NPIMap

Organization Active NPI

Addison Heights Health and Rehabilitation Center LLC

Doing business as Addison Heights Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Maumee, OH
National Provider Identifier
1710405683
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ADDISON HEIGHTS HEALTH AND REHABILITATION CENTER LLC
Doing business as
Addison Heights Health and Rehabilitation Center
Practice address
3600 Butz Rd
Maumee, OH 43537-9691
Phone
(419) 867-7926
NPI assigned
Aug 31, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Alexander Sherman
Title
Managing Member
Phone
(718) 688-8760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

3600 Butz Rd
Maumee, OH 43537-9691

Mailing address

1535 Rockaway Pkwy
Brooklyn, NY 11236-4001
Phone (718) 688-8760

Other identifiers 1

IdentifierTypeStateIssuer
2026NOtherOHOHIO DEPARTMENT OF HEALTH HOME NUMBER

Other names 1

  • Addison Heights Health and Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180510001165 OH Part A Provider - Skilled Nursing Facility 6901160340 Practice locations: Maumee, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710405683. Details of each certification follow.

Skilled nursing facility certification: CCN 366041

Legal name
ADDISON HEIGHTS HEALTH AND REHABILITATION CENTER LLC
Doing business as
ADDISON HEIGHTS HEALTH AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 2, 1996
Last certification
Sep 29, 2023
Beds
90
Ownership / control type
Limited Liability Corporation
Multi-facility organization
AOM
Organization structure
LLCProprietary
Incorporated
Jul 21, 2017 in OH
Enrollment address
3600 Butz Rd
Maumee, OH 43537-9691
Nursing home name
ADDISON HEIGHTS HEALTH AND REHABILITATION CENTER
Affiliated entity
AOM HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Addison Heights Health and Rehabilitation CenterCCN 366041 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 2, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9074.2 residents per day on average
Chain
Aom Healthcare20 facilities in the chain
Special focus status
SFF Candidate

Processed by Care Compare on Aug 1, 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
Zalman Wagschal Individual 5% Or Greater Indirect Ownership Interest Sep 18, 2017 16%
Samuel Sherman Individual 5% Or Greater Direct Ownership Interest Jan 15, 2024 20.5%
Corporate OfficerMember Sep 18, 2017
Jeffery Goldstein Individual 5% Or Greater Direct Ownership Interest Jan 15, 2024 20.5%
Corporate OfficerMember Sep 18, 2017
Serenity Equity Holdings LLC Organization, Brooklyn, NY Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Sep 18, 2017 16%
Heidi Whitehouse Individual W-2 Managing EmployeeAdministrator Jan 29, 2018
David Weinberger Individual 5% Or Greater Indirect Ownership Interest Sep 18, 2017 5%
Alexander Sherman Individual 5% Or Greater Direct Ownership Interest Jan 15, 2024 17%
Corporate OfficerMember Sep 18, 2017
Zaleman Horowitz Individual 5% Or Greater Indirect Ownership Interest Sep 18, 2017 7.2%
ZW Aom Re LLC Organization, Brooklyn, NY Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Sep 18, 2017 16%
Aom Healthcare LLC Organization, Brooklyn, NY LLC Operational/Managerial Control Sep 18, 2017

Facilities with the same owner 8

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

Practitioners & affiliated clinicians

Practitioners 2

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 2

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": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710405683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 ROCKAWAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364001",
            "telephone_number": "718-688-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 BUTZ RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435379691",
            "telephone_number": "419-867-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDISON HEIGHTS HEALTH AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "718-688-8760",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DEPARTMENT OF HEALTH HOME NUMBER",
            "identifier": "2026N",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Addison Heights Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maumee, OH

Sources for this page

Verify at the official NPI Registry.