Active NPI
Amherst Alliance, LLC
- Skilled Nursing Facility
- Massillon, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2388R
- Legal business name
- AMHERST ALLIANCE, LLC
- Practice address
- 1610 1St St NE
Massillon, OH 44646-4044 - Phone
- (216) 661-6800
- Fax
- (216) 739-3789
- NPI assigned
- May 31, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Daniel Shiller
- Title
- Director of Finance
- Phone
- (440) 684-9220
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2388R | OH | Primary |
Addresses
Primary practice location
1610 1St St NE
Massillon, OH 44646-4044
Mailing address
1610 1St St NE
Massillon, OH 44646-4044
Phone (216) 661-6800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2429250 | Medicaid | OH | |
| 000000335830 | Other | OH | ANTHEM |
Other names 1
- Amherst Meadows Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031111000853 | OH | Part A Provider - Skilled Nursing Facility | 8426961756 | Practice locations: Massillon, OH |
Skilled nursing facility certification: CCN 366284
- Legal name
- AMHERST ALLIANCE, LLC
- Doing business as
- AMHERST MEADOWS SKILLED NURSING AND REHAB
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 31, 2003
- Last certification
- Apr 3, 2025
- Beds
- 89
- Ownership / control type
- Corporation
- Multi-facility organization
- Allegiance Healthcare Management LLC
- Organization structure
- LLC
- Enrollment address
- 1610 1St St NE
Massillon, OH 44646-4044 - Nursing home name
- AMHERST MEADOWS SKILLED NURSING AND REHAB
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Amherst Meadows Skilled Nursing and Rehab
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Oct 31, 2003
- Medicare certification status
- Active
- Certified beds
- 89
National Provider Directory
National Provider Directory- Tax ID family
- Amherst Alliance LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Massillon, OH
- NPI 1922269703
-
- Assisted Living Facility
- Massillon, OH
- NPI 1710726161
Ownership & related parties
All disclosed owners & managing parties 28
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Kevin Daubenmire | 5% Or Greater Indirect Ownership Interest | Dec 31, 2021 | 9% |
| Adp of the SNF | Jan 1, 2022 | ||
| Indirect Ownership Interest | Jan 1, 2022 | 9% | |
| Allegiance Healthcare Holdco LLC | 5% Or Greater Direct Ownership Interest | Dec 31, 2021 | 100% |
| Indirect Ownership Interest | Jan 1, 2022 | 1.5% | |
| Adp of the SNF | Apr 1, 2025 | ||
| Mrs Family Trust | Indirect Ownership Interest | Jan 1, 2022 | |
| Indirect Ownership Interest | Jan 1, 2022 | 24.9% | |
| Trustee of the SNF | Jan 1, 2022 | ||
| Indirect Ownership Interest | Jan 1, 2022 | ||
| Anthony V Perry | Operational/Managerial Control | Oct 31, 2003 | |
| Adp of the SNF | Oct 31, 2003 | ||
| Indirect Ownership Interest | Jan 1, 2022 | 0.5% | |
| Natan Hochstadter | 5% Or Greater Indirect Ownership Interest | Dec 31, 2021 | 39% |
| Corporate Officer | Dec 31, 2021 | ||
| Operational/Managerial Control | Jan 1, 2022 | ||
| Managing Control - Governing Body | Jan 1, 2022 | ||
| Adp of the SNF | Jan 1, 2022 | ||
| Indirect Ownership Interest | Jan 1, 2022 | 39% | |
| Indirect Ownership Interest | Jan 1, 2022 | 24.9% | |
| Indirect Ownership Interest | Jan 1, 2022 | 1% | |
| Eliezer Finkelstein | 5% Or Greater Indirect Ownership Interest | Dec 31, 2021 | 39% |
| Corporate Officer | Dec 31, 2021 | ||
| Operational/Managerial Control | Jan 1, 2022 | ||
| Managing Control - Governing Body | Jan 1, 2022 | ||
| Adp of the SNF | Jan 1, 2022 | ||
| Indirect Ownership Interest | Jan 1, 2022 | 39% | |
| Mdatas Trust | Indirect Ownership Interest | Jan 1, 2022 | 5% |
| Indirect Ownership Interest | Jan 1, 2022 | 2% | |
| Indirect Ownership Interest | Jan 1, 2022 | 2% | |
| Trustee of the SNF | Jan 1, 2022 | ||
| Ashley Stickel | Operational/Managerial Control | Apr 25, 2022 | |
| Adp of the SNF | Apr 25, 2022 | ||
| Fejcc Trust | Indirect Ownership Interest | Jan 1, 2022 | 0.5% |
| Indirect Ownership Interest | Jan 1, 2022 | 2% | |
| Capital Finance LLC | 5% Or Greater Security Interest | Dec 1, 2024 | 5% |
| Operational/Managerial Control | Dec 1, 2024 | ||
| Indirect Ownership Interest | Jan 1, 2022 | 24.9% | |
| Indirect Ownership Interest | Jan 1, 2022 | 2% | |
| Indirect Ownership Interest | Jan 1, 2022 | 0.5% | |
| Direct Ownership Interest | Jan 1, 2022 | 100% | |
| Trustee of the SNF | Jan 1, 2022 | ||
| Trustee of the SNF | Jan 1, 2022 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Massillon, OH
- NPI 1619976313
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 21
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Port Clinton, OH
- NPI 1548746159
Capital Finance LLC
-
- Skilled Nursing Facility
- Chillicothe, OH
- NPI 1457177594
Capital Finance LLC
-
- Skilled Nursing Facility
- Louisville, OH
- NPI 1336142645
Allegiance Healthcare Holdco LLC, Capital Finance LLC
-
- Skilled Nursing Facility
- Swanton, OH
- NPI 1740753201
Capital Finance LLC
-
- Skilled Nursing Facility
- Troy, OH
- NPI 1558834028
Capital Finance LLC
-
- Skilled Nursing Facility
- Versailles, OH
- NPI 1962988360
Capital Finance LLC
-
- Skilled Nursing Facility
- Springfield, OH
- NPI 1154807550
Capital Finance LLC
-
- Skilled Nursing Facility
- Fairborn, OH
- NPI 1639655244
Capital Finance LLC
-
- Skilled Nursing Facility
- Beaver Falls, PA
- NPI 1396552428
Capital Finance LLC
-
- Skilled Nursing Facility
- Lebanon, IL
- NPI 1245884469
Capital Finance LLC
-
- Skilled Nursing Facility
- Durango, CO
- NPI 1700513439
Capital Finance LLC
-
- Skilled Nursing Facility
- Fairmont, WV
- NPI 1245044791
Capital Finance LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Massillon, OH
- NPI 1760481469
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": "1117497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620000000000",
"number": "1366445660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 1ST ST NE",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446464044",
"telephone_number": "216-661-6800",
"fax_number": "216-739-3789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 1ST ST NE",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446464044",
"telephone_number": "216-661-6800",
"fax_number": "216-739-3789"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMHERST ALLIANCE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-31",
"last_updated": "2021-05-03",
"certification_date": "2021-05-03",
"status": "A",
"authorized_official_last_name": "SHILLER",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "DIRECTOR OF FINANCE",
"authorized_official_telephone_number": "440-684-9220",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OH",
"license": "2388R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2429250",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000335830",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Amherst Meadows Care Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Amherst Meadows Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Massillon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.