Active NPI
Ahf Ohio, Inc.
- Skilled Nursing Facility
- Medina, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- AHF OHIO, INC.
- Practice address
- 806 E Washington St
Medina, OH 44256-2128 - Phone
- (330) 725-4123
- Fax
- (330) 723-2412
- NPI assigned
- Mar 28, 2016
- 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. Mark T Haemmerle
- Title
- President
- Phone
- (614) 799-4451
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | |||
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
806 E Washington St
Medina, OH 44256-2128
Mailing address
5920 Venture Dr
Suite 100
Dublin, OH 43017-2166
Phone (614) 760-7352
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 875825 | Medicaid | OH |
Other names 1
- Samaritan Care Center and VIlla
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160705000275 | OH | Part A Provider - Skilled Nursing Facility | 6901198464 | Practice locations: Medina, OH |
Skilled nursing facility certification: CCN 365817
- Legal name
- AHF OHIO INC
- Doing business as
- SAMARITAN CARE CENTER AND VILLA
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 30, 1990
- Last certification
- Oct 31, 2022
- Beds
- 56
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- American Health Foundation
- Organization structure
- Corporation
- Incorporated
- Jul 11, 2013 in OH
- Enrollment address
- 806 E Washington St
Medina, OH 44256-2128 - Nursing home name
- SAMARITAN CARE CENTER AND VILLA
- Affiliated entity
- AMERICAN HEALTH FOUNDATION
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Samaritan Care Center and Villa
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Nov 30, 1990
- Medicare certification status
- Active
- Certified beds
- 56
- Chain
- American Health Foundation
National Provider Directory
National Provider Directory- Tax ID family
- Ahf Ohio Inc
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Ironton, OH
- NPI 1114389798
-
- Assisted Living Facility
- Dayton, OH
- NPI 1568215374
-
- Assisted Living Facility
- Medina, OH
- NPI 1689427494
-
- Skilled Nursing Facility
- Dayton, OH
- NPI 1578917670
-
- Skilled Nursing Facility
- Dublin, OH
- NPI 1659733723
-
- Assisted Living Facility
- Dublin, OH
- NPI 1811561301
Ownership & related parties
All disclosed owners & managing parties 12
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 |
|---|---|---|---|
| James P McDonough | Corporate Director | Jan 1, 2017 | 16.67% |
| Suzanne Lehman | Operational/Managerial Control | May 1, 2016 | |
| American Health Foundation , Inc. | 5% Or Greater Direct Ownership Interest | May 1, 2016 | 100% |
| Operational/Managerial Control | May 1, 2016 | ||
| Sushil K Jain | Operational/Managerial Control | May 1, 2016 | |
| Adp of the SNF | Feb 21, 2025 | ||
| Timothy Lehman | Corporate Director | Jul 3, 1989 | 16.67% |
| Operational/Managerial Control | May 1, 2016 | ||
| Janice Collins | Operational/Managerial Control | Jan 31, 2024 | |
| Adp of the SNF | Jan 31, 2024 | ||
| John M Haemmerle | Corporate Officer | Nov 20, 1996 | 16.67% |
| Corporate Director | Dec 29, 1994 | 16.67% | |
| Ahf Management Corp | Operational/Managerial Control | May 1, 2016 | |
| Adp of the SNF | Feb 13, 2025 | ||
| Mark Haemmerle | Corporate Director | Dec 29, 1995 | 16.67% |
| J Michael Haemmerle | Corporate Officer | Nov 20, 1996 | |
| Corporate Director | Nov 20, 1996 | 16.67% | |
| Operational/Managerial Control | May 1, 2016 | ||
| Annette L Salser | Operational/Managerial Control | May 1, 2016 | |
| Jeffrey David Haemmerle | Corporate Officer | Dec 20, 2023 | 16.67% |
| Corporate Director | Dec 20, 2023 | 16.67% | |
| Operational/Managerial Control | Dec 20, 2023 |
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
- Medina, OH
- NPI 1538147152
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 5
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Ironton, OH
- NPI 1114389798
Ahf Management Corp, American Health Foundation , Inc.
-
- Skilled Nursing Facility
- Dayton, OH
- NPI 1578917670
Ahf Management Corp, American Health Foundation , Inc.
-
- Skilled Nursing Facility
- Philadelphia, PA
- NPI 1598749558
Ahf Management Corp, American Health Foundation , Inc.
-
- Skilled Nursing Facility
- MC Murray, PA
- NPI 1285619601
Ahf Management Corp, American Health Foundation , Inc.
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Medina, OH
- NPI 1023297587
-
- Internal Medicine Physician
- Medina, OH
- NPI 1538147152
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": "1459123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683676800000",
"number": "1508228602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5920 VENTURE DR",
"address_2": "SUITE 100",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430172166",
"telephone_number": "614-760-7352",
"fax_number": "614-760-7356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 E WASHINGTON ST",
"city": "MEDINA",
"state": "OH",
"postal_code": "442562128",
"telephone_number": "330-725-4123",
"fax_number": "330-723-2412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AHF OHIO, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-28",
"last_updated": "2023-05-10",
"certification_date": "2023-05-10",
"status": "A",
"authorized_official_last_name": "HAEMMERLE",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "614-799-4451",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "875825",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Samaritan Care Center and VIlla",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.