NPIMap

Organization Active NPI

Sycamorespring Health Care and Rehabilitation LLC

  • Skilled Nursing Facility
  • Miamisburg, OH
National Provider Identifier
1154962835
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SYCAMORESPRING HEALTH CARE AND REHABILITATION LLC
Practice address
2164 E Central Ave
Miamisburg, OH 45342-3627
Phone
(513) 707-1546
Fax
(513) 248-3772
NPI assigned
Oct 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Authorized official

Name
David Eppers, CPA
Title
Cfo
Phone
(513) 707-1537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2164 E Central Ave
Miamisburg, OH 45342-3627

Mailing address

390 Wards Corner Rd
Loveland, OH 45140-6969
Phone (513) 707-1546

Other identifiers 1

IdentifierTypeStateIssuer
0456988MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200124000379 OH Part A Provider - Skilled Nursing Facility 7113352956 Practice locations: Miamisburg, OH

Skilled nursing facility certification: CCN 366000

Legal name
SYCAMORESPRING HEALTH CARE AND REHABILITATION LLC
Doing business as
SYCAMORESPRING OF MIAMISBURG
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 9, 1995
Last certification
Feb 15, 2024
Beds
99
Ownership / control type
Corporation
Organization structure
LLCProprietary
Incorporated
Sep 24, 2019 in OH
Enrollment address
2164 E Central Ave
Miamisburg, OH 45342-3627
Nursing home name
SYCAMORESPRING OF MIAMISBURG
Affiliated entity
CARESPRING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sycamorespring of MiamisburgCCN 366000
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 9, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9994.1 residents per day on average
Chain
Carespring16 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Bortz Family Irrevocable T/a Organization, Cincinnati, OH 5% Or Greater Indirect Ownership Interest Nov 17, 2019 9%
Christopher Chirumbolo Individual Corporate OfficerCeo Nov 17, 2019
Barry N Bortz 06042009 TR Organization, Cincinnati, OH 5% Or Greater Indirect Ownership Interest Nov 17, 2019 72%
Carespring Health Care Management, LLC Organization, Loveland, OH Management services company Operational/Managerial Control Nov 17, 2019
Carespring Health Care Holdings LP Organization, Loveland, OH Holding company 5% Or Greater Direct Ownership Interest Nov 17, 2019 100%
Bridget R Davis Individual W-2 Managing EmployeeAd; Jul 29, 2024 100%
David Eppers Individual 5% Or Greater Indirect Ownership Interest15 Nov 17, 2019
Corporate OfficerCfo Nov 17, 2019

Facilities with the same owner 16

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

View all 16

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1154962835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 WARDS CORNER RD",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451406969",
            "telephone_number": "513-707-1546",
            "fax_number": "513-248-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2164 E CENTRAL AVE",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453423627",
            "telephone_number": "513-707-1546",
            "fax_number": "513-248-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORESPRING HEALTH CARE AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A",
        "authorized_official_last_name": "EPPERS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "513-707-1537",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0456988",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miamisburg, OH

Sources for this page

Verify at the official NPI Registry.