Organization Active NPI

FHS Beavercreek, Inc.

Doing business as Overbrook Landing Health and Rehabilitation

  • Skilled Nursing Facility
  • Xenia, OH
National Provider Identifier
1790586147
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FHS BEAVERCREEK, INC.
Doing business as
Overbrook Landing Health and Rehabilitation
Practice address
1640 Overbrook Road
Xenia, OH 45385
Phone
(440) 793-2245
Fax
(440) 614-0168
NPI assigned
Mar 21, 2025
Last updated
Mar 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Authorized official

Name
Sandy Muir
Title
VP of Government Affairs
Phone
(440) 793-2245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1640 Overbrook Road
Xenia, OH 45385

Mailing address

1640 Overbrook Road
Xenia, OH 45385
Phone (440) 793-2245

Other names 1

  • OVERBROOK LANDING HEALTH AND REHABILITATION Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250612001303 OH Part A Provider - Skilled Nursing Facility 3274043724 Practice locations: Xenia, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790586147. Details of each certification follow.

Skilled nursing facility certification: CCN 725009

Legal name
FHS BEAVERCREEK, INC.
Doing business as
OVERBROOK LANDING HEALTH AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 14, 2026
Last certification
Jan 14, 2026
Beds
83
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Enrollment address
1640 Overbrook Blvd
Xenia, OH 45385-3695
Nursing home name
OVERBROOK LANDING HEALTH AND REHABILIATION
Affiliated entity
FOUNDATIONS HEALTH SOLUTIONS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Overbrook Landing Health and RehabiliationCCN 725009 · All quality measures
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 14, 2026
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
83
Chain
Foundations Health Solutions64 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
36D2330095FHS Beavercreek Inc1640 Overbrook Blvd, Xenia, OH 45385Certificate of waiverSep 9, 2027

National Provider Directory

National Provider Directory

Locations

1640 Overbrook Blvd
Xenia, OH 45385

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
Samantha Clark Individual Operational/Managerial Control Jul 1, 2025
Adp of the SNF Jul 1, 2025
John Krystowski Individual Corporate OfficerTreasurer Jul 1, 2025
Operational/Managerial Control Jul 1, 2025
Adp of the SNF Jul 1, 2025
Brian E Colleran Individual Corporate OfficerPresident Jul 1, 2025
Corporate DirectorPresident Jul 1, 2025
Operational/Managerial Control Jul 1, 2025
Adp of the SNF Jul 1, 2025
Harold Allen Ferguson Individual Adp of the SNF Jul 1, 2025
Colleran Fam TR Dated 01-01-2018 Organization, North Olmsted, OH 5% Or Greater Indirect Ownership Interest Jul 1, 2025 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 Jul 1, 2025 100%
Foundations Health Solutions, LLC Organization, North Olmsted, OH LLC, Management services company, For-profit Operational/Managerial Control Jul 1, 2025
Adp of the SNF May 12, 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

NPI Registry JSON

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

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1790586147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 OVERBROOK ROAD",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "45385",
            "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": "1640 OVERBROOK ROAD",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "45385",
            "telephone_number": "440-793-2245",
            "fax_number": "440-614-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FHS BEAVERCREEK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-21",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "MUIR",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "VP OF GOVERNMENT AFFAIRS",
        "authorized_official_telephone_number": "440-793-2245"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OVERBROOK LANDING HEALTH AND REHABILITATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Xenia, OH

Sources for this page

Verify at the official NPI Registry.