NPIMap

Organization Active NPI

Roselawn Gardens Healthcare LLC

  • Skilled Nursing Facility
  • Alliance, OH
National Provider Identifier
1841625142
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1549 Issued in OH
Legal business name
ROSELAWN GARDENS HEALTHCARE LLC
Practice address
11999 Klinger Ave NE
Alliance, OH 44601-1116
Phone
(330) 823-0618
NPI assigned
Sep 6, 2013
Last updated
Sep 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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

Authorized official

Name
Paul B Bergsten
Title
Ceo
Phone
(937) 825-6622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1549 OH Primary

Addresses

Primary practice location

11999 Klinger Ave NE
Alliance, OH 44601-1116

Mailing address

11999 Klinger Ave NE
Alliance, OH 44601-1116
Phone (330) 823-0618

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131122001981 OH Part A Provider - Skilled Nursing Facility 5597991455 Practice locations: Alliance, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841625142. Details of each certification follow.

Skilled nursing facility certification: CCN 366231

Legal name
ROSELAWN GARDENS HEALTHCARE LLC
Doing business as
ROSELAWN GARDENS NURSING & REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 2001
Last certification
Feb 13, 2025
Beds
44
Ownership / control type
Corporation
Multi-facility organization
Hillstone Healthcare
Most recent change of ownership
Sep 1, 2013
Organization structure
LLCProprietary
Incorporated
Aug 1, 2013 in OH
Enrollment address
11999 Klinger Ave NE
Alliance, OH 44601-1116
Nursing home name
ROSELAWN GARDENS NURSING & REHABILITATION
Affiliated entity
HILLSTONE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Roselawn Gardens Nursing & RehabilitationCCN 366231 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 1, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4441.2 residents per day on average
Chain
Hillstone Healthcare9 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Roselawn Gardens Healthcare2 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.

Locations

11999 Klinger Ave NE
Alliance, OH 44601
Phone (330) 823-0618

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
Sean Duane Stiltner Individual Adp of the SNF Oct 1, 2024
Individual Trustee of the SNF Aug 1, 2022
Individual Trustee of the SNF Aug 1, 2022
Individual Trustee of the SNF Aug 1, 2022
Individual Trustee of the SNF Aug 1, 2022
Russ Corwin Individual Direct Ownership Interest Oct 30, 1989 100%
Individual Trustee of the SNF Sep 15, 2000
Organization, Lewis Center, OH LLC Adp of the SNF Sep 1, 2013
Individual Trustee of the SNF Aug 1, 2022
Individual Trustee of the SNF Aug 1, 2022
Paul B Bergsten Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2015 60%
Corporate OfficerCeo Aug 1, 2013
Operational/Managerial Control Sep 1, 2013
Managing Control - Governing BodyLLC Manager Mar 23, 2022
Adp of the SNF Sep 1, 2013
Indirect Ownership Interest Sep 1, 2013 75%
Individual Trustee of the SNF Aug 1, 2021
Individual Trustee of the SNF Sep 1, 2013
Matthew Dapore Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2015 40%
Corporate OfficerCoo Aug 1, 2013
Luan Mizer Individual Operational/Managerial Control Nov 13, 2017
Adp of the SNF Nov 13, 2017
Individual Trustee of the SNF Aug 1, 2022
Hillstone Healthcare Inc. Organization, Lewis Center, OH Corporation, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 1, 2017 100%
Operational/Managerial Control Sep 1, 2013
Direct Ownership Interest Sep 1, 2013 99%
Individual Trustee of the SNF Sep 15, 2000
Direct Ownership Interest Sep 15, 2000 100%
Indirect Ownership Interest Sep 15, 2000 100%
Organization, Alliance, OH LLC Adp of the SNF Jul 7, 2022
Individual Trustee of the SNF Aug 1, 2022
LTC Provider Services LLC Organization, Wadsworth, OH Investment firm Adp of the SNF Jan 1, 2019
Organization, Wadsworth, OH Corporation Adp of the SNF Feb 28, 2019
Organization, Worthington, OH Financial institution Adp of the SNF Sep 1, 2013
Direct Ownership Interest Jul 7, 2022 60%

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 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1841625142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11999 KLINGER AVE NE",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446011116",
            "telephone_number": "330-823-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11999 KLINGER AVE NE",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446011116",
            "telephone_number": "330-823-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSELAWN GARDENS HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "BERGSTEN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-825-6622"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, OH

Sources for this page

Verify at the official NPI Registry.