otterbein Monclova, LLC located?

Otterbein Monclova, LLC is located at 5069 Otterbein Way, Monclova, OH 43542. The listed phone number is (419) 878-0550.

What is Otterbein Monclova, LLC's specialty?

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

Does Otterbein Monclova, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1083200) is associated with this NPI, valid through April 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Otterbein Monclova, LLC a Medicare-certified nursing home?

Yes. Otterbein Monclova is a Medicare-certified nursing home with 60 certified beds.

What quality rating does Otterbein Monclova, LLC have?

CMS rates Otterbein Monclova 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 Otterbein Monclova, LLC accept?

Health plans from CareSource list Otterbein Monclova, LLC 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 Otterbein Monclova, LLC was last updated on February 9, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.