Active NPI
Trilogy Healthcare Operations of Springfield, LLC
- Skilled Nursing Facility
- Springfield, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0968N
- Legal business name
- TRILOGY HEALTHCARE OPERATIONS OF SPRINGFIELD, LLC
- Practice address
- 2150 Montego Drive
Springfield, OH 45503-1304 - Phone
- (937) 390-9913
- Fax
- (937) 390-9915
- NPI assigned
- Nov 1, 2006
- Organization subpart
- Yes
- Parent organization
- TRILOGY OPCO, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robin Barber
- Title
- Chief Legal Officer
- Phone
- (502) 412-5847
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | |||
| Skilled Nursing Facility | 314000000X | 0968N | OH | Primary |
Addresses
Primary practice location
2150 Montego Drive
Springfield, OH 45503-1304
Mailing address
2150 Montego Drive
Springfield, OH 45503-1304
Phone (937) 390-9913
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0077107 | Medicaid | OH | |
| 2822020 | Medicaid | OH | |
| 2726170 | Medicaid | OH |
Other names 1
- Forest Glen Health Campus
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121120000047 | OH | Part A Provider - Skilled Nursing Facility | 5193976272 | Practice locations: Springfield, OH |
Skilled nursing facility certification: CCN 366245
- Legal name
- TRILOGY HEALTHCARE OPERATIONS OF SPRINGFIELD, LLC
- Doing business as
- FOREST GLEN HEALTH CAMPUS
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 2, 2002
- Last certification
- Apr 11, 2023
- Beds
- 80
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Citadel Healthcare Consulting
- Organization structure
- LLC
- Incorporated
- Jan 11, 2012 in IN
- Enrollment address
- 2150 Montego Dr
Springfield, OH 45503-6464
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Forest Glen Rehabilitation and Healthcare Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Aug 2, 2002
- Medicare certification status
- Active
- Certified beds
- 80
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 25
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| American Healthcare Reit Inc | 5% Or Greater Indirect Ownership Interest | Oct 1, 2021 | 100% |
| Randall J Bufford | Corporate Officer | Nov 1, 2019 | 14.28% |
| Northstar Healthcare Income Operating Partnership LP | 5% Or Greater Indirect Ownership Interest | Oct 1, 2021 | 100% |
| William Bryant | Corporate Officer | Jan 5, 2016 | 14.28% |
| Trilogy Real Estate Investment Trust | 5% Or Greater Indirect Ownership Interest | Oct 1, 2021 | 96.7% |
| Trilogy Reit Holdings LLC | 5% Or Greater Indirect Ownership Interest | Oct 1, 2021 | 96.7% |
| Trilogy Management Services LLC | Operational/Managerial Control | Oct 1, 2021 | |
| Gahc3 Trilogy JV LLC | 5% Or Greater Indirect Ownership Interest | Oct 1, 2021 | 70% |
| Gregory a. Conner | Corporate Officer | Jun 3, 2021 | 14.28% |
| American Healthcare Reit Holdings LP | 5% Or Greater Indirect Ownership Interest | Oct 1, 2021 | 100% |
| Danny Prosky | Corporate Officer | Dec 1, 2015 | 14.28% |
| Trilogy Opco LLC | 5% Or Greater Direct Ownership Interest | Oct 1, 2021 | 100% |
| Lisa Fightmaster | W-2 Managing Employee | Dec 1, 2015 | |
| Trilogy Holdings NT-Hci, LLC | 5% Or Greater Indirect Ownership Interest | Oct 1, 2021 | 24% |
| Leigh Ann Barney | Corporate Officer | Nov 1, 2019 | 14.28% |
| Mathieu B Streiff | Corporate Officer | Dec 1, 2015 | 14.28% |
| Trilogy Investors LLC | 5% Or Greater Indirect Ownership Interest | Oct 1, 2021 | 100% |
| Trilogy Healthcare Holdings Inc | 5% Or Greater Indirect Ownership Interest | Oct 1, 2021 | 100% |
| Holli Remy | Operational/Managerial Control | Dec 3, 2021 | 100% |
| Kathy M Corbin | W-2 Managing Employee | Jan 10, 2011 | |
| David W Davis | Corporate Officer | Aug 21, 2017 | 14.28% |
| Continental Merger Sub LLC | 5% Or Greater Indirect Ownership Interest | Oct 1, 2021 | 100% |
| Northstar Healthcare Income Inc | 5% Or Greater Indirect Ownership Interest | Oct 1, 2021 | 100% |
| Lancaster Pollard Mortgage Company LLC | 5% Or Greater Mortgage Interest | Nov 16, 2012 | 100% |
| Gahc4 Trilogy JV LLC | 5% Or Greater Indirect Ownership Interest | Oct 1, 2021 | 6% |
Facilities with the same owner 72
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Cincinnati, OH
- NPI 1992129399
Northstar Healthcare Income Inc, Northstar Healthcare Income Operating Partnership LP
-
- Skilled Nursing Facility
- Cincinnati, OH
- NPI 1407270721
Northstar Healthcare Income Inc, Northstar Healthcare Income Operating Partnership LP
-
- Skilled Nursing Facility
- Lima, OH
- NPI 1124073895
