Buckeye Forest at Wauseon LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BUCKEYE FOREST AT WAUSEON LLC

Doing business as

Ayden Healthcare of Wauseon

Practice address

303 W Leggett St
Wauseon, OH 43567-1341

Phone

(419) 337-3050

NPI assigned

Nov 4, 2021

Last updated

Nov 4, 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

Ann Morhaime

Title

Authorized Official

Phone

(516) 330-0009

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ayden Healthcare of Wauseon Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346905361. Details of each certification follow.

• CCN 365330 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 365330

Legal name

BUCKEYE FOREST AT WAUSEON LLC

Doing business as

AYDEN HEALTHCARE OF WAUSEON

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 10, 1976

Last certification

Aug 22, 2024

Beds

50

Ownership / control type

Limited Liability Corporation

Multi-facility organization

AYDEN HEALTHCARE

Most recent change of ownership

Dec 31, 2021

Organization structure

LLCProprietary

Incorporated

Aug 17, 2021 in NY

Enrollment address

303 W Leggett St
Wauseon, OH 43567-1341

Nursing home name

AYDEN HEALTHCARE OF WAUSEON

Affiliated entity

AYDEN HEALTHCARE

Listed as

Ayden Healthcare of WauseonCCN 365330 · All quality measures

Overall star rating

3 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jun 10, 1976

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5047.1 residents per day on average

Chain

Ayden Healthcare11 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Ammar Ibrahim Kayyali, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Toledo, OH
  • NPI 1205137965

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 3

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

• Buckeye Forest at Oregon LLC

  dba Ayden Healthcare of Oregon

  • Skilled Nursing Facility
  • Oregon, OH
  • NPI 1477218493

  Buckeye Family Trust

  CMS ownership
• Buckeye Forest at Toledo LLC

  dba Ayden Healthcare of Toledo

  • Skilled Nursing Facility
  • Toledo, OH
  • NPI 1295490217

  Buckeye Family Trust

  CMS ownership
• Buckeye Forest at Waterville

  dba Ayden Healthcare of Waterville

  • Skilled Nursing Facility
  • Waterville, OH
  • NPI 1649935669

  Buckeye Family Trust

  CMS ownership

Practitioners 1

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.

• Ammar Ibrahim Kayyali, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Toledo, OH
  • NPI 1205137965
  NPD (past)

Affiliated clinicians 1

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

• Ammar Ibrahim Kayyali, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Toledo, OH
  • NPI 1205137965

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1346905361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 ROCKAWAY AVE STE 200",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571668",
            "telephone_number": "516-330-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W LEGGETT ST",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435671341",
            "telephone_number": "419-337-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE FOREST AT WAUSEON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "MORHAIME",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "516-330-0009"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "1603N",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ayden Healthcare of Wauseon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tanna Lynn Bolden
• Sharon R Borton, LSW
• Jana L Bourn, MD
• George Boykin Sr.
• Bradley J Adams D P M
• Megan Danee Burkholder
• Nicole Kay Burrows
• Angie Ellen Burton, LISW
• Brenda M Byers, LSW
• City of Wauseon (Wauseon Fire Department)

• Skilled Nursing Facility in Wauseon, OH
• Providers in Wauseon, 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 Nov 4, 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.