Boyko Management, Inc.
Organization Active NPI Skilled Nursing Facility · Loveland, OH
NPI 1376530063 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1376530063
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 1975 (OH)
- Legal business name
- BOYKO MANAGEMENT, INC.
- Practice address
- 9370 Union Cemetery Rd
Loveland, OH 45140-9577 - Phone
- (513) 677-4900
- NPI assigned
- Sep 29, 2005
- Organization subpart
- No
Authorized official
- Name
- Richard J Friedmann
- Title
- Vice President
- Phone
- (513) 677-4900
Owners & managing parties with NPI records 1
Facilities with the same owner 13
Practitioners 3
-
Saba Azher Ansari, M.D
Affiliated clinicians 3
-
Saba Azher Ansari, M.D
Medicare Care Compare: Nursing home
- Listed as
- Lodge Nursing & Rehab Center
- Overall star rating
- ★★★★☆ 4 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Sep 16, 1992
- Medicare certification status
- Active
- Certified beds
- 120 · 109.3 residents per day on average
- Chain
- Caring Place Healthcare Group
- Penalties (3 years)
- 1 · fines totaling $15,924
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0864531 | Lodge Care Center,the | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Skilled nursing facility certification: CCN 365889
- Legal name
- BOYKO MANAGEMENT, INC.
- Doing business as
- LODGE NURSING & REHAB CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 16, 1992
- Last certification
- May 16, 2024
- Beds
- 120
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- Corporation · Proprietary
- Incorporated
- Jul 23, 1991 in OH
- Enrollment address
- 9370 Union Cemetery Rd
Loveland, OH 45140-9577 - Nursing home name
- LODGE NURSING & REHAB CENTER
- Affiliated entity
- CARING PLACE HEALTHCARE GROUP
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Elizabeth Rudowski |
Adp of the SNF | Sep 2, 2025 | |
| Kohn Family Holdings Limited Liability Company |
Adp of the SNF | Dec 18, 2024 | |
| Stevie Lewis |
Operational/Managerial Control | Jun 20, 2015 | |
| Adp of the SNF | Feb 15, 2021 | ||
| Jonathan Kohn |
Adp of the SNF | Dec 18, 2024 | |
| Tammy Gates |
Operational/Managerial Control | Jan 19, 2025 | |
| Adp of the SNF | Jan 19, 2025 | ||
| Concept Rehab, Inc. |
Operational/Managerial Control | Jun 1, 2025 | |
| Adp of the SNF | Sep 2, 2025 | ||
| Lauryn Schuman |
Adp of the SNF | Dec 18, 2024 | |
| LN&R Investments LLC |
Adp of the SNF | Dec 18, 2024 | |
| Caring Place Healthcare Group, LLC |
Operational/Managerial Control | Jul 8, 2014 | |
| Adp of the SNF | Sep 5, 2025 | ||
| Thaddeus Michael Bort |
Operational/Managerial Control | Sep 2, 2025 | |
| Adp of the SNF | Sep 2, 2025 | ||
| Judith Tracey |
Operational/Managerial Control | Mar 1, 1999 | |
| Adp of the SNF | Mar 1, 1999 | ||
| Katie Huebner |
Operational/Managerial Control | Sep 2, 2025 | |
| Adp of the SNF | Sep 2, 2025 | ||
| Patsy Kohn |
5% Or Greater Indirect Ownership Interest | Oct 11, 2023 | 100% |
| Matt Payne |
Corporate Officer |
Dec 18, 2024 | |
| Irrevocable Trust Agreement of Barry a. Kohn |
5% Or Greater Direct Ownership Interest | Feb 15, 2024 | 100% |
| Engage Consulting, LLC |
Adp of the SNF | Dec 1, 2023 | |
| Chase Kohn |
Corporate Officer |
Jan 1, 2013 | |
| Operational/Managerial Control | Dec 18, 2024 | ||
| Managing Control - Governing Body |
Dec 18, 2024 | ||
| Adp of the SNF | Dec 18, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080320000163 | OH | Part a Provider - Skilled Nursing Facility | 9133205800 | Practice locations: Loveland, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1975 | OH | Yes |
Addresses
Primary practice location
9370 Union Cemetery Rd
Loveland, OH 45140-9577
Mailing address
9370 Union Cemetery Rd
Loveland, OH 45140-9577
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2149571 | Medicaid | OH |
Other names
- The Lodge Care Center
Other providers in Loveland, OH
- Seref Bornovali
- Adrianna Borst
- Julianna Bort
- Erica Bouwie
- Anthony Boyd
- Adelyn Boyle
- Keeghan Anthony Brewer
- Ryan Michael Brewer
- Melissa Dawn Briscoe
- Madison Leeann Brock
All providers in Loveland, OH · Skilled Nursing Facility in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.