NPIMap

Organization Active NPI

Meadowbrook Healthcare LLC

  • Skilled Nursing Facility
  • Montgomery, OH
National Provider Identifier
1295341949
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MEADOWBROOK HEALTHCARE LLC
Practice address
8211 Weller Rd
Montgomery, OH 45242-3208
Phone
(513) 489-2444
Fax
(513) 489-2800
NPI assigned
Sep 18, 2020
Last updated
Sep 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Authorized official

Name
Jacob Stern
Title
Manager
Phone
(732) 659-1353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

8211 Weller Rd
Montgomery, OH 45242-3208

Mailing address

15 America Ave Unit 304
Lakewood, NJ 08701-4582
Phone (732) 659-1353

Other identifiers 1

IdentifierTypeStateIssuer
1668NOtherOHLICENSURE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201124001548 OH Part A Provider - Skilled Nursing Facility 2365853397 Practice locations: Cincinnati, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295341949. Details of each certification follow.

Skilled nursing facility certification: CCN 365375

Legal name
MEADOWBROOK HEALTHCARE LLC
Doing business as
MEADOWBROOK CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 22, 1978
Last certification
May 15, 2025
Beds
146
Ownership / control type
Limited Liability Corporation
Multi-facility organization
CCH Healthcare
Organization structure
LLCProprietary
Incorporated
Aug 7, 2020 in OH
Enrollment address
8211 Weller Rd
Cincinnati, OH 45242-3208
Nursing home name
MEADOWBROOK CARE CENTER
Affiliated entity
CCH HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Meadowbrook Care CenterCCN 365375 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 22, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
146100.6 residents per day on average
Chain
CCH Healthcare33 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
36D0668125Meadowbrook Care Center8211 Weller Road, Montgomery, OH 45242Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Ytmbh, LLC Organization, Lakewood, NJ LLC 5% Or Greater Direct Ownership Interest Oct 1, 2020 12.58%
Yw Meadowbrook, LLC Organization, Lakewood, NJ Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Oct 1, 2020 21.42%
Capital Holdings Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Oct 1, 2020 53%
Starlight Healthcare LLC Organization, Lakewood, NJ LLC 5% Or Greater Direct Ownership Interest Oct 1, 2020 56%
Caroline Fazekas Individual W-2 Managing EmployeeAdministrator Jan 1, 2023 100%
Jacob Stern Individual Corporate OfficerCo-Manager Oct 1, 2020 50%
Samuel Joseph Jeremias Individual 5% Or Greater Direct Ownership Interest Oct 1, 2020 10%
Yehuda Wolmark Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2020 21.42%
Corporate OfficerCo-Managing Member Oct 1, 2020 50%

Facilities with the same owner 30

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

View all 30

Practitioners & affiliated clinicians

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.

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": "1600387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1295341949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 AMERICA AVE UNIT 304",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014582",
            "telephone_number": "732-659-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8211 WELLER RD",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452423208",
            "telephone_number": "513-489-2444",
            "fax_number": "513-489-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWBROOK HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-659-1353"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "1668N",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, OH

Sources for this page

Verify at the official NPI Registry.