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Oak Grove Manor Operating Company LLC

Skilled Nursing Facility in Mansfield, OH · enumerated 2020 · authorized official Jeffrey Degyansky, Vice President of Operations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174149504

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Registry record

Entity type Organization (Type 2)
Legal business name Oak Grove Manor Operating Company LLC
Other name <Unavail>
Practice address 1670 Crider Rd, Mansfield, OH, 44903
Phone (419) 589-6222
Enumeration date Jun 22, 2020
Last updated in NPPES Dec 17, 2024

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Jeffrey Degyansky
Title Vice President of Operations
Phone (330) 620-7828

Other identifiers

Identifier Type State Issuer
1783N Other OH LICENSURE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Oak Grove Manor Operating Company LLC?
The NPI for Oak Grove Manor Operating Company LLC is 1174149504, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Oak Grove Manor Operating Company LLC?
NPPES lists Jeffrey Degyansky (Vice President of Operations) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-12-17.