Organization Active NPI

Ahc of Landerhaven LLC

Doing business as Advanced Health Care of Landerhaven

  • Skilled Nursing Facility
  • Mayfield Heights, OH
National Provider Identifier
1194279158
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
AHC OF LANDERHAVEN LLC
Doing business as
Advanced Health Care of Landerhaven
Practice address
2108 Lander Rd
Mayfield Heights, OH 44124-4152
Phone
(440) 443-0345
NPI assigned
Aug 8, 2016
Organization subpart
Yes
Parent organization
NEW AHC HOLDINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Authorized official

Name
Mr. Nathan Oxnam
Title
President
Phone
(385) 622-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2108 Lander Rd
Mayfield Heights, OH 44124-4152

Mailing address

2108 Lander Rd
Mayfield Heights, OH 44124-4152
Phone (440) 443-0345

Other names 1

  • Advanced Health Care of Landerhaven Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network Inc

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161130001801 OH Part A Provider - Skilled Nursing Facility 4981984382 Practice locations: Mayfield Heights, OH

Skilled nursing facility certification: CCN 366458

Legal name
AHC OF LANDERHAVEN LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 16, 2017
Last certification
Jan 19, 2023
Beds
46
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Advanced Health Care
Organization structure
LLCProprietary
Incorporated
Nov 21, 2013 in OH
Enrollment address
2108 Lander Rd
Mayfield Heights, OH 44124-4152
Nursing home name
AHC OF LANDERHAVEN LLC
Affiliated entity
ADVANCED HEALTH CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Ahc of Landerhaven LLCCCN 366458 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 16, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4640.7 residents per day on average
Chain
Advanced Health Care26 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
36D2129734Advanced Health Care of Landerhaven, LLC2108 Lander Road, Mayfield Heights, OH 44124Certificate of waiverApr 24, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Karen Gail Miller Irrev TR Fbo Zane Miller Organization, Sandy, UT 5% Or Greater Indirect Ownership Interest Jan 1, 2024 5.1%
The Karen Gail Miller Irrevocable Trust for the Benefit of Stephen F. Organization, Sandy, UT 5% Or Greater Indirect Ownership Interest Jan 1, 2024 5.1%
The Karen Gail Miller Irrevocable Trust for the Benefit of Roger L. Mi Organization, Sandy, UT 5% Or Greater Indirect Ownership Interest Jan 1, 2024 5.1%
Advanced Health Care - Larry H Miller Corporation Organization, Sandy, UT Created for acquisition, Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2023 100%
Individual Adp of the SNF Jan 1, 2024
Individual Adp of the SNF Jan 1, 2024
New Ahc Holdings, LLC Organization, Farmington, UT Created for acquisition, LLC, Holding company, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2021 100%
Adp of the SNF Jul 18, 2025
Lhmsh LLC Organization, Sandy, UT LLC, For-profit Adp of the SNF Jan 1, 2024
Beejadi N Mukunda Individual Adp of the SNF Apr 25, 2025
The Bryan Miller Utah Dynasty Trust Dated April 22, 2014 Organization, Sandy, UT Indirect Ownership Interest Jan 1, 2024 3.8%
Individual Adp of the SNF Jan 1, 2024
The G&H Miller Utah Trust Dated February 26, 2019 Organization, Sandy, UT Indirect Ownership Interest Jan 1, 2024 2.5%
Individual Adp of the SNF Jan 1, 2024
Individual Adp of the SNF Jan 1, 2024
The Gail Miller GST Trust Organization, Sandy, UT 5% Or Greater Indirect Ownership Interest Jan 1, 2024 72.3%
The Karen Gail Miller Irrevocable Trust for the Benefit of Karen R. Wi Organization, Sandy, UT 5% Or Greater Indirect Ownership Interest Jan 1, 2024 5.1%
Individual Adp of the SNF Jan 1, 2024
Candy Winston Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Apr 25, 2025
Organization, Boise, ID Corporation, For-profit Adp of the SNF Jul 18, 2025
Individual Adp of the SNF Jan 1, 2024
Individual Adp of the SNF Jan 1, 2024
Nathan C Oxnam Individual Corporate OfficerPresident Jan 1, 2024

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 40

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

View all 40

Practitioners & affiliated clinicians

Practitioners 1

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": "1470614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1194279158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 LANDER RD",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441244152",
            "telephone_number": "440-443-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 LANDER RD",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441244152",
            "telephone_number": "440-443-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHC OF LANDERHAVEN LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW AHC HOLDINGS LLC",
        "enumeration_date": "2016-08-08",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "OXNAM",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "385-622-4500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "284 Merchant St",
            "city": "Sainte Genevieve",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636701610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Advanced Health Care of Landerhaven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mayfield Heights, OH

Sources for this page

Verify at the official NPI Registry.