American Healthcare Reit Holdings LP, American Healthcare Reit Inc, Continental Merger Sub LLC, Gahc3 Trilogy JV LLC, Gahc4 Trilogy JV LLC, Northstar Healthcare Income Inc, Northstar Healthcare Income Operating Partnership LP, Trilogy Healthcare Ho
-
- Skilled Nursing Facility
- Delphos, OH
- NPI 1932154812
American Healthcare Reit Holdings LP, American Healthcare Reit Inc, Gahc3 Trilogy JV LLC, Gahc4 Trilogy JV LLC, Northstar Healthcare Income Inc, Northstar Healthcare Income Operating Partnership LP, Trilogy Healthcare Holdings Inc, Trilogy Holdings
-
- Skilled Nursing Facility
- Bellevue, OH
- NPI 1457529950
American Healthcare Reit Holdings LP, American Healthcare Reit Inc, Continental Merger Sub LLC, Gahc3 Trilogy JV LLC, Gahc4 Trilogy JV LLC, Trilogy Healthcare Holdings Inc, Trilogy Investors LLC, Trilogy Opco LLC, Trilogy Real Estate Investment TR
-
- Skilled Nursing Facility
- Bowling Green, OH
- NPI 1578244166
American Healthcare Reit Holdings LP, American Healthcare Reit Inc, Continental Merger Sub LLC, Gahc3 Trilogy JV LLC, Gahc4 Trilogy JV LLC, Trilogy Healthcare Holdings Inc, Trilogy Investors LLC, Trilogy Management Services LLC, Trilogy Opco LLC ·
-
- Skilled Nursing Facility
- Hamilton, OH
- NPI 1972106201
American Healthcare Reit Holdings LP, American Healthcare Reit Inc, Gahc3 Trilogy JV LLC, Gahc4 Trilogy JV LLC, Northstar Healthcare Income Inc, Northstar Healthcare Income Operating Partnership LP, Trilogy Healthcare Holdings Inc, Trilogy Holdings
-
- Skilled Nursing Facility
- Cincinnati, OH
- NPI 1255842084
American Healthcare Reit Holdings LP, American Healthcare Reit Inc, Continental Merger Sub LLC, Gahc3 Trilogy JV LLC, Gahc4 Trilogy JV LLC, Northstar Healthcare Income Inc, Northstar Healthcare Income Operating Partnership LP, Trilogy Healthcare Ho
-
- Skilled Nursing Facility
- New Albany, OH
- NPI 1205482189
American Healthcare Reit Holdings LP, American Healthcare Reit Inc, Continental Merger Sub LLC, Gahc3 Trilogy JV LLC, Gahc4 Trilogy JV LLC, Trilogy Healthcare Holdings Inc, Trilogy Investors LLC, Trilogy Management Services LLC, Trilogy Opco LLC ·
-
- Skilled Nursing Facility
- Gahanna, OH
- NPI 1548890338
American Healthcare Reit Holdings LP, American Healthcare Reit Inc, Gahc3 Trilogy JV LLC, Gahc4 Trilogy JV LLC, Northstar Healthcare Income Inc, Northstar Healthcare Income Operating Partnership LP, Trilogy Healthcare Holdings Inc, Trilogy Holdings
-
- Skilled Nursing Facility
- Harrison, OH
- NPI 1144815937
American Healthcare Reit Holdings LP, American Healthcare Reit Inc, Gahc3 Trilogy JV LLC, Gahc4 Trilogy JV LLC, Northstar Healthcare Income Inc, Northstar Healthcare Income Operating Partnership LP, Trilogy Healthcare Holdings Inc, Trilogy Holdings
-
- Skilled Nursing Facility
- Cincinnati, OH
- NPI 1649437815
American Healthcare Reit Holdings LP, American Healthcare Reit Inc, Continental Merger Sub LLC, Gahc3 Trilogy JV LLC, Gahc4 Trilogy JV LLC, Northstar Healthcare Income Inc, Northstar Healthcare Income Operating Partnership LP, Trilogy Healthcare Ho
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Zanesville, OH
- NPI 1053392555
-
- Internal Medicine Physician
- Urbana, OH
- NPI 1700997558
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": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620604800000",
"number": "1215014238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 MONTEGO DRIVE",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455031304",
"telephone_number": "937-390-9913",
"fax_number": "937-390-9915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 MONTEGO DRIVE",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455031304",
"telephone_number": "937-390-9913",
"fax_number": "937-390-9915"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRILOGY HEALTHCARE OPERATIONS OF SPRINGFIELD, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TRILOGY OPCO, LLC",
"enumeration_date": "2006-11-01",
"last_updated": "2021-05-10",
"certification_date": "2021-05-10",
"status": "A",
"authorized_official_last_name": "BARBER",
"authorized_official_first_name": "ROBIN",
"authorized_official_title_or_position": "CHIEF LEGAL OFFICER",
"authorized_official_telephone_number": "502-412-5847"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OH",
"license": "0968N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0077107",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2822020",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2726170",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Forest Glen Health Campus",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Forest Glen Health Campus",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.