Organization Active NPI

Mason Healthcare LLC

  • Skilled Nursing Facility
  • Mason, OH
National Provider Identifier
1518562016
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MASON HEALTHCARE LLC
Practice address
5640 Cox Smith Rd
Mason, OH 45040-2210
Phone
(513) 398-2881
NPI assigned
Dec 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Authorized official

Name
Hayley Williams
Title
Attorney
Phone
(216) 706-3936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

5640 Cox Smith Rd
Mason, OH 45040-2210

Mailing address

5640 Cox Smith Rd
Mason, OH 45040-2210
Phone (513) 398-2881

Other identifiers 1

IdentifierTypeStateIssuer
0009NOtherOHLICENSURE

Other names 1

  • Mason Health Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210211001746 OH Part A Provider - Skilled Nursing Facility 2567877137 Practice locations: Mason, OH

Skilled nursing facility certification: CCN 366216

Legal name
MASON HEALTHCARE LLC
Doing business as
MASON HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 22, 2001
Last certification
Jun 1, 2023
Beds
43
Ownership / control type
Partnership
Most recent change of ownership
Dec 1, 2020
Organization structure
LLCProprietary
Incorporated
Aug 10, 2020 in DE
Enrollment address
5640 Cox Smith Rd
Mason, OH 45040-2210
Nursing home name
MASON HEALTH CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mason Health Care CenterCCN 366216
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
May 22, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5339.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Mason Health Care Center2 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 2

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

NameRoleSinceShare
Mattisyahu Nussbaum Individual 5% Or Greater Direct Ownership InterestCoo Dec 1, 2020 100%
Corporate OfficerPresident Dec 1, 2020 100%
Corporate DirectorChairman Dec 1, 2020 100%
Carla Daasch Individual W-2 Managing EmployeeAdministrator Dec 1, 2020 100%

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1518562016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 COX SMITH RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450402210",
            "telephone_number": "513-398-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 COX SMITH RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450402210",
            "telephone_number": "513-398-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "HAYLEY",
        "authorized_official_title_or_position": "ATTORNEY",
        "authorized_official_telephone_number": "216-706-3936"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "0009N",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mason Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.