Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Oak Grove Manor Operating Company LLC

Organization Skilled Nursing Facility · NPI 1174149504

Oak Grove Manor Operating Company LLC is a Skilled Nursing Facility in Mansfield, Ohio. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1670 Crider Rd
Mansfield, OH 44903-9268
Phone: (419) 589-6222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1174149504
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Degyansky — Vice President Of Operations · (330) 620-7828
Other names Oak Grove Manor; Oak Grove Manor
NPI enumeratedJune 22, 2020
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024
Mailing address5915 Landerbrook Dr Ste 350, Mayfield Heights, OH 44124-4063

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