NPIMap

Organization Active NPI

FHS Bennington, Inc.

  • Skilled Nursing Facility
  • Marengo, OH
National Provider Identifier
1326865601
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FHS BENNINGTON, INC.
Practice address
825 State Route 61
Marengo, OH 43334-9215
Phone
(440) 793-2245
Fax
(440) 614-0168
NPI assigned
Sep 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Authorized official

Name
Sandy Muir
Title
Corporate Secretary
Phone
(440) 793-2245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

825 State Route 61
Marengo, OH 43334-9215

Mailing address

825 State Route 61
Marengo, OH 43334-9215
Phone (440) 793-2245

Other names 1

  • BENNINGTON GLEN NURSING 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
O20250314000075 OH Part A Provider - Skilled Nursing Facility 2860914348 Practice locations: Marengo, OH

Skilled nursing facility certification: CCN 366194

Legal name
FHS BENNINGTON INC
Doing business as
BENNINGTON GLEN NURSING AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 10, 2000
Last certification
Oct 24, 2024
Beds
79
Ownership / control type
Corporation
Multi-facility organization
Foundations Health Solutions
Organization structure
CorporationProprietary
Enrollment address
825 State Route 61
Marengo, OH 43334-9215
Nursing home name
BENNINGTON GLEN NURSING & REHABILITATION CENTER
Affiliated entity
FOUNDATIONS HEALTH SOLUTIONS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bennington Glen Nursing & Rehabilitation CenterCCN 366194
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 10, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7970.8 residents per day on average
Chain
Foundations Health Solutions64 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Bennington Glen Nursing and Rehabilitation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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
John Krystowski Individual Corporate OfficerTreasurer Dec 2, 2024
Operational/Managerial Control Dec 2, 2024
Adp of the SNF Dec 2, 2024
Brian E Colleran Individual Corporate OfficerPresident Dec 2, 2024
Operational/Managerial Control Dec 2, 2024
Adp of the SNF Dec 2, 2024
Megan Heller Individual Operational/Managerial Control Dec 2, 2024
Adp of the SNF Dec 2, 2024
Ghulam Idrees Individual Adp of the SNF Dec 2, 2024
Colleran Fam TR Dated 01-01-2018 Organization, North Olmsted, OH 5% Or Greater Indirect Ownership Interest Dec 1, 2024 100%
Foundations Health LLC Organization, North Olmsted, OH LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 1, 2024 100%
Foundations Health Solutions, LLC Organization, North Olmsted, OH Management services company Operational/Managerial Control Dec 2, 2024
Adp of the SNF Dec 2, 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.

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": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1326865601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 STATE ROUTE 61",
            "city": "MARENGO",
            "state": "OH",
            "postal_code": "433349215",
            "telephone_number": "440-793-2245",
            "fax_number": "440-614-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 STATE ROUTE 61",
            "city": "MARENGO",
            "state": "OH",
            "postal_code": "433349215",
            "telephone_number": "440-793-2245",
            "fax_number": "440-614-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FHS BENNINGTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "MUIR",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "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": "BENNINGTON GLEN NURSING AND REHABILITATION",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BENNINGTON GLEN NURSING AND REHABILITATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marengo, OH

Sources for this page

Verify at the official NPI Registry.