NPIMap

Organization Active NPI

CT Ohio Dayton-Centerville LLC

  • Skilled Nursing Facility
  • Dayton, OH
National Provider Identifier
1396232146
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CT OHIO DAYTON-CENTERVILLE LLC
Practice address
7300 McEwen Rd
Dayton, OH 45459-3903
Phone
(937) 433-3441
Fax
(937) 433-3441
NPI assigned
Apr 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Rafael A Moerman
Title
Manager
Phone
(937) 433-3441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

7300 McEwen Rd
Dayton, OH 45459-3903

Mailing address

7300 McEwen Rd
Dayton, OH 45459-3903
Phone (937) 433-3441

Other identifiers 1

IdentifierTypeStateIssuer
141227MedicaidOH

Other names 1

  • Centerville Health and Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180713001339 OH Part A Provider - Skilled Nursing Facility 7517213093 Practice locations: Dayton, OH

Skilled nursing facility certification: CCN 365764

Legal name
CT OHIO DAYTON-CENTERVILLE LLC
Doing business as
CENTERVILLE HEALTH AND REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1990
Last certification
Apr 20, 2022
Beds
120
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Mar 6, 2018 in GA
Enrollment address
7300 McEwen Rd
Dayton, OH 45459-3903
Nursing home name
CENTERVILLE HEALTH AND REHAB
Affiliated entity
SIMCHA HYMAN & NAFTALI ZANZIPER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Centerville Health and RehabCCN 365764
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 - Limited Liability company
Certified
Jan 1, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12075.2 residents per day on average
Chain
Simcha Hyman & Naftali Zanziper79 facilities in the chain

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
36D2148439Centerville Health and Rehab7300 McEwen Road, Dayton, OH 45459Certificate of waiverMay 9, 2028

National Provider Directory

National Provider Directory
Tax ID family
Centerville Health and Rehab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
The Pavilion Managment Company LLC Organization, Valley Stream, NY LLC, Management services company Adp of the SNF Sep 29, 2022
Gale Healthcare Solutions LLC Organization, Winter Park, FL LLC, Medical staffing company Adp of the SNF Sep 29, 2022
Npnh1 LLC Organization, Miami Beach, FL LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 29, 2022 15%
Adp of the SNF Sep 29, 2022
FTK Flyer Oh, LLC Organization, New York, NY LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 29, 2022 15%
Adp of the SNF Sep 29, 2022
Ezra Birnbaum Individual 5% Or Greater Indirect Ownership Interest Sep 29, 2022 15%
Flyer 3 Operations Holdings LLC Organization, Valley Stream, NY Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 29, 2022 100%
Veracity Resourcing and Services LLC Organization, Dayton, OH LLC, Medical staffing company Adp of the SNF Sep 29, 2022
Flyer 3 Holdings LLC Organization, Valley Stream, NY Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 29, 2022 100%
Adp of the SNF Sep 29, 2022
Acm Ashem Holdings, LLC Organization, Valley Stream, NY LLC, Holding company 5% Or Greater Indirect Ownership Interest Sep 29, 2022 50%
Adp of the SNF Sep 29, 2022
Simon Singer Individual 5% Or Greater Indirect Ownership Interest Sep 29, 2022 15%
Zanziper Family Trust Organization, Brooklyn, NY 5% Or Greater Indirect Ownership Interest Sep 29, 2022 7.5%
Adp of the SNF Sep 29, 2022
Akiva Krieser Individual Operational/Managerial Control Sep 29, 2022
Naftali Zanziper Individual 5% Or Greater Indirect Ownership Interest Sep 29, 2022 7.5%
Adp of the SNF Sep 29, 2022
Shaye Hirsch Individual 5% Or Greater Indirect Ownership Interest Sep 29, 2022 5%
Citrin Cooperman Advisors LLC Organization, New York, NY LLC Adp of the SNF Sep 29, 2022
Rafael Moerman Individual 5% Or Greater Indirect Ownership Interest Sep 29, 2022 50%
Operational/Managerial ControlCeo Sep 29, 2022
Adp of the SNF Sep 29, 2022
Med-Net Compliance LLC Organization, Princeton, NJ LLC Adp of the SNF Nov 1, 2018
Jon Rarick Individual Operational/Managerial Control Oct 30, 2024
Adp of the SNF Oct 30, 2024
Fasten Halberstam LLP Organization, New York, NY Adp of the SNF Sep 29, 2022
Ovation Rehabilitation Services LLC Organization, Northville, MI LLC Adp of the SNF Sep 29, 2022
Centerville Property LLC Organization, Valley Stream, NY LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Sep 29, 2022 100%
Koby Michael Dixon Individual Adp of the SNF Jan 3, 2025
SHS Keren LLC Organization, Cedarhurst, NY LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 29, 2022 5%
Adp of the SNF Sep 29, 2022

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 9

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

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": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1396232146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 MCEWEN RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593903",
            "telephone_number": "937-433-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 MCEWEN RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593903",
            "telephone_number": "937-433-3441",
            "fax_number": "937-433-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CT OHIO DAYTON-CENTERVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "MOERMAN",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "937-433-3441"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141227",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centerville Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.