Organization Active NPI

Buckeye Forest at Portsmouth LLC

Doing business as Ayden Healthcare of Rosemounty Pavilion

  • Skilled Nursing Facility
  • Portsmouth, OH
National Provider Identifier
1720746837
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BUCKEYE FOREST AT PORTSMOUTH LLC
Doing business as
Ayden Healthcare of Rosemounty Pavilion
Practice address
20 Easter Dr
Portsmouth, OH 45662-8659
Phone
(740) 354-4505
Fax
(740) 354-5681
NPI assigned
Dec 6, 2021
Last updated
Dec 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Authorized official

Name
Abba Stein
Title
Ceo
Phone
(740) 354-4505

Specialties & licenses 1

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

Addresses

Primary practice location

20 Easter Dr
Portsmouth, OH 45662-8659

Mailing address

20 Easter Dr
Portsmouth, OH 45662-8659
Phone (740) 354-4505

Other names 1

  • Ayden Healthcare of Rosemounty Pavilion Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220223002153 OH Part A Provider - Skilled Nursing Facility 2062806706 Practice locations: Portsmouth, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720746837. Details of each certification follow.

Skilled nursing facility certification: CCN 365584

Legal name
BUCKEYE FOREST AT PORTSMOUTH LLC
Doing business as
BUCKEYE FOREST AT ROSEMOUNT PAVILION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 27, 1982
Last certification
May 16, 2025
Beds
117
Ownership / control type
Corporation
Multi-facility organization
Lionstone
Organization structure
LLCProprietary
Incorporated
Aug 17, 2021 in NY
Enrollment address
20 Easter Dr
Portsmouth, OH 45662-8659
Nursing home name
AYDEN HEALTHCARE OF ROSEMOUNT PAVILION
Affiliated entity
AYDEN HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Ayden Healthcare of Rosemount PavilionCCN 365584 · All quality measures
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 27, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11775.7 residents per day on average
Chain
Ayden Healthcare11 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Solomon Kazarnovsky Individual 5% Or Greater Direct Ownership InterestManaging Partner Dec 31, 2021 50%
Corporate OfficerManaging Partner Dec 31, 2021
Operational/Managerial ControlCeo Dec 31, 2021
Adp of the SNF Dec 31, 2021
Eliezer Goldish Individual Corporate OfficerChief Financial Officer Oct 9, 2023
Operational/Managerial Control Oct 9, 2023
Adp of the SNF Oct 9, 2023
Adam Cusner Individual Corporate OfficerChief Executive Officer Jan 27, 2025
Operational/Managerial Control Jan 27, 2025
Adp of the SNF Jan 27, 2025
Jeffrey Degyansky Individual Corporate OfficerChief Operating Officer Jan 1, 2020
Operational/Managerial Control Dec 31, 2021
Adp of the SNF Dec 31, 2021
Individual Adp of the SNF Apr 1, 2024
Abba Stein Individual 5% Or Greater Direct Ownership InterestManaging Partner Dec 31, 2021 50%
Corporate OfficerManaging Partner Dec 31, 2021
Operational/Managerial ControlMember Dec 31, 2021
Adp of the SNF Dec 31, 2021
Individual Adp of the SNF May 13, 2024

Practitioners & affiliated clinicians

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.

Affiliated clinicians 3

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": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1720746837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 EASTER DR",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456628659",
            "telephone_number": "740-354-4505",
            "fax_number": "740-354-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 EASTER DR",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456628659",
            "telephone_number": "740-354-4505",
            "fax_number": "740-354-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE FOREST AT PORTSMOUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "ABBA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-354-4505"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ayden Healthcare of Rosemounty Pavilion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.