PROMEDICA SKILLED NURSING AND REHABILITATION (MENTOR)
NPI 1285676783
Skilled Nursing Facility in Mentor, OH

NPI Status: Active since June 11, 2006

Contact Information

8200 MENTOR HILLS DR
MENTOR, OH
ZIP 44060
Phone: (440) 256-1496
Fax: (440) 256-4935

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  • Organization
  • Skilled Nursing Facility
  • Accepts Insurance
  • CLIA Number: 36D0334497
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About PROMEDICA SKILLED NURSING AND REHABILITATION (MENTOR)

This page provides the complete NPI Profile along with additional information for Promedica Skilled Nursing And Rehabilitation (mentor), a provider established in Mentor, Ohio operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1285676783 assigned on June 2006. The practitioner's primary taxonomy code is 314000000X with license number 1855N (OH). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Promedica Skilled Nursing And Rehabilitation (mentor). The authorized official of this NPI record is Mr. Martin D Allen (Director)

NPI
1285676783
Provider Legal Name
HEARTLAND OF MENTOR OH, LLC
Other Organization Name
PROMEDICA SKILLED NURSING AND REHABILITATION (MENTOR)
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
8200 MENTOR HILLS DR MENTOR, OH 44060
Location Phone
(440) 256-1496
Location Fax
(440) 256-4935
Mailing Address
333 N SUMMIT ST TOLEDO, OH 43604
Mailing Phone
(419) 252-5500
Mailing Fax
(440) 256-4935
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-11-2006
Last Update Date
06-23-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
1855N
License State
OH
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Bronze 2 Advanced HSA: Aetna network + CVS Health Virtual Primary Care - EPO
  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - EPO
  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
  • Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
  • Bronze S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • BannerAetna Bronze 2 HSA: No PCP required + 98point6 virtual care 24/7 - HMO
  • BannerAetna Bronze 4: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Bronze 4: No PCP required + $0 PCP + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Bronze S: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Gold 10: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Gold 10: No PCP required + $0 PCP + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Gold 3: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Gold 3: No PCP required + free 98point6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Gold S: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Silver 10: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental +Vision - HMO
  • BannerAetna Silver 4: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Silver 4: No PCP required + free 98point6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Silver 5: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Silver S: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Silver S: No PCP required + free 98point6 virtual care 24/7 + Adult Dental + Vision - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MARTIN D ALLEN

Authorized Official Title
DIRECTOR
Authorized Official Phone
(419) 252-5734

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2791537MEDICAID (05)OH 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D0334497
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
DHARMESH MEHTA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Promedica Skilled Nursing And Rehabilitation (mentor) to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PROMEDICA SKILLED NURSING AND REHABILITATION (MENTOR)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285676783
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2216512712716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 2 + 7 + 1 + 2 + 7 + 1 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1285676783 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1649812405 NICOLE E PETGRAVE NURSE PRACTITIONER
Individual
Nurse Practitioner (Gerontology)8200 MENTOR HILLS DR
MENTOR, OH 44060
(800) 427-1902
1184189854MRS. JOZEFINA DIAZ NP-C
Individual
Nurse Practitioner (Family)8200 MENTOR HILLS DR
MENTOR, OH 44060
(440) 256-1496
1811692940LEGACY MENTOR OPERATING COMPANY, LLC
Organization
Skilled Nursing Facility8200 MENTOR HILLS DR
MENTOR, OH 44060
(440) 256-1496
1871312819MENTOR SNF HEALTHCARE LLC
Organization
Skilled Nursing Facility8200 MENTOR HILLS DR
MENTOR, OH 44060
(000) 000-0000
1174963235 KRISTAN J. BRYANT CNP
Individual
Nurse Practitioner (Adult Health)8200 MENTOR HILLS DR
MENTOR, OH 44060
(216) 938-2763

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285676783, enumerated in the NPI registry as an "organization" on June 11, 2006

The provider is located at 8200 Mentor Hills Dr Mentor, Oh 44060 and the phone number is (440) 256-1496

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

The provider might be accepting Accepts: Aetna CVS Health, BannerAetna, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 36D0334497 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on June 11, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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