NPIMap

Organization Active NPI

CHS-Batavia, Inc

  • Skilled Nursing Facility
  • Batavia, OH
National Provider Identifier
1124016423
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
6122 Issued in OH
Legal business name
CHS-BATAVIA, INC
Practice address
4000 Golden Age Dr
Batavia, OH 45103-1913
Phone
(513) 732-6500
Fax
(513) 732-3133
NPI assigned
Oct 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Authorized official

Name
Sandy Muir
Title
Corporate Secretary
Phone
(440) 793-2245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 6122 OH Primary

Addresses

Primary practice location

4000 Golden Age Dr
Batavia, OH 45103-1913

Mailing address

25000 Country Club Blvd Ste 255
North Olmsted, OH 44070-5337
Phone (440) 614-0160

Other identifiers 1

IdentifierTypeStateIssuer
2515559MedicaidOH

Other names 1

  • Batavia Nursing Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041229000979 OH Part A Provider - Skilled Nursing Facility 4385602820 Practice locations: Batavia, OH

Skilled nursing facility certification: CCN 365469

Legal name
CHS-BATAVIA, INC
Doing business as
BATAVIA NURSING CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 2, 1980
Last certification
Sep 26, 2024
Beds
110
Ownership / control type
Corporation
Multi-facility organization
Foundations Health Solutions
Organization structure
CorporationProprietary
Incorporated
Oct 15, 2004 in OH
Enrollment address
4000 Golden Age Dr
Batavia, OH 45103-1913
Nursing home name
BATAVIA NURSING CARE CENTER
Affiliated entity
FOUNDATIONS HEALTH SOLUTIONS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Batavia Nursing Care CenterCCN 365469
Overall star rating
4 of 5
Health inspections
5 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 2, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11091.6 residents per day on average
Chain
Foundations Health Solutions64 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0345403Batavia Nursing Care Center4000 Golden Age Drive, Batavia, OH 45103ComplianceDec 16, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Daniel Parker Individual Operational/Managerial Control Jun 1, 2018
Jennifer a Gardner Individual Operational/Managerial Control May 13, 2019
Adp of the SNF May 13, 2019
John Krystowski Individual Corporate OfficerTreasurer Jun 1, 2018
Operational/Managerial Control Jun 1, 2018
Adp of the SNF Jun 1, 2018
Margretta E Gennantonio Individual Adp of the SNF Jun 1, 2018
Brian E Colleran Individual Corporate OfficerPresident Jan 1, 2019
Corporate DirectorPresident Jan 1, 2019
Operational/Managerial Control Jan 1, 2019
Adp of the SNF Jan 1, 2019
Colleran Fam TR Dated 01-01-2018 Organization, North Olmsted, OH 5% Or Greater Indirect Ownership Interest Jun 1, 2018 100%
Foundations Health LLC Organization, North Olmsted, OH LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 2, 2018 100%
Foundations Health Solutions, LLC Organization, North Olmsted, OH LLC, Management services company, For-profit Operational/Managerial Control Jan 1, 2019
Adp of the SNF May 16, 2025

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 64

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 64

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1124016423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25000 COUNTRY CLUB BLVD STE 255",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440705337",
            "telephone_number": "440-614-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 GOLDEN AGE DR",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451031913",
            "telephone_number": "513-732-6500",
            "fax_number": "513-732-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHS-BATAVIA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "MUIR",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "440-793-2245"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "6122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2515559",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Batavia Nursing Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Batavia Nursing Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Batavia, OH

Sources for this page

Verify at the official NPI Registry.