Buckeye Forest at Waterville
Organization Active NPI Skilled Nursing Facility · Waterville, OH
NPI 1649935669 · NPPES record last updated Nov 4, 2021
Key facts
- NPI
- 1649935669
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- BUCKEYE FOREST AT WATERVILLE
- Practice address
- 8885 Browning Dr
Waterville, OH 43566-9701 - Phone
- (419) 878-8523
- NPI assigned
- Nov 4, 2021
- Organization subpart
- No
Authorized official
- Name
- Ann Morhaime
- Title
- Authorized Official
- Phone
- (516) 330-0009
Owners & managing parties with NPI records 1
-
Kristopher Brickman, M.D.
Facilities with the same owner 3
Practitioners 1
-
Kristopher Brickman, M.D.
Affiliated clinicians 1
-
Kristopher Brickman, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Ayden Healthcare of Waterville
- Overall star rating
- ★★☆☆☆ 2 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Mar 6, 1984
- Medicare certification status
- Active
- Certified beds
- 99 · 75.4 residents per day on average
- Chain
- Ayden Healthcare
- Penalties (3 years)
- 1 · fines totaling $75,286
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0679987 | Buckeye Forest at Waterville Ayden of Waterville | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Skilled nursing facility certification: CCN 365617
- Legal name
- BUCKEYE FOREST AT WATERVILLE
- Doing business as
- AYDEN HEALTHCARE OF WATERVILLE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 6, 1984
- Last certification
- Mar 13, 2024
- Beds
- 99
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Ayden Healthcare
- Organization structure
- LLC · Proprietary
- Incorporated
- Aug 17, 2021 in NY
- Enrollment address
- 8885 Browning Dr
Waterville, OH 43566-9701 - Nursing home name
- AYDEN HEALTHCARE OF WATERVILLE
- Affiliated entity
- AYDEN HEALTHCARE
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| Ephram M Lahasky |
5% Or Greater Indirect Ownership Interest | Dec 31, 2025 | 51% |
| Operational/Managerial Control | Dec 31, 2025 | ||
| |
Adp of the SNF | Nov 24, 2025 | |
| |
Adp of the SNF | Dec 3, 2025 | |
| Kristopher R Brickman |
Operational/Managerial Control | Aug 1, 2024 | |
| Adp of the SNF | Aug 1, 2024 | ||
| Kimberly Kahle |
Operational/Managerial Control | Nov 22, 2024 | |
| Adp of the SNF | Nov 22, 2024 | ||
| Buckeye Family Trust |
5% Or Greater Direct Ownership Interest | Dec 31, 2025 | 51% |
| Operational/Managerial Control | Dec 31, 2025 | ||
| Yisroel M Kaplan |
5% Or Greater Direct Ownership Interest | Feb 1, 2025 | 49% |
| Operational/Managerial Control | Dec 31, 2021 | ||
| Managing Control - Governing Body |
Dec 31, 2021 | ||
| Jonathan Aschendorf |
Operational/Managerial Control | May 1, 2023 | |
| Managing Control - Governing Body |
May 1, 2023 | ||
| Adp of the SNF | May 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220317002809 | OH | Part a Provider - Skilled Nursing Facility | 9234524869 | Practice locations: Waterville, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
8885 Browning Dr
Waterville, OH 43566-9701
Mailing address
1800 Rockaway Ave Ste 200
Hewlett, NY 11557-1668
Phone (516) 330-0009
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1787N | Other | OH | LICENSURE |
Other names
- Ayden Healthcare of Waterville
Other providers in Waterville, OH
- Veronica A Blaesing
- Lindsey J Bostelman
- Browning Masonic Community
- Andrea Kathryn Bruss
- Mark R Bruss
- Jan Dale Castanza
- Barbara Jane Chaney
- Lynne Chapman I
- Amy Michelle Childers
- City of Waterville
All providers in Waterville, OH · Skilled Nursing Facility in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.