Active NPI
Highland Oaks Health Center, LLC
Doing business as Highland Oaks Health Center
- Skilled Nursing Facility
- McConnelsville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- HIGHLAND OAKS HEALTH CENTER, LLC
- Doing business as
- Highland Oaks Health Center
- Practice address
- 4114 N State Route 376 NW
McConnelsville, OH 43756-9145 - Phone
- (740) 962-3761
- Fax
- (740) 962-3001
- NPI assigned
- Aug 12, 2010
- Last updated
- Jan 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ahron Lieberman
- Title
- Manager
- Phone
- (740) 206-9059
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
4114 N State Route 376 NW
McConnelsville, OH 43756-9145
Mailing address
4114 N State Route 376 NW
McConnelsville, OH 43756-9145
Phone (740) 962-3761
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3078842 | Medicaid | OH |
Other names 1
- Highland Oaks Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101013000650 | OH | Part A Provider - Skilled Nursing Facility | 2961694633 | Practice locations: McConnelsville, OH |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1083929186. Details of each certification follow.
Skilled nursing facility certification: CCN 365147
- Legal name
- HIGHLAND OAKS HEALTH CENTER LLC
- Doing business as
- HIGHLAND OAKS HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 24, 1967
- Last certification
- Jan 27, 2025
- Beds
- 99
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- Oct 1, 2010
- Organization structure
- LLC
- Enrollment address
- 4114 N State Route 376 NW
McConnelsville, OH 43756-9145 - Nursing home name
- HIGHLAND OAKS HEALTH CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Highland Oaks Health Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Feb 24, 1967
- Medicare certification status
- Active
- Certified beds
- 99
- Special focus status
- SFF Candidate
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 2
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 20
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 |
|---|---|---|---|
| M Meisels Family Holdings LLC | 5% Or Greater Indirect Ownership Interest | Oct 3, 2022 | 15% |
| 5% Or Greater Mortgage Interest | Oct 3, 2022 | 15% | |
| Ahron Lieberman | 5% Or Greater Indirect Ownership Interest | Oct 3, 2022 | 30% |
| Corporate Officer | Oct 3, 2022 | ||
| Operational/Managerial Control | Oct 2, 2023 | ||
| Randall J Bufford | Corporate Officer | Nov 1, 2019 | 14.28% |
| William Bryant | Corporate Officer | Jan 5, 2016 | 14.28% |
| Jennifer Farkas | 5% Or Greater Indirect Ownership Interest | Feb 1, 2024 | 55% |
| Martin Friedman Cpa PC | Adp of the SNF | Oct 3, 2022 | |
| Indirect Ownership Interest | Oct 3, 2022 | ||
| 4114 Highway 376 Opco LLC | 5% Or Greater Direct Ownership Interest | Oct 3, 2022 | 100% |
| Gregory a. Conner | Corporate Officer | Jun 3, 2021 | 14.28% |
| Danny Prosky | Corporate Officer | Dec 1, 2015 | 14.28% |
| Liberty Oh Management LLC | Operational/Managerial Control | Oct 3, 2022 | |
| Adp of the SNF | Oct 3, 2022 | ||
| Liberty Oh Holdings LLC | 5% Or Greater Indirect Ownership Interest | Oct 3, 2022 | 30% |
| 5% Or Greater Mortgage Interest | Oct 3, 2022 | 30% | |
| Leigh Ann Barney | Corporate Officer | Nov 1, 2019 | 14.28% |
| Mathieu B Streiff | Corporate Officer | Dec 1, 2015 | 14.28% |
| Tiffany M Goins | Operational/Managerial Control | Jan 24, 2022 | 100% |
| JF McConnelsville LLC | 5% Or Greater Indirect Ownership Interest | Feb 1, 2024 | 55% |
| 5% Or Greater Mortgage Interest | Oct 16, 2023 | 55% | |
| Highway 376 Propco LLC | 5% Or Greater Mortgage Interest | Oct 3, 2022 | 100% |
| Adp of the SNF | Oct 3, 2022 | ||
| Dustin Miller | Operational/Managerial Control | Oct 3, 2022 | |
| Adp of the SNF | Oct 3, 2022 | ||
| Michael a Dundr | Adp of the SNF | Oct 3, 2022 | |
| Morris Meisels | 5% Or Greater Indirect Ownership Interest | Oct 3, 2022 | 15% |
| David W Davis | Corporate Officer | Aug 21, 2017 | 14.28% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Facilities with the same owner 7
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Autumn Lake Healthcare at Calvert Manor
- Skilled Nursing Facility
- Rising Sun, MD
- NPI 1366188740
M Meisels Family Holdings LLC
-
- Skilled Nursing Facility
- Silver Spring, MD
- NPI 1922708726
M Meisels Family Holdings LLC
-
- Skilled Nursing Facility
- Lutherville, MD
- NPI 1740981281
M Meisels Family Holdings LLC
-
- Skilled Nursing Facility
- Frederick, MD
- NPI 1952024176
M Meisels Family Holdings LLC
-
- Skilled Nursing Facility
- Towson, MD
- NPI 1457051344
M Meisels Family Holdings LLC
-
dba Autumn Lake Healthcare at Birch Manor
- Skilled Nursing Facility
- Sykesville, MD
- NPI 1669118980
M Meisels Family Holdings LLC
-
- Skilled Nursing Facility
- Mountainside, NJ
- NPI 1700657772
M Meisels Family Holdings LLC
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- General Practice Physician
- Columbus, OH
- NPI 1972711851
-
- Internal Medicine Physician
- Marietta, OH
- NPI 1992773501
-
- Family Medicine Physician
- Crooksville, OH
- NPI 1619958121
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": "1281571200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706140800000",
"number": "1083929186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4114 N STATE ROUTE 376 NW",
"city": "MCCONNELSVILLE",
"state": "OH",
"postal_code": "437569145",
"telephone_number": "740-962-3761",
"fax_number": "740-962-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4114 N STATE ROUTE 376 NW",
"city": "MCCONNELSVILLE",
"state": "OH",
"postal_code": "437569145",
"telephone_number": "740-962-3761",
"fax_number": "740-962-3001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGHLAND OAKS HEALTH CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-12",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A",
"authorized_official_last_name": "LIEBERMAN",
"authorized_official_first_name": "AHRON",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "740-206-9059",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3078842",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Highland Oaks Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in McConnelsville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.