Active NPI
Trilogy Healthcare of Tiffin, LLC
Doing business as The Willows at Tiffin
- Skilled Nursing Facility
- Tiffin, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- TRILOGY HEALTHCARE OF TIFFIN, LLC
- Doing business as
- The Willows at Tiffin
- Practice address
- 410 Fair Lane
Tiffin, OH 44883 - Phone
- (419) 443-0071
- NPI assigned
- Aug 15, 2019
- Last updated
- Aug 15, 2019
- Organization subpart
- Yes
- Parent organization
- TRILOGY OPCO, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bradley Williamson
- Title
- Senior Vice President - Treasurer
- Phone
- (502) 412-5847
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
410 Fair Lane
Tiffin, OH 44883
Mailing address
PO Box 221648
Louisville, KY 40252-1648
Phone (502) 412-5847
Other names 1
- The Willows at Tiffin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190919000502 | OH | Part A Provider - Skilled Nursing Facility | 2062742976 | Practice locations: Tiffin, OH |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1083260988. Details of each certification follow.
Skilled nursing facility certification: CCN 366473
- Legal name
- TRILOGY HEALTHCARE OF TIFFIN, LLC
- Doing business as
- THE WILLOWS AT TIFFIN
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 11, 2019
- Last certification
- Mar 20, 2025
- Beds
- 67
- Ownership / control type
- Corporation
- Multi-facility organization
- Trilogy Health Services
- Organization structure
- LLC
- Incorporated
- Jun 22, 2016 in OH
- Enrollment address
- 410 Fair LN
Tiffin, OH 44883-2518 - Nursing home name
- THE WILLOWS AT TIFFIN
- Affiliated entity
- TRILOGY HEALTH SERVICES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- The Willows at Tiffin
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Dec 11, 2019
- Medicare certification status
- Active
- Certified beds
- 67
- Chain
- Trilogy Health Services
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2172844 | Willows at Tiffin, the | Certificate of waiver | Sep 30, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 26
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| American Healthcare Reit Inc | 5% Or Greater Indirect Ownership Interest | Dec 1, 2015 | 6% |
| Northstar Healthcare Income Operating Partnership LP | 5% Or Greater Indirect Ownership Interest | Dec 1, 2015 | 24% |
| William Bryant | Corporate Officer | Jan 5, 2016 | 14.29% |
| Trilogy Real Estate Investment Trust | 5% Or Greater Indirect Ownership Interest | Dec 1, 2015 | 96.7% |
| Trilogy Reit Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2015 | 96.7% |
| Trilogy Management Services LLC | Operational/Managerial Control | Dec 1, 2015 | |
| Gahc3 Trilogy JV LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2015 | 70% |
| Alicia Wolf | Operational/Managerial Control | Jun 1, 2019 | 100% |
| American Healthcare Reit Holdings LP | 5% Or Greater Indirect Ownership Interest | Dec 1, 2015 | 70% |
| Danny Prosky | Corporate Officer | Dec 1, 2015 | 14.29% |
| Trilogy Opco LLC | 5% Or Greater Direct Ownership Interest | Dec 1, 2015 | 100% |
| Bradley Williamson | Corporate Officer | Jan 21, 2014 | 14.29% |
| Griffin-American Healthcare Reit III, Inc. | 5% Or Greater Indirect Ownership Interest | Dec 1, 2015 | 70% |
| Lisa Fightmaster | W-2 Managing Employee | Dec 1, 2015 | |
| Trilogy Holdings NT-Hci, LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2015 | 24% |
| Leigh Ann Barney | Corporate Officer | Jan 1, 2001 | 14.29% |
| Trilogy Health Services LLC | Operational/Managerial Control | Dec 1, 2015 | |
| Mathieu B Streiff | Corporate Officer | Dec 1, 2015 | 14.29% |
| Trilogy Investors LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2015 | 100% |
| Trilogy Healthcare Holdings Inc | 5% Or Greater Indirect Ownership Interest | Dec 1, 2015 | 100% |
| Kathy M Corbin | W-2 Managing Employee | Sep 6, 2019 | 5% |
| Griffin-American Healthcare Reit IV Holdings, LP | 5% Or Greater Indirect Ownership Interest | Dec 1, 2015 | 6% |
| David W Davis | Corporate Officer | Aug 21, 2017 | 14.29% |
| Northstar Healthcare Income Inc | 5% Or Greater Indirect Ownership Interest | Dec 1, 2015 | 24% |
| Gahc4 Trilogy JV LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2015 | 6% |
| Robin L Barber | Corporate Officer | Apr 3, 2018 | 14.29% |
Facilities with the same owner 72
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Courtyard at Seasons
- Skilled Nursing Facility
- Cincinnati, OH
- NPI 1992129399
Northstar Healthcare Income Inc, Northstar Healthcare Income Operating Partnership LP
-
dba Wellspring Health Center
- Skilled Nursing Facility
- Cincinnati, OH
- NPI 1407270721
