NPIMap

Organization Active NPI

Shawneespring Health Care Center, LLC

  • Skilled Nursing Facility
  • Harrison, OH
National Provider Identifier
1346219987
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2438N Issued in OH
Legal business name
SHAWNEESPRING HEALTH CARE CENTER, LLC
Practice address
10111 Simonson Rd
Harrison, OH 45030-2003
Phone
(513) 367-7780
Fax
(513) 367-7781
NPI assigned
Mar 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Barry N. Bortz, LNHA
Title
Ceo
Phone
(513) 943-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2438N OH Primary

Addresses

Primary practice location

10111 Simonson Rd
Harrison, OH 45030-2003

Mailing address

390 Wards Corner Rd
Loveland, OH 45140-6969
Phone (513) 943-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050923000091 OH Part A Provider - Skilled Nursing Facility 3971537408 Practice locations: Harrison, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346219987. Details of each certification follow.

Skilled nursing facility certification: CCN 366320

Legal name
SHAWNEESPRING HEALTH CARE CENTER, LLC
Doing business as
SHAWNEESPRING OF HARRISON
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 25, 2006
Last certification
Jan 30, 2023
Beds
140
Ownership / control type
Corporation
Multi-facility organization
Carespring Healthcare Management
Organization structure
LLCProprietary
Incorporated
Oct 18, 2002 in OH
Enrollment address
10111 Simonson Rd
Harrison, OH 45030-2003
Nursing home name
SHAWNEESPRING HEALTH CARE CENTER
Affiliated entity
CARESPRING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Shawneespring Health Care CenterCCN 366320 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 25, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
140123.4 residents per day on average
Chain
Carespring16 facilities in the chain
Penalties (3 years)
1Fines totaling $28,190

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

390 Wards Corner Rd
Loveland, OH 45140

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
Emmanuel V Rivera Individual Contracted Managing EmployeeMD; Jan 1, 2024
Leah Marcum Individual W-2 Managing EmployeeAdministrator Jun 12, 2023 100%
Barry N Bortz Trust/Donald Mendelsohn Trustee Organization, Cincinnati, OH 5% Or Greater Indirect Ownership Interest Oct 1, 2013 72%
Christopher Chirumbolo Individual Corporate OfficerCeo Sep 1, 2016 100%
Carespring Health Care Management, LLC Organization, Loveland, OH LLC Operational/Managerial Control Feb 28, 2007
Carespring Health Care Holdings LP Organization, Loveland, OH 5% Or Greater Direct Ownership Interest Oct 1, 2013 100%
Bortz Family Trust/Key Bank Trustee Organization, Cincinnati, OH 5% Or Greater Indirect Ownership Interest Oct 1, 2013 9%
David Eppers Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2013 15%
Corporate OfficerCfo Oct 1, 2013

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 15

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

View all 15

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": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346219987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 WARDS CORNER RD",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451406969",
            "telephone_number": "513-943-4000",
            "fax_number": "513-943-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10111 SIMONSON RD",
            "city": "HARRISON",
            "state": "OH",
            "postal_code": "450302003",
            "telephone_number": "513-367-7780",
            "fax_number": "513-367-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWNEESPRING HEALTH CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BORTZ",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-943-4000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "2438N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, OH

Sources for this page

Verify at the official NPI Registry.