Active NPI
Mason Healthcare LLC
- Skilled Nursing Facility
- Mason, OH
National Provider Identifier
1518562016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009N | Other | OH | LICENSURE |
Other names 1
- Mason Health Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Partnership
- Certified
- May 22, 2001
- Medicare certification status
- Active
- Certified beds
- 53
National Provider Directory
National Provider Directory- Tax ID family
- Mason Health Care Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Mason, OH
- NPI 1023613114
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Mattisyahu Nussbaum | 5% Or Greater Direct Ownership Interest | Dec 1, 2020 | 100% |
| Corporate Officer | Dec 1, 2020 | 100% | |
| Corporate Director | Dec 1, 2020 | 100% | |
| Carla Daasch | W-2 Managing Employee | 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Cincinnati, OH
- NPI 1295735884
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.