Mt. Airy Gardens Rehabilitation and Care Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1543N Issued in OH

Legal business name

MT. AIRY GARDENS REHABILITATION AND CARE CENTER LLC

Practice address

2250 Banning Rd
Cincinnati, OH 45239-6608

Phone

(513) 591-0400

NPI assigned

Aug 18, 2016

Last updated

Jun 4, 2024By 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

David Gamzeh

Title

Managing Member

Phone

(516) 426-6961

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063967131. Details of each certification follow.

• CCN 365293 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 365293

Legal name

MT. AIRY GARDENS REHABILITATION AND CARE CENTER LLC

Doing business as

MT. AIRY GARDENS REHABILITATION AND NURSING CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 9, 1973

Last certification

Feb 20, 2025

Beds

99

Ownership / control type

Corporation

Most recent change of ownership

Dec 30, 2016

Organization structure

LLCProprietary

Incorporated

Aug 31, 2015 in OH

Enrollment address

2250 Banning Road
Cinconnati, OH 45239-6608

Nursing home name

MT AIRY GARDENS REHABILITATION AND NURSING CENTER

Listed as

Mt Airy Gardens Rehabilitation and Nursing CenterCCN 365293 · 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 - Corporation

Certified

Apr 9, 1973

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9993.9 residents per day on average

Penalties (3 years)

1Fines totaling $10,039

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 6

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.

• Emmanuel V Rivera, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Cincinnati, OH
  • NPI 1912946146

  Adp of the SNF, Contracted Managing Employee

  CMS ownership

Practitioners 4

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.

• Vincent K Chu, DO

  • Geriatric Medicine (Family Medicine) Physician
  • Lewis Center, OH
  • NPI 1366481822
  NPD (past)
• Michael Justin, M.D.

  • Specialist
  • Cincinnati, OH
  • NPI 1023196904
  NPD (past)
• Syed A Moqeeth, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Cincinnati, OH
  • NPI 1669448171
  NPD (past)
• Naveena Nelson, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Cincinnati, OH
  • NPI 1548224280
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Vincent K Chu, DO

  • Geriatric Medicine (Family Medicine) Physician
  • Lewis Center, OH
  • NPI 1366481822

  Nursing home

  Care Compare affiliation
• Michael Justin, M.D.

  • Specialist
  • Cincinnati, OH
  • NPI 1023196904

  Nursing home

  Care Compare affiliation
• Naveena Nelson, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Cincinnati, OH
  • NPI 1548224280

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1063967131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 BANNING RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452396608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 BANNING RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452396608",
            "telephone_number": "513-591-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. AIRY GARDENS REHABILITATION AND CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2024-06-04",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "GAMZEH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "516-426-6961"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1543N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jelinda Marie Mrozek
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• Mt. Airy Medical Arts, Inc.
• Mt. Auburn Nephrology, Inc.
• Mt. Auburn Urgent Care, LLC
• Mt. Carmel Family Medicine, Inc.
• Mt. Healthy Christian Home, Inc.

• Skilled Nursing Facility in Cincinnati, OH
• Providers in Cincinnati, 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 Jun 4, 2024; 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.