NPIMap

Organization Active NPI

Otterbein Tipp City LLC

Doing business as Otterbein Springmeade LLC

  • Skilled Nursing Facility
  • Tipp City, OH
National Provider Identifier
1699582064
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
OTTERBEIN TIPP CITY LLC
Doing business as
Otterbein Springmeade LLC
dba Otterbein Springmeade LLC
Practice address
4375 S County Road 25a
Tipp City, OH 45371-2956
Phone
(937) 506-2703
NPI assigned
Dec 18, 2024
Last updated
Dec 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Authorized official

Name
James Christopher Green, CPA
Title
Treasurer & Chief Financial Officer
Phone
(513) 933-5418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

4375 S County Road 25a
Tipp City, OH 45371-2956

Mailing address

3855 Lower Market St Ste 300
Lebanon, OH 45036-7654
Phone (513) 933-5401

Other names 2

  • Otterbein Springmeade LLC Doing business as
  • dba Otterbein Springmeade LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250815002085 OH Part A Provider - Skilled Nursing Facility 9234638495 Practice locations: Tipp City, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699582064. Details of each certification follow.

Skilled nursing facility certification: CCN 365882

Legal name
OTTERBEIN TIPP CITY LLC
Doing business as
OTTERBEIN TIPP CITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1992
Last certification
Apr 3, 2025
Beds
99
Ownership / control type
Other Nonprofit
Multi-facility organization
Otterbein Senior Life
Most recent change of ownership
Dec 16, 2024
Organization structure
LLCNon-profit
Enrollment address
4375 S County Road 25a
Tipp City, OH 45371-2956
Nursing home name
SPRINGMEADE HEALTHCENTER
Affiliated entity
OTTERBEIN SENIORLIFE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Springmeade HealthcenterCCN 365882 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Jul 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9987.8 residents per day on average
Chain
Otterbein Seniorlife20 facilities in the chain

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
36D0726684Otterbein Tipp City, LLC4375 South County Road 25a, Tipp City, OH 45371Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Jason E Miller Individual Operational/Managerial Control Dec 16, 2024
Managing Control - Governing BodySr VP & Coo Dec 16, 2024
Naga Prasuna Madireddy Individual Operational/Managerial Control Dec 16, 2024
Adp of the SNF Dec 16, 2024
Otterbein Tipp City Real Estate, LLC Organization, Tipp City, OH LLC Adp of the SNF Dec 16, 2024
Otterbein LSC, LLC Organization, Lebanon, OH LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 16, 2024 100%
Jill Wilson Individual Operational/Managerial Control Dec 16, 2024
Managing Control - Governing BodyPresident & Ceo Dec 16, 2024
Pepper Pegg Individual Operational/Managerial Control Jun 19, 2025
Adp of the SNF Jun 19, 2025
Otterbein Home Organization, Lebanon, OH Corporation, Chain home office 5% Or Greater Indirect Ownership Interest Dec 16, 2024 100%
Adp of the SNF Dec 16, 2024
James Christopher Green Individual Operational/Managerial Control Dec 16, 2024
Managing Control - Governing BodyTreasurer & Cfo Dec 16, 2024
Otterbein Real Estate, LLC Organization, Lebanon, OH LLC Adp of the SNF Dec 16, 2024
Steve Vonderhaar Individual Managing Control - Governing BodyBoard Member Dec 16, 2024

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 22

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

View all 22

Practitioners & affiliated clinicians

Practitioners 1

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.

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": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1699582064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 LOWER MARKET ST STE 300",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450367654",
            "telephone_number": "513-933-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 S COUNTY ROAD 25A",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453712956",
            "telephone_number": "937-506-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTERBEIN TIPP CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "TREASURER & CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "513-933-5418",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Otterbein Springmeade LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "dba Otterbein Springmeade LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tipp City, OH

Sources for this page

Verify at the official NPI Registry.