Organization Active NPI

Buckeye Forest at Greenville LLC

Doing business as Greenville Care Center

  • Skilled Nursing Facility
  • Greenville, OH
National Provider Identifier
1366107385
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BUCKEYE FOREST AT GREENVILLE LLC
Doing business as
Greenville Care Center
Practice address
243 Marion Dr
Greenville, OH 45331-2613
Phone
(937) 548-3141
NPI assigned
Nov 4, 2021
Last updated
Dec 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Authorized official

Name
Jeff Degyansky
Title
Coo
Phone
(330) 620-7828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

243 Marion Dr
Greenville, OH 45331-2613

Mailing address

5910 Landerbrook Dr Ste 150
Mayfield Heights, OH 44124-6506

Other names 1

  • Greenville Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220318000603 OH Part A Provider - Skilled Nursing Facility 6800281346 Practice locations: Greenville, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366107385. Details of each certification follow.

Skilled nursing facility certification: CCN 365532

Legal name
BUCKEYE FOREST AT GREENVILLE LLC
Doing business as
AYDEN HEALTHCARE OF GREENVILLE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1980
Last certification
Jun 14, 2023
Beds
92
Ownership / control type
Corporation
Multi-facility organization
Lionstone
Organization structure
LLCProprietary
Enrollment address
243 Marion Dr
Greenville, OH 45331-2613
Nursing home name
AYDEN HEALTHCARE OF GREENVILLE
Affiliated entity
AYDEN HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Ayden Healthcare of GreenvilleCCN 365532 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 1, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9269.7 residents per day on average
Chain
Ayden Healthcare11 facilities in the chain
Penalties (3 years)
1Fines totaling $15,593

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
36D0669968Greenville Care Center243 Marion Drive, Greenville, OH 45331Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Ephram M Lahasky Individual Operational/Managerial Control Feb 1, 2025
Managing Control - Governing BodyPresident Feb 1, 2025
Indirect Ownership Interest Dec 31, 2025 51%
Solomon Kazarnovsky Individual 5% Or Greater Direct Ownership Interest Feb 1, 2025 12.25%
Operational/Managerial Control May 1, 2024
Adp of the SNF May 1, 2024
Eliezer Goldish Individual Corporate OfficerChief Financial Officer Oct 9, 2023
Operational/Managerial Control May 1, 2024
Adp of the SNF May 1, 2024
Buckeye Family Trust Organization, Hewlett, NY 5% Or Greater Direct Ownership Interest Dec 31, 2025 51%
Operational/Managerial Control Dec 31, 2025
Trustee of the SNF Dec 31, 2025
Adam Cusner Individual Corporate OfficerChief Executive Officer Jan 27, 2025
Operational/Managerial Control Jan 27, 2025
Adp of the SNF Jan 27, 2025
Jeffrey Degyansky Individual Corporate OfficerChief Operating Officer Jan 1, 2020
Operational/Managerial Control May 1, 2024
Adp of the SNF May 1, 2024
Abba Stein Individual 5% Or Greater Direct Ownership InterestOwner Feb 1, 2025 12.25%
Operational/Managerial Control May 1, 2024
Adp of the SNF May 1, 2024
George a Katz Individual 5% Or Greater Direct Ownership InterestOwner Feb 1, 2025 24.5%
Individual Adp of the SNF Jan 1, 2024
Individual Adp of the SNF Dec 23, 2024

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

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.

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": "1635984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1366107385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 LANDERBROOK DR STE 150",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441246506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 MARION DR",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453312613",
            "telephone_number": "937-548-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE FOREST AT GREENVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-04",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "DEGYANSKY",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "330-620-7828"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenville Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, OH

Sources for this page

Verify at the official NPI Registry.