Go Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GO OPCO LLC

Doing business as

Grafton Oaks Rehabilitation and Nursing Center

Practice address

405 Grafton Ave
Dayton, OH 45406-5202

Phone

(937) 276-4040

NPI assigned

Dec 30, 2024

Last updated

Jan 22, 2025By 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

Mattisyahu Nussbaum

Title

Member

Phone

(212) 653-8730

Specialties & licenses 1

Addresses

Other names 1

• Grafton Oaks Rehabilitation and Nursing Center 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 1144038654. Details of each certification follow.

• CCN 365716 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 365716

Legal name

GO OPCO LLC

Doing business as

GRAFTON OAKS NURSING CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 21, 1988

Last certification

Feb 16, 2023

Beds

99

Ownership / control type

Corporation

Multi-facility organization

Luxor Health Care Group

Organization structure

LLCProprietary

Enrollment address

405 Grafton Ave
Dayton, OH 45406-5202

Nursing home name

GRAFTON OAKS NURSING CENTER

Listed as

Grafton Oaks Nursing CenterCCN 365716 · 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

Nov 21, 1988

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9982.1 residents per day on average

Abuse citation

Cited for abuse (Care Compare abuse icon)

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 21

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.

• Susan Elaine Berner, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Oakwood, OH
  • NPI 1952384505

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 3

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

• CS Opco LLC

  dba Community Skilled Health Care

  • Skilled Nursing Facility
  • Warren, OH
  • NPI 1174334635

  Luxor Healthcare Group LLC, Yyam Holdings LLC, Yyam Irrevocable Trust

  CMS ownership
• Gahana Opco LLC

  • Skilled Nursing Facility
  • Cincinnati, OH
  • NPI 1558051698

  Yyam Holdings LLC, Yyam Irrevocable Trust

  CMS ownership
• Medina BSD Opco LLC

  • Skilled Nursing Facility
  • Medina, OH
  • NPI 1205526324

  Luxor Healthcare Group LLC, Yyam Holdings LLC, Yyam Irrevocable Trust

  CMS ownership

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.

• Susan Elaine Berner, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Oakwood, OH
  • NPI 1952384505
  NPD (past)

Affiliated clinicians 1

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

• Susan Elaine Berner, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Oakwood, OH
  • NPI 1952384505

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1144038654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 US HIGHWAY 9",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 GRAFTON AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454065202",
            "telephone_number": "937-276-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GO OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-30",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "NUSSBAUM",
        "authorized_official_first_name": "MATTISYAHU",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "212-653-8730"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grafton Oaks Rehabilitation and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grafton Oaks Rehabilitation and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacque Renee Glueckert, LPN
• Sarah Glueckert
• GM-Gala Corporation
• Pravin Xavier Gnanasekhar, OTR/L
• Erin Carol Gnandt, MSW, LSW
• Go2 Pros Pest Control
• Natalia Gober
• Manisha Godbole, AU.D.
• Amari Najee Goddard
• Giana Goddard, QMHS- MASTERS

• Skilled Nursing Facility in Dayton, OH
• Providers in Dayton, 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 Jan 22, 2025; 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.