Buckeye Forest at Jackson LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BUCKEYE FOREST AT JACKSON LLC

Practice address

8668 State Route 93
Jackson, OH 45640

Phone

(740) 286-5026

Fax

(740) 286-0295

NPI assigned

Dec 1, 2021

Last updated

Dec 1, 2021By 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

Abba Stein

Title

Ceo

Phone

(740) 286-5026

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215695895. Details of each certification follow.

• CCN 365393 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 365393

Legal name

BUCKEYE FOREST AT JACKSON LLC

Doing business as

BUCKEYE FOREST AT JACKSON

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 26, 1978

Last certification

May 29, 2025

Beds

82

Ownership / control type

Corporation

Multi-facility organization

Lionstone

Organization structure

LLCProprietary

Incorporated

Aug 17, 2021 in NY

Enrollment address

8668 State Route 93
Jackson, OH 45640-9728

Nursing home name

AYDEN HEALTHCARE OF JACKSON

Affiliated entity

AYDEN HEALTHCARE

Listed as

Ayden Healthcare of JacksonCCN 365393 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

2 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Sep 26, 1978

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8259.5 residents per day on average

Chain

Ayden Healthcare11 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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.

Practitioners 2

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.

• Shane Jeffers, M.D.

  • Family Medicine Physician
  • Hilliard, OH
  • NPI 1053707893
  NPD (past)
• Dirk N Juschka, MD

  • Family Medicine Physician
  • Westerville, OH
  • NPI 1497750137
  NPD (past)

Affiliated clinicians 2

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

• Dirk N Juschka, MD

  • Family Medicine Physician
  • Westerville, OH
  • NPI 1497750137

  Nursing home

  Care Compare affiliation
• Michelle Perry, APRN

  • Family Nurse Practitioner
  • Jackson, OH
  • NPI 1972013407

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1215695895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8668 STATE ROUTE 93",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "45640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8668 STATE ROUTE 93",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "45640",
            "telephone_number": "740-286-5026",
            "fax_number": "740-286-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE FOREST AT JACKSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "ABBA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-286-5026"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kip Wayne Bryant, PMHNP
• Sherleena Buchman, PHD, MS, RN
• Buckeye Community Services, Inc
• Buckeye Community Services, Inc.
• Buckeye Community Services, Inc.
• Aasia Butt, M.D
• Craig Cales
• Dorian R Callahan, LPCC
• Melinda Cannon, FNP-C
• Misty Cannon, CDCA

• Skilled Nursing Facility in Jackson, OH
• Providers in Jackson, 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 Dec 1, 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.

Verify at the official NPI Registry.