Vandalia Rehab LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

VANDALIA REHAB LLC

Doing business as

Momentous Health at Vandalia

Practice address

208 N Cassel Road
Vandalia, OH 45377

Phone

(937) 898-4202

NPI assigned

Apr 1, 2022

Last updated

Sep 16, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Tenenbaum

Title

Ceo

Phone

(917) 613-5764

Specialties & licenses 1

Addresses

Other names 1

• Momentous Health at Vandalia Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063152486. Details of each certification follow.

• CCN 366035 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 366035

Legal name

VANDALIA REHAB LLC

Doing business as

MOMENTOUS HEALTH AT VANDALIA

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 10, 1995

Last certification

Apr 24, 2023

Beds

118

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Momentous Health

Organization structure

LLCProprietary

Incorporated

Feb 15, 2022 in DE

Enrollment address

208 N Cassel Rd
Vandalia, OH 45377-2926

Nursing home name

MOMENTOUS HEALTH AT VANDALIA

Listed as

Momentous Health at VandaliaCCN 366035 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

1 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Nov 10, 1995

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

118109.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Momentous Health at Vandalia2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sidney Rehab LLC

  • Skilled Nursing Facility
  • Sidney, OH
  • NPI 1255071676
  NPD tax ID

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Harold Allen Ferguson Jr., D.O.

  • Family Medicine Physician
  • Eaton, OH
  • NPI 1659312205

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Elaine Berner, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Oakwood, OH
  • NPI 1952384505
  NPD (past)
• Harold Allen Ferguson Jr., D.O.

  • Family Medicine Physician
  • Eaton, OH
  • NPI 1659312205
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1063152486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1837 EAST 33RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344425",
            "telephone_number": "917-613-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N CASSEL ROAD",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "45377",
            "telephone_number": "937-898-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDALIA REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "TENENBAUM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-613-5764"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Momentous Health at Vandalia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carla R Urbanas, MS,LPCC,LICDC
• Usd Dayton, Inc. (Dayton Medical Imaging Vandalia)
• Vandalia Butler City Schools
• Vandalia Dental Center, Wayne K. Wright, DDS, Inc.
• Vandalia Optometry LLC
• Vandalia Smile Center LLC
• Teresa Vanhoose, MSN, APRN, FNP-BC
• Christi Vann
• Viaquest Home Health, LLC (ViaQuest Home Care)
• Donna J Vogel, APRN.CNP

• Skilled Nursing Facility in Vandalia, OH
• Providers in Vandalia, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.