Trilogy Healthcare of Ottawa, LLC
Organization Active NPI Skilled Nursing Facility · Genoa, OH
NPI 1669426599 · NPPES record last updated Oct 2, 2025
Key facts
- NPI
- 1669426599
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 1821 (OH)
- Legal business name
- TRILOGY HEALTHCARE OF OTTAWA, LLC
- Practice address
- 300 Cherry St
Genoa, OH 43430-1823 - Phone
- (419) 855-7755
- NPI assigned
- May 22, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- TRILOGY INVESTORS, LLC
Authorized official
- Name
- Cristina Pietrowski
- Title
- Evp & Clo
- Phone
- (502) 213-7572
Facilities with the same owner 72
Practitioners 1
Affiliated clinicians 2
-
Daniel A Herring, DO
Medicare Care Compare: Nursing home
- Listed as
- Genoa Retirement Village
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jun 25, 1985
- Medicare certification status
- Active
- Certified beds
- 68 · 62.8 residents per day on average
- Chain
- Trilogy Health Services
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0331045 | Genoa Retirement Village | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Skilled nursing facility certification: CCN 365663
- Legal name
- TRILOGY HEALTHCARE OF OTTAWA, LLC
- Doing business as
- GENOA RETIREMENT VILLAGE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 25, 1985
- Last certification
- Jan 4, 2024
- Beds
- 68
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Trilogy Health Services
- Organization structure
- LLC · Proprietary
- Incorporated
- May 9, 2006 in DE
- Enrollment address
- 300 Cherry St
Genoa, OH 43430-1823 - Nursing home name
- GENOA RETIREMENT VILLAGE
- Affiliated entity
- TRILOGY HEALTH SERVICES
All disclosed owners & managing parties 27
| Name | Role | Since | Share |
|---|---|---|---|
| American Healthcare Reit Inc |
5% Or Greater Indirect Ownership Interest | Apr 1, 2022 | 100% |
| Randall J Bufford |
Corporate Officer |
Nov 1, 2019 | 11.11% |
| Northstar Healthcare Income Operating Partnership LP |
5% Or Greater Indirect Ownership Interest | Oct 1, 2021 | 100% |
| William Bryant |
Corporate Officer |
Jan 5, 2016 | 11.11% |
| Trilogy Real Estate Investment Trust |
5% Or Greater Indirect Ownership Interest | Oct 1, 2021 | 96.7% |
| Trilogy Reit Holdings LLC |
5% Or Greater Indirect Ownership Interest | Oct 1, 2021 | 96.7% |
| Cristina E Pietrowski |
Corporate Officer |
Jan 31, 2022 | 11.11% |
| Michelle Vernon |
Operational/Managerial Control |
Jan 9, 2021 | 100% |
| Trilogy Management Services LLC |
Operational/Managerial Control | Oct 1, 2021 | |
| Gahc3 Trilogy JV LLC |
5% Or Greater Indirect Ownership Interest | Oct 1, 2021 | 70% |
| Gregory a. Conner |
Corporate Officer |
Jan 31, 2022 | 11.11% |
| American Healthcare Reit Holdings LP |
5% Or Greater Indirect Ownership Interest | Oct 1, 2021 | 100% |
| Danny Prosky |
Corporate Officer |
Dec 1, 2015 | 11.11% |
| Trilogy Opco LLC |
5% Or Greater Direct Ownership Interest | Dec 1, 2015 | 100% |
| Lisa Fightmaster |
W-2 Managing Employee |
Dec 1, 2015 | |
| Trilogy Holdings NT-Hci, LLC |
5% Or Greater Indirect Ownership Interest | Oct 1, 2021 | 24% |
| Leigh Ann Barney |
Corporate Officer |
Nov 1, 2019 | 11.11% |
| Mathieu B Streiff |
Corporate Officer |
Dec 1, 2015 | 11.11% |
| Keybank National Association |
5% Or Greater Mortgage Interest | Dec 1, 2016 | 100% |
| Trilogy Investors LLC |
5% Or Greater Indirect Ownership Interest | Oct 1, 2021 | 100% |
| Trilogy Healthcare Holdings Inc |
5% Or Greater Indirect Ownership Interest | Oct 1, 2021 | 100% |
| Kathy M Corbin |
W-2 Managing Employee |
Nov 21, 2011 | |
| Todd B Mehaffey |
Corporate Officer |
Jan 31, 2022 | 11.11% |
| David W Davis |
Corporate Officer |
Aug 21, 2017 | 11.11% |
| Continental Merger Sub LLC |
5% Or Greater Indirect Ownership Interest | Oct 1, 2021 | 100% |
| Northstar Healthcare Income Inc |
5% Or Greater Indirect Ownership Interest | Oct 1, 2021 | 100% |
| Gahc4 Trilogy JV LLC |
5% Or Greater Indirect Ownership Interest | Oct 1, 2021 | 6% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060707000215 | OH | Part a Provider - Skilled Nursing Facility | 6305858572 | Practice locations: Genoa, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | |||
| Skilled Nursing Facility | 314000000X | 1821 | OH | Yes |
Addresses
Primary practice location
300 Cherry St
Genoa, OH 43430-1823
Mailing address
300 Cherry St
Genoa, OH 43430-1823
Phone (419) 855-7755
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2658253 | Medicaid | OH |
Other names
- Genoa Retirement Village
Other providers in Genoa, OH
- Mark E Rich
- Corinna Root
- Adam Schlagheck
- Emma Szabo
- Seba Torfah
- Griffin Van Nest
- Latanya Van Nest
- Debbie Meri Verkin-Siebert
- Heather Weaver
- William Kegerize OD LLC
All providers in Genoa, 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 Oct 2, 2025. 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.