Park Village Hc Np LLC
1019 Oldtown Valley Road Se, New Philadelphia, OH 44663


Park Village Hc Np LLC is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 366449. The address is 1019 Oldtown Valley Road Se, New Philadelphia, OH 44663. The zip code is 44663. The phone number is 3303644436.


Park Village Hc Np LLC · 1019 Oldtown Valley Road Se, New Philadelphia, OH 44663

Federal Provider Number 366449
Provider Name PARK VILLAGE HC NP LLC
Address 1019 OLDTOWN VALLEY ROAD SE
NEW PHILADELPHIA, OH 44663
Phone Number 3303644436
SSA County Code 800
County Name Tuscarawas
Ownership Type For profit - Partnership
Certified Beds 40
Certified Beds Residents 2
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name PARK VILLAGE HC NP LLC
Date First Approved to Provide Medicare Medicaid Services 01/17/2017
Continuing Care Retirement Community true
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating Footnote Too New to Rate
Health Inspection Rating Footnote Too New to Rate
Quality Measure Rating Footnote Too New to Rate
Staffing Rating Footnote Too New to Rate
RN Staffing Rating Footnote Too New to Rate
Reported Staffing Footnote Data Not Available
Physical Therapist Staffing Footnote Data Not Available
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Park Village Hc Np LLC

Owner Name Role Association Date
ODONNELL, ROBERT (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
20%
since 07/01/2015
ODONNELL, ROBERT (Individual) MANAGING EMPLOYEE since 07/01/2015
ODONNELL, ROBERT (Individual) OFFICER since 07/01/2015
ODONNELL, THOMAS (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
26%
since 07/01/2015
ODONNELL, THOMAS (Individual) MANAGING EMPLOYEE since 07/01/2015
ODONNELL, THOMAS (Individual) OFFICER since 07/01/2015
PARK VILLAGE DEVELOPMENT LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 07/01/2015
ROBERT J ODONNELL IRRV BUSINESS TR (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
30%
since 01/01/2015
THOMAS P AND LYNN ODONNELL IRRV FAM TR (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
9%
since 01/01/2015
TUCKER, JEFFREY (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
15%
since 07/01/2015
TUCKER, JEFFREY (Individual) MANAGING EMPLOYEE since 07/01/2015
TUCKER, JEFFREY (Individual) OFFICER since 07/01/2015

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