CT Ohio Englewood LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CT OHIO ENGLEWOOD LLC

Doing business as

Englewood Health and Rehab

Practice address

425 Lauricella Court
Englewood, OH 45322

Phone

(937) 836-5143

Fax

(937) 836-1799

NPI assigned

Apr 19, 2018

Last updated

Apr 23, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Rafael A Moerman

Title

Manager

Phone

(516) 865-1500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Englewood Health and Rehab Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699262253. Details of each certification follow.

• CCN 365088 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 365088

Legal name

CT OHIO ENGLEWOOD LLC

Doing business as

ENGLEWOOD HEALTH AND REHAB

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1967

Last certification

May 1, 2024

Beds

116

Ownership / control type

Limited Liability Corporation

Most recent change of ownership

Oct 1, 2015

Organization structure

LLCProprietary

Incorporated

Mar 6, 2018 in GA

Enrollment address

425 Lauricella Court
Englewood, OH 45322-0340

Nursing home name

ENGLEWOOD HEALTH AND REHAB

Affiliated entity

SIMCHA HYMAN & NAFTALI ZANZIPER

Listed as

Englewood Health and RehabCCN 365088 · All quality measures

Overall star rating

1 of 5

Health inspections

2 of 5

Staffing

1 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jan 1, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

11694.4 residents per day on average

Chain

Simcha Hyman & Naftali Zanziper79 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 21

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Koby Michael Dixon Sr., MD

  • General Practice Physician
  • Chapel Hill, NC
  • NPI 1134784937

  Adp of the SNF

  CMS ownership

Facilities with the same owner 9

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

• CT Ohio Beavercreek, LLC

  dba Beavercreek Health and Rehab

  • Skilled Nursing Facility
  • Beavercreek, OH
  • NPI 1790272540

  Acm Ashem Holdings, LLC, FTK Flyer Oh, LLC, Npnh1 LLC, SHS Keren LLC, Zanziper Family Trust

  CMS ownership
• CT Ohio Bellbrook, LLC

  • Skilled Nursing Facility
  • Bellbrook, OH
  • NPI 1316434160

  Acm Ashem Holdings, LLC, FTK Flyer Oh, LLC, Npnh1 LLC, SHS Keren LLC, Zanziper Family Trust

  CMS ownership
• CT Ohio Dayton-Centerville LLC

  dba Centerville Health and Rehab

  • Skilled Nursing Facility
  • Dayton, OH
  • NPI 1396232146

  Acm Ashem Holdings, LLC, FTK Flyer Oh, LLC, Npnh1 LLC, SHS Keren LLC, Zanziper Family Trust

  CMS ownership
• CT Ohio Jamestown LLC

  dba Jamestown Place Health and Rehab

  • Skilled Nursing Facility
  • Jamestown, OH
  • NPI 1962999516

  Acm Ashem Holdings, LLC, FTK Flyer Oh, LLC, Npnh1 LLC, SHS Keren LLC, Zanziper Family Trust

  CMS ownership
• CT Ohio Portsmouth LLC

  dba Portsmouth Health and Rehab

  • Skilled Nursing Facility
  • Portsmouth, OH
  • NPI 1457848210

  Acm Ashem Holdings, LLC, FTK Flyer Oh, LLC, Npnh1 LLC, SHS Keren LLC

  CMS ownership
• CT Ohio Xenia LLC

  dba Xenia Health and Rehab

  • Skilled Nursing Facility
  • Xenia, OH
  • NPI 1801383666

  Acm Ashem Holdings, LLC, FTK Flyer Oh, LLC, Npnh1 LLC, SHS Keren LLC, Zanziper Family Trust

  CMS ownership
• Pavilion at Canal Fulton, LLC

  dba The Pavilion at Canal Fulton for Nursing and Rehabilitation, LLC

  • Skilled Nursing Facility
  • Canal Fulton, OH
  • NPI 1396565214

  Acm Ashem Holdings, LLC, Npnh1 LLC, SHS Keren LLC

  CMS ownership
• Pavilion at Piketon for Nursing and Rehabilitation LLC

  dba The Pavilion at Piketon

  • Skilled Nursing Facility
  • Piketon, OH
  • NPI 1598260952

  Acm Ashem Holdings, LLC

  CMS ownership
• Pavilion at Stow, LLC

  dba The Pavilion at Stow for Nursing and Rehabilitation

  • Skilled Nursing Facility
  • Stow, OH
  • NPI 1508686429

  Acm Ashem Holdings, LLC, Npnh1 LLC, SHS Keren LLC

  CMS ownership

Practitioners 3

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.

• Robert T Grossmann, MD

  • Family Medicine Physician
  • Centerville, OH
  • NPI 1053686683
  NPD (past)
• Jason R Hatfield, DO

  • Internal Medicine Physician
  • Cincinnati, OH
  • NPI 1972899219
  NPD (past)
• Jinyun Wu, M.D.

  • Internal Medicine Physician
  • Dayton, OH
  • NPI 1447245238
  NPD (past)

Affiliated clinicians 2

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

• Robert T Grossmann, MD

  • Family Medicine Physician
  • Centerville, OH
  • NPI 1053686683

  Nursing home

  Care Compare affiliation
• Jinyun Wu, M.D.

  • Internal Medicine Physician
  • Dayton, OH
  • NPI 1447245238

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1699262253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 LAURICELLA COURT",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "45322",
            "telephone_number": "937-836-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 LAURICELLA COURT",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "45322",
            "telephone_number": "937-836-5143",
            "fax_number": "937-836-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CT OHIO ENGLEWOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "MOERMAN",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-865-1500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141225",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Englewood Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Englewood Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Englewood, OH
• Providers in Englewood, 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 Apr 23, 2025; 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.