Gahana Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GAHANA OPCO LLC

Practice address

7010 Rowan Hill Dr # D
Cincinnati, OH 45227-3380

Phone

(513) 271-7010

NPI assigned

May 11, 2023

Organization subpart

No

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

Authorized official

Name

Mattisyahu Nussbaum

Title

Ceo

Phone

(931) 777-0010

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1558051698. Details of each certification follow.

• CCN 365946 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 365946

Legal name

GAHANA OPCO LLC

Doing business as

ST THERESA CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 17, 1994

Last certification

May 18, 2023

Beds

99

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Luxor Healthcare Group

Organization structure

LLCProprietary

Incorporated

Jul 14, 2022 in OH

Enrollment address

7010 Rowan Hill Dr
Cincinnati, OH 45227-3380

Nursing home name

ST. THERESA CARE CENTER

Listed as

St. Theresa Care CenterCCN 365946 · All quality measures

Overall star rating

2 of 5

Health inspections

3 of 5

Staffing

1 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jan 17, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9977.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Gahana Opco LLC2 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.

• Gahana Opco LLC

  dba The Mariemont Care Center

  • Assisted Living Facility
  • Cincinnati, OH
  • NPI 1295572998
  NPD tax ID

All disclosed owners & managing parties 5

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

Facilities with the same owner 3

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

• CS Opco LLC

  dba Community Skilled Health Care

  • Skilled Nursing Facility
  • Warren, OH
  • NPI 1174334635

  Yyam Holdings LLC, Yyam Irrevocable Trust

  CMS ownership
• Go Opco LLC

  dba Grafton Oaks Rehabilitation and Nursing Center

  • Skilled Nursing Facility
  • Dayton, OH
  • NPI 1144038654

  Yyam Holdings LLC, Yyam Irrevocable Trust

  CMS ownership
• Medina BSD Opco LLC

  • Skilled Nursing Facility
  • Medina, OH
  • NPI 1205526324

  Yyam Holdings LLC, Yyam Irrevocable Trust

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jyoti J Mehta, MD

  • Internal Medicine Physician
  • Williamsburg, OH
  • NPI 1932170933
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jyoti J Mehta, MD

  • Internal Medicine Physician
  • Williamsburg, OH
  • NPI 1932170933

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1558051698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 US HIGHWAY 9 STE 1",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 ROWAN HILL DR # D",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452273380",
            "telephone_number": "513-271-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAHANA OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-11",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "NUSSBAUM",
        "authorized_official_first_name": "MATTISYAHU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "931-777-0010"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fran Gafvert, LISW
• Roger Ray Gage, RN, BSN
• Susan E Gage, R.PH.
• Lawrence Carl Gagin, AT
• Gahana Opco LLC (The Mariemont Care Center)
• Michael Gati Gaies, MD
• Dominique Gainer, BCBA
• Gaines Estate Organization
• Alexis Ciara Gaines
• Alexus D Gaines

• Skilled Nursing Facility in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.

Verify at the official NPI Registry.