NPIMap

Organization Active NPI

Spring Meadow Nursing & Rehabilitation Centre LLC

  • Skilled Nursing Facility
  • Holland, OH
National Provider Identifier
1508300658
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SPRING MEADOW NURSING & REHABILITATION CENTRE LLC
Practice address
1125 Clarion Ave
Holland, OH 43528-8107
Phone
(419) 866-6124
NPI assigned
Dec 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Marcella Graf
Title
Chief Financial Officer
Phone
(224) 470-2044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X OH Primary

Addresses

Primary practice location

1125 Clarion Ave
Holland, OH 43528-8107

Mailing address

1125 Clarion Ave
Holland, OH 43528-8107
Phone (419) 866-6124

Other practice location 1

3701 W Lunt Ave
Lincolnwood, IL 60712-2615
Phone (847) 440-2660

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170622001669 OH Part A Provider - Skilled Nursing Facility 7315215951 Practice locations: Holland, OH

Skilled nursing facility certification: CCN 366042

Legal name
SPRING MEADOW NURSING & REHABILITATION CENTRE LLC
Doing business as
SPRING MEADOWS, A VILLA CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 15, 1995
Last certification
May 10, 2023
Beds
99
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Nov 16, 2016 in OH
Enrollment address
1125 Clarion Ave
Holland, OH 43528-8107
Nursing home name
SPRING MEADOWS NURSING, A VILLA CENTER
Affiliated entity
VILLA HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Spring Meadows Nursing, a Villa CenterCCN 366042
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 15, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9981.8 residents per day on average
Chain
Villa Healthcare18 facilities in the chain
Penalties (3 years)
2Fines totaling $45,766

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
36D0331285Spring Meadows, a Villa Center1125 Clarion Ave, Holland, OH 43528Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Esolutions Inc2 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 16

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

NameRoleSinceShare
Israel Family Investment Trust Organization, Lincolnwood, IL Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2023 6.5%
Kay F Evans Individual Operational/Managerial Control Jun 10, 2024
Adp of the SNF Jun 10, 2024
Todd a Stern Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2023 12%
Yehoshua Baumol Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2023 27%
Operational/Managerial Control Jun 30, 2023
Joseph B Singerman Individual Operational/Managerial Control Feb 25, 2025
Adp of the SNF Feb 25, 2025
Marcella Graf Individual Operational/Managerial Control Jun 30, 2023
Indirect Ownership Interest Jul 1, 2023 1%
Todd a Stern 2015 Irrv Ins TR Organization, Lincolnwood, IL Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2023 12%
Gabriel Kroll Individual Indirect Ownership Interest Jul 1, 2023 1%
Benjamin Israel Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2023 13%
Israel Investment TR Organization, Skokie, IL Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2023 6.5%
Omnia Opco Holdings LLC Organization, Lincolnwood, IL Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 1, 2023 100%
Jonathan Aaron Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2023 31%
Operational/Managerial Control Jun 30, 2023
Managing Control - Governing BodyManager Jun 30, 2023
Aaron Family Investment Trust Organization, Lincolnwood, IL Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2023 31%
Steven Nagel Individual Indirect Ownership Interest Jul 1, 2023 2%
Ab Investment Trust U/a/D 1/3/23 Organization, Lincolnwood, IL Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2023 13%
Menachem Berger Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2023 13%

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 35

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

View all 35

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 3

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": "1481155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1508300658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 CLARION AVE",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435288107",
            "telephone_number": "419-866-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 CLARION AVE",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435288107",
            "telephone_number": "419-866-6124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3701 W Lunt Ave",
            "address_purpose": "LOCATION",
            "city": "Lincolnwood",
            "state": "IL",
            "postal_code": "607122615",
            "country_code": "US",
            "telephone_number": "847-440-2660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPRING MEADOW NURSING & REHABILITATION CENTRE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-08",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "GRAF",
        "authorized_official_first_name": "MARCELLA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "224-470-2044"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, OH

Sources for this page

Verify at the official NPI Registry.