GLENDORA DIVINE OPCO LLC
NPI 1942098744
Skilled Nursing Facility in Wooster, OH

Active since April 30, 2025
1552 N HONEYTOWN RD, WOOSTER, OH 44691(330) 620-7828 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glendora Divine Opco Llc NPPES

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

GLENDORA DIVINE OPCO LLC (NPI 1942098744) is a healthcare organization registered as a skilled nursing facility in Wooster, Ohio and active in the NPI registry since April 2025. The organization lists Jeffrey Degyanksy, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1942098744
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameGLENDORA DIVINE OPCO LLC
Location Address1552 N HONEYTOWN RDWooster, OH 44691-9511
Mailing Address5915 Landerbrook Dr Ste 350Mayfield Heights, OH 44124-4063
Organization SubpartNo
Authorized OfficialJeffrey DegyanksyVp Of Operations · (330) 620-7828
Enumeration DateApril 30, 2025
NPPES CertifiedApril 30, 2025
NPI 1942098744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
1552 N HONEYTOWN RD, Wooster, OH 44691

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.

Family Medicine
1552 N HONEYTOWN RD
WOOSTER, OH 44691
Clinical Medical Laboratory
1552 N HONEYTOWN RD
WOOSTER, OH 44691
Skilled Nursing Facility
1552 N HONEYTOWN RD
WOOSTER, OH 44691
Skilled Nursing Facility
1552 N HONEYTOWN RD
WOOSTER, OH 44691
Licensed Practical Nurse
1552 N HONEYTOWN RD
WOOSTER, OH 44691
Licensed Practical Nurse
1552 N HONEYTOWN RD
WOOSTER, OH 44691

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 Glendora Divine Opco LLC's NPI number?

The NPI number for Glendora Divine Opco LLC is 1942098744. It was assigned to this organization in the NPPES registry on April 30, 2025.

Where is Glendora Divine Opco LLC located?

Glendora Divine Opco LLC is located at 1552 N Honeytown Rd, Wooster, OH 44691. The listed phone number is (330) 620-7828.

What is Glendora Divine Opco LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Glendora 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.