Highlandspring Health Care and Rehabilitation LLC
Organization Active NPI Skilled Nursing Facility · Fort Thomas, KY
NPI 1669944690 · NPPES record last updated Jan 2, 2019
Key facts
- NPI
- 1669944690
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- HIGHLANDSPRING HEALTH CARE AND REHABILITATION LLC
- Practice address
- 960 Highland Ave
Fort Thomas, KY 41075-1707 - Phone
- (859) 572-0660
- Fax
- (859) 572-0950
- NPI assigned
- Jan 2, 2019
- Organization subpart
- No
Authorized official
- Name
- David Eppers
- Title
- Cfo
- Phone
- (513) 707-1537
Facilities with the same owner 16
Practitioners 4
-
Mohammad Fattal, MD
-
Ahmad Anjak, MD
-
Kofi Ansah, MD
Affiliated clinicians 4
-
Jennifer Amy Adams, M.D.
-
Mohammad Fattal, MD
-
Ahmad Anjak, MD
-
Kofi Ansah, MD
Medicare Care Compare: Nursing home
- Listed as
- Highlandspring of Ft Thomas
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Oct 29, 1993
- Medicare certification status
- Active
- Certified beds
- 140 · 135.4 residents per day on average
- Chain
- Carespring
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D0907589 | Highlandspring Health Care and Rehabilitation | Certificate of waiver | Oct 16, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Skilled nursing facility certification: CCN 185383
- Legal name
- HIGHLANDSPRING HEALTH CARE AND REHABILITATION LLC
- Doing business as
- HIGHLANDSPRING OF FT. THOMAS
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 29, 1993
- Last certification
- Dec 6, 2024
- Beds
- 140
- Ownership / control type
- Corporation
- Multi-facility organization
- Care Spring Health Care
- Organization structure
- LLC · Proprietary
- Incorporated
- Oct 31, 2018 in OH
- Enrollment address
- 960 Highland Ave
Fort Thomas, KY 41075-1707 - Nursing home name
- HIGHLANDSPRING OF FT THOMAS
- Affiliated entity
- CARESPRING
All disclosed owners & managing parties 7
| Name | Role | Since | Share |
|---|---|---|---|
| Christopher Chirumbolo |
Corporate Officer |
Oct 31, 2018 | 100% |
| Barry N Bortz 06042009 TR |
5% Or Greater Indirect Ownership Interest | Oct 31, 2018 | 72% |
| Carespring Health Care Management, LLC |
Operational/Managerial Control | Oct 31, 2018 | 100% |
| Carespring Health Care Holdings LP |
5% Or Greater Direct Ownership Interest | Oct 31, 2018 | 100% |
| Molly Brown |
W-2 Managing Employee |
Mar 14, 2023 | 100% |
| Bortz Family Trust/Key Bank Trustee |
5% Or Greater Indirect Ownership Interest | Oct 31, 2018 | 9% |
| David Eppers |
5% Or Greater Indirect Ownership Interest | Oct 31, 2018 | 15% |
| Corporate Officer |
Oct 31, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190409003634 | KY | Part a Provider - Skilled Nursing Facility | 9335480888 | Practice locations: Fort Thomas, KY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
960 Highland Ave
Fort Thomas, KY 41075-1707
Mailing address
390 Wards Corner Rd
Loveland, OH 45140-6969
Phone (513) 943-4000
Other providers in Fort Thomas, KY
- Robert Herfel
- Julie Ann Herweh Desmond
- Sarah Marie Hester
- High-Day, LLC
- Highland Counseling Services, LLC
- Terry Lee Hirschfeld
- Erin Claire Hochleutner
- Moira Hoke
- Michelle Lynn Hollenkamp
- Julianna Hollister
All providers in Fort Thomas, KY · Skilled Nursing Facility in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2019. 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.