Active NPI
FHS Beavercreek, Inc.
Doing business as Overbrook Landing Health and Rehabilitation
- Skilled Nursing Facility
- Xenia, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Rehabiliation
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 14, 2026
- Medicare certification status
- Active
- Certified beds
- 83
- Chain
- Foundations Health Solutions
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2330095 | FHS Beavercreek Inc | Certificate of waiver | Sep 9, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Samantha Clark | Operational/Managerial Control | Jul 1, 2025 | |
| Adp of the SNF | Jul 1, 2025 | ||
| John Krystowski | Corporate Officer | Jul 1, 2025 | |
| Operational/Managerial Control | Jul 1, 2025 | ||
| Adp of the SNF | Jul 1, 2025 | ||
| Brian E Colleran | Corporate Officer | Jul 1, 2025 | |
| Corporate Director | Jul 1, 2025 | ||
| Operational/Managerial Control | Jul 1, 2025 | ||
| Adp of the SNF | Jul 1, 2025 | ||
| Harold Allen Ferguson | Adp of the SNF | Jul 1, 2025 | |
| Colleran Fam TR Dated 01-01-2018 | 5% Or Greater Indirect Ownership Interest | Jul 1, 2025 | 100% |
| Foundations Health LLC | 5% Or Greater Direct Ownership Interest | Jul 1, 2025 | 100% |
| Foundations Health Solutions, LLC | 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.
-
dba Hickory Creek Nursing Center
- Skilled Nursing Facility
- The Plains, OH
- NPI 1831114446
Colleran Fam TR Dated 01-01-2018, Foundations Health LLC, Foundations Health Solutions, LLC
-
dba Siena Gardens Rehabilitation & Transitional Care
- Skilled Nursing Facility
- Cincinnati, OH
- NPI 1144713041
Colleran Fam TR Dated 01-01-2018, Foundations Health LLC, Foundations Health Solutions, LLC
-
dba The Woods On French Creek Nursing & Rehabilitation Center
- Skilled Nursing Facility
- Avon, OH
- NPI 1619373024
Colleran Fam TR Dated 01-01-2018, Foundations Health LLC, Foundations Health Solutions, LLC
-
dba Emerald Pointe Health and Rehabilitation Center
- Skilled Nursing Facility
- Barnesville, OH
- NPI 1174727192
Colleran Fam TR Dated 01-01-2018, Foundations Health LLC, Foundations Health Solutions, LLC
-
dba Champion Creek Health and Rehabilitation
- Skilled Nursing Facility
- Medina, OH
- NPI 1205636081
Colleran Fam TR Dated 01-01-2018, Foundations Health LLC, Foundations Health Solutions, LLC
-
dba Brunswick Pointe Transitional Care
- Skilled Nursing Facility
- Brunswick, OH
- NPI 1548780802
Colleran Fam TR Dated 01-01-2018, Foundations Health LLC, Foundations Health Solutions, LLC
-
dba Canterbury Villa of Alliance
- Skilled Nursing Facility
- Alliance, OH
- NPI 1790787968
Colleran Fam TR Dated 01-01-2018, Foundations Health LLC, Foundations Health Solutions, LLC
-
dba Capri Gardens
- Skilled Nursing Facility
- Lewis Center, OH
- NPI 1972164713
Colleran Fam TR Dated 01-01-2018, Foundations Health LLC, Foundations Health Solutions, LLC
-
dba Scenic Pointe Nursing & Rehabilitation
- Skilled Nursing Facility
- Millersburg, OH
- NPI 1124068994
Colleran Fam TR Dated 01-01-2018, Foundations Health LLC, Foundations Health Solutions, LLC
-
dba Sycamore Run Nursing & Rehabilitation
- Skilled Nursing Facility
- Millersburg, OH
- NPI 1891739843
Colleran Fam TR Dated 01-01-2018, Foundations Health LLC, Foundations Health Solutions, LLC
-
dba Arlington Care Center
- Skilled Nursing Facility
- Newark, OH
- NPI 1306820691
Colleran Fam TR Dated 01-01-2018, Foundations Health LLC
-
dba Veranda Gardens
- Skilled Nursing Facility
- Cincinnati, OH
- NPI 1043330533
Colleran Fam TR Dated 01-01-2018, Foundations Health LLC, Foundations Health Solutions, LLC
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.