Oak Grove Manor Operating Company LLC
NPI 1174149504 · Skilled Nursing Facility · Mansfield, OH
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Oak Grove Manor Operating Company LLC is a Skilled Nursing Facility organization in Mansfield, OH (NPI 1174149504).
Provider details
- NPI number
- 1174149504
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jeffrey Degyansky, Vice President of Operations(330) 620-7828
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Oak Grove Manor
- Doing business as
- Oak Grove Manor
Registry dates
- Enumerated
- 2020-06-22
- Last updated
- 2024-12-17
- Certified
- 2024-12-17
Frequently asked questions
- What is Oak Grove Manor Operating Company LLC's NPI number?
- Oak Grove Manor Operating Company LLC's National Provider Identifier (NPI) is 1174149504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Oak Grove Manor Operating Company LLC?
- Oak Grove Manor Operating Company LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Oak Grove Manor Operating Company LLC located?
- Oak Grove Manor Operating Company LLC's practice location on file with NPPES is 1670 Crider Rd, Mansfield, OH 44903-9268.
- What is Oak Grove Manor Operating Company LLC's phone number?
- The practice phone number listed in the NPPES registry for Oak Grove Manor Operating Company LLC is (419) 589-6222.
- Does Oak Grove Manor Operating Company LLC accept Medicare?
- Oak Grove Manor Operating Company LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Oak Grove Manor Operating Company LLC?
- The authorized official listed on Oak Grove Manor Operating Company LLC's NPPES record is Jeffrey Degyansky, Vice President of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Oak Grove Manor Operating Company LLC's NPI active?
- Yes — Oak Grove Manor Operating Company LLC's NPI (1174149504) is active in the NPPES registry as of the last update on 2024-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.