Organization Active NPI

Springfield SNF, Inc.

  • Skilled Nursing Facility
  • Springfield, OH
National Provider Identifier
1629569439
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SPRINGFIELD SNF, INC.
Practice address
2000 Villa Rd
Springfield, OH 45503-1761
Phone
(937) 399-7009
NPI assigned
May 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Dan Damico
Title
Coo
Phone
(330) 856-4232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2000 Villa Rd
Springfield, OH 45503-1761

Mailing address

2000 Villa Rd
Springfield, OH 45503-1761

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190130000533 OH Part A Provider - Skilled Nursing Facility 5597002410 Practice locations: Springfield, OH

Skilled nursing facility certification: CCN 365684

Legal name
SPRINGFIELD SNF INC
Doing business as
NORTHWOOD SKILLED NURSING AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 11, 1986
Last certification
Oct 5, 2023
Beds
85
Ownership / control type
Corporation
Multi-facility organization
Aspire Regional Partners
Most recent change of ownership
Dec 1, 2018
Organization structure
CorporationProprietary
Incorporated
May 23, 2018 in OH
Enrollment address
2000 Villa Rd
Springfield, OH 45503-1761
Nursing home name
NORTHWOOD SKILLED NURSING AND REHABILITATION
Affiliated entity
MICHAEL SLYK

Care Compare: Nursing home

Medicare Care Compare
Listed as
Northwood Skilled Nursing and RehabilitationCCN 365684
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 11, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8566.8 residents per day on average
Chain
Michael Slyk7 facilities in the chain
Penalties (3 years)
2Fines totaling $34,976

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
36D0991013Northwood Skilled Nursing and2000 Villa Road, Springfield, OH 45503Certificate of waiverOct 2, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
MSTC Development Inc Organization, Warren, OH Consulting firm Operational/Managerial Control Dec 1, 2018
Adp of the SNF Jul 2, 2025
Gwynn Ryder Individual Operational/Managerial ControlRegional VP of Operations Mar 28, 2025
Adp of the SNF Mar 28, 2025
Daniel D'Amico Individual 5% Or Greater Direct Ownership InterestVice President May 23, 2018 33.33%
Corporate OfficerVice President Dec 1, 2018 33.33%
Adp of the SNF Dec 1, 2018
Michael Slyk Individual 5% Or Greater Direct Ownership InterestPresident Sep 1, 2022 66.67%
Corporate OfficerPresident Dec 1, 2018 66.67%
Sherri Francis Individual Adp of the SNF May 1, 2025
Koby Michael Dixon Individual Adp of the SNF Jan 1, 2025

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 6

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

Practitioners & affiliated clinicians

Practitioners 5

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

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": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1629569439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 VILLA RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455031761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 VILLA RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455031761",
            "telephone_number": "937-399-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD SNF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "DAMICO",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "330-856-4232"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.