NPIMap

Organization Active NPI

FHS Brimfield, Inc.

  • Skilled Nursing Facility
  • Kent, OH
National Provider Identifier
1730815283
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FHS BRIMFIELD, INC.
Practice address
5113 State Route 43
Kent, OH 44240
Phone
(440) 793-2245
Fax
(440) 614-0168
NPI assigned
Jul 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Authorized official

Name
Daniel Parker
Title
President
Phone
(330) 554-6619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

5113 State Route 43
Kent, OH 44240

Mailing address

5113 State Route 43
Kent, OH 44240
Phone (440) 793-2245

Other names 1

  • TAMARACK RIDGE HEALTH AND REHABILITATION Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050307000513 OH Part B Supplier - Clinic/Group Practice 8921052523 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kent, OH; Cuyahoga Falls, OH; Doylestown, OH; Fairlawn, OH; Geneva, OH; Hudson, OH; Jefferson, OH; Wadsworth, OH…
O20230113001376 OH Part A Provider - Skilled Nursing Facility 5496126211 Practice locations: Kent, OH

Skilled nursing facility certification: CCN 366497

Legal name
FHS BRIMFIELD, INC.
Doing business as
TAMARACK RIDGE HEALTH & REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 27, 2023
Last certification
Apr 3, 2025
Beds
96
Ownership / control type
Corporation
Multi-facility organization
Foundations Health Solutions
Organization structure
CorporationProprietary
Incorporated
Jan 16, 2020 in OH
Enrollment address
5113 State Route 43
Kent, OH 44240-6439
Nursing home name
TAMARACK RIDGE HEALTH AND REHABILITATION
Affiliated entity
FOUNDATIONS HEALTH SOLUTIONS

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Tamarack Ridge Health and RehabilitationCCN 366497
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 27, 2023
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9691.9 residents per day on average
Chain
Foundations Health Solutions64 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
FHS Brimfield Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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
Jana Strock Individual Operational/Managerial Control Dec 2, 2024
Adp of the SNF Dec 2, 2024
Mahaveer Mukkamalla Individual Adp of the SNF Oct 1, 2022
John Krystowski Individual Corporate OfficerTreasurer Oct 1, 2022
Operational/Managerial Control Oct 1, 2022
Adp of the SNF Oct 1, 2022
Brian E Colleran Individual Corporate OfficerPresident Jan 1, 2023
Corporate DirectorPresident Jan 1, 2023
Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023
Colleran Fam TR Dated 01-01-2018 Organization, North Olmsted, OH 5% Or Greater Indirect Ownership Interest Oct 1, 2022 100%
Foundations Health LLC Organization, North Olmsted, OH LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 1, 2022 100%
Foundations Health Solutions, LLC Organization, North Olmsted, OH LLC, Management services company, For-profit Operational/Managerial Control Oct 1, 2022
Adp of the SNF Jul 21, 2025

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 64

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

View all 64

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1730815283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5113 STATE ROUTE 43",
            "city": "KENT",
            "state": "OH",
            "postal_code": "44240",
            "telephone_number": "440-793-2245",
            "fax_number": "440-614-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5113 STATE ROUTE 43",
            "city": "KENT",
            "state": "OH",
            "postal_code": "44240",
            "telephone_number": "440-793-2245",
            "fax_number": "440-614-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FHS BRIMFIELD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-554-6619"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TAMARACK RIDGE HEALTH AND REHABILITATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kent, OH

Sources for this page

Verify at the official NPI Registry.