Organization Active NPI

FHS Inniswood, Inc.

Doing business as Inniswood Health and Rehabilitation

  • Skilled Nursing Facility
  • Westerville, OH
National Provider Identifier
1205651098
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FHS INNISWOOD, INC.
Doing business as
Inniswood Health and Rehabilitation
Practice address
1150 Colony Dr
Westerville, OH 43081-3624
Phone
(614) 891-5015
Fax
(614) 794-7461
NPI assigned
Nov 18, 2024
Last updated
Nov 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Sandy Muir
Title
VP of Government Affairs
Phone
(440) 793-2245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1150 Colony Dr
Westerville, OH 43081-3624

Mailing address

1150 Colony Dr
Westerville, OH 43081-3624
Phone (614) 891-5015

Other names 1

  • INNISWOOD HEALTH AND REHABILITATION Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250218000769 OH Part A Provider - Skilled Nursing Facility 2567982812 Practice locations: Westerville, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205651098. Details of each certification follow.

Skilled nursing facility certification: CCN 365421

Legal name
FHS INNISWOOD, INC.
Doing business as
INNISWOOD HEALTH AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 3, 1979
Last certification
Feb 2, 2024
Beds
99
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Enrollment address
1150 Colony Dr
Westerville, OH 43081-3624
Nursing home name
INNISWOOD HEALTH AND REHABILITATION
Affiliated entity
FOUNDATIONS HEALTH SOLUTIONS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Inniswood Health and RehabilitationCCN 365421 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 3, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9986.7 residents per day on average
Chain
Foundations Health Solutions64 facilities in the chain
Penalties (3 years)
1Fines totaling $169,562

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
36D0327941Inniswood Health and Rehabilitation1150 Colony Drive, Westerville, OH 43081Certificate of waiverAug 31, 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
Stephen M Canowitz Individual Adp of the SNF Dec 31, 2024
John Krystowski Individual Corporate OfficerTreasurer Dec 31, 2024
Operational/Managerial Control Dec 31, 2024
Adp of the SNF Dec 31, 2024
Brian E Colleran Individual Corporate OfficerPresident Dec 31, 2024
Corporate DirectorPresident Dec 31, 2024
Operational/Managerial Control Dec 31, 2024
Adp of the SNF Dec 31, 2024
Colleran Fam TR Dated 01-01-2018 Organization, North Olmsted, OH 5% Or Greater Indirect Ownership Interest Dec 31, 2024 100%
Indirect Ownership Interest Dec 31, 2024 1%
Taylor Laughman Individual Operational/Managerial Control Dec 31, 2024
Adp of the SNF Dec 31, 2024
Foundations Health LLC Organization, North Olmsted, OH LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 31, 2024 100%
Foundations Health Solutions, LLC Organization, North Olmsted, OH Management services company Operational/Managerial Control Dec 16, 2024
Adp of the SNF Dec 16, 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 64

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

View all 64

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1205651098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 COLONY DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430813624",
            "telephone_number": "614-891-5015",
            "fax_number": "614-794-7461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 COLONY DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430813624",
            "telephone_number": "614-891-5015",
            "fax_number": "614-794-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FHS INNISWOOD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "MUIR",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "VP OF GOVERNMENT AFFAIRS",
        "authorized_official_telephone_number": "440-793-2245"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INNISWOOD HEALTH AND REHABILITATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.