Northstar Healthcare Income Inc, Northstar Healthcare Income Operating Partnership LP
-
dba Springview Manor Health Campus
- Skilled Nursing Facility
- Lima, OH
- NPI 1124073895
American Healthcare Reit Holdings LP, American Healthcare Reit Inc, Gahc3 Trilogy JV LLC, Gahc4 Trilogy JV LLC, Northstar Healthcare Income Inc, Northstar Healthcare Income Operating Partnership LP, Trilogy Healthcare Holdings Inc, Trilogy Holdings
-
dba The Meadows of Delphos
- Skilled Nursing Facility
- Delphos, OH
- NPI 1932154812
American Healthcare Reit Holdings LP, American Healthcare Reit Inc, Gahc3 Trilogy JV LLC, Gahc4 Trilogy JV LLC, Griffin-American Healthcare Reit III, Inc., Griffin-American Healthcare Reit IV Holdings, LP, Northstar Healthcare Income Inc, Northstar
-
dba The Willows at Bellevue
- Skilled Nursing Facility
- Bellevue, OH
- NPI 1457529950
American Healthcare Reit Holdings LP, American Healthcare Reit Inc, Gahc3 Trilogy JV LLC, Gahc4 Trilogy JV LLC, Trilogy Healthcare Holdings Inc, Trilogy Investors LLC, Trilogy Opco LLC, Trilogy Real Estate Investment Trust, Trilogy Reit Holdings L
-
dba The Willows at Bowling Green
- Skilled Nursing Facility
- Bowling Green, OH
- NPI 1578244166
American Healthcare Reit Holdings LP, American Healthcare Reit Inc, Gahc3 Trilogy JV LLC, Gahc4 Trilogy JV LLC, Trilogy Healthcare Holdings Inc, Trilogy Investors LLC, Trilogy Management Services LLC, Trilogy Opco LLC, Trilogy Real Estate Investme
-
dba Gateway Springs Health Campus
- Skilled Nursing Facility
- Hamilton, OH
- NPI 1972106201
American Healthcare Reit Holdings LP, American Healthcare Reit Inc, Gahc3 Trilogy JV LLC, Gahc4 Trilogy JV LLC, Griffin-American Healthcare Reit III, Inc., Griffin-American Healthcare Reit IV Holdings, LP, Northstar Healthcare Income Inc, Northstar
-
dba The Glen
- Skilled Nursing Facility
- Cincinnati, OH
- NPI 1255842084
American Healthcare Reit Holdings LP, American Healthcare Reit Inc, Gahc3 Trilogy JV LLC, Gahc4 Trilogy JV LLC, Northstar Healthcare Income Inc, Northstar Healthcare Income Operating Partnership LP, Trilogy Healthcare Holdings Inc, Trilogy Holdings
-
dba Smith's Mill Health Campus
- Skilled Nursing Facility
- New Albany, OH
- NPI 1205482189
American Healthcare Reit Holdings LP, American Healthcare Reit Inc, Gahc3 Trilogy JV LLC, Gahc4 Trilogy JV LLC, Trilogy Healthcare Holdings Inc, Trilogy Investors LLC, Trilogy Management Services LLC, Trilogy Opco LLC, Trilogy Real Estate Investme
-
dba Taylor Springs Health Campus
- Skilled Nursing Facility
- Gahanna, OH
- NPI 1548890338
American Healthcare Reit Holdings LP, American Healthcare Reit Inc, Gahc3 Trilogy JV LLC, Gahc4 Trilogy JV LLC, Griffin-American Healthcare Reit III, Inc., Griffin-American Healthcare Reit IV Holdings, LP, Northstar Healthcare Income Inc, Northstar
-
dba Harrison Trail Health Campus
- Skilled Nursing Facility
- Harrison, OH
- NPI 1144815937
American Healthcare Reit Holdings LP, American Healthcare Reit Inc, Gahc3 Trilogy JV LLC, Gahc4 Trilogy JV LLC, Griffin-American Healthcare Reit III, Inc., Griffin-American Healthcare Reit IV Holdings, LP, Northstar Healthcare Income Inc, Northstar
-
dba Triple Creek Retirement Community
- Skilled Nursing Facility
- Cincinnati, OH
- NPI 1649437815
American Healthcare Reit Holdings LP, American Healthcare Reit Inc, Gahc3 Trilogy JV LLC, Gahc4 Trilogy JV LLC, Northstar Healthcare Income Inc, Northstar Healthcare Income Operating Partnership LP, Trilogy Healthcare Holdings Inc, Trilogy Holdings
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Tiffin, OH
- NPI 1427095926
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1565827200000",
"number": "1083260988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 221648",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402521648",
"telephone_number": "502-412-5847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 FAIR LANE",
"city": "TIFFIN",
"state": "OH",
"postal_code": "44883",
"telephone_number": "419-443-0071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRILOGY HEALTHCARE OF TIFFIN, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TRILOGY OPCO, LLC",
"enumeration_date": "2019-08-15",
"last_updated": "2019-08-15",
"status": "A",
"authorized_official_last_name": "WILLIAMSON",
"authorized_official_first_name": "BRADLEY",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT - TREASURER",
"authorized_official_telephone_number": "502-412-5847",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Willows at Tiffin",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tiffin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.