670 Oh Opco LLC
Organization Active NPI Skilled Nursing Facility · Tiffin, OH
NPI 1891539623 · NPPES record last updated Jun 25, 2024
Key facts
- NPI
- 1891539623
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- 670 OH OPCO LLC
- Practice address
- 670 E State Route 18
Tiffin, OH 44883-1856 - Phone
- (419) 447-7151
- NPI assigned
- Jun 25, 2024
- Organization subpart
- No
Authorized official
- Name
- Rachel Friedman
- Title
- Manager
- Phone
- (516) 545-0980
Owners & managing parties with NPI records 1
-
Mark J Akers, M.D.
Corporate family (same tax ID) 1
Facilities with the same owner 3
Practitioners 1
-
Mark J Akers, M.D.
Affiliated clinicians 2
-
Mark J Akers, M.D.
-
Samuel E Ross, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Autumnwood Care Center
- Overall star rating
- ★★☆☆☆ 2 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Oct 16, 1979
- Medicare certification status
- Active
- Certified beds
- 93 · 89.2 residents per day on average
- Chain
- Garden Springs Healthcare
- Penalties (3 years)
- 1 · fines totaling $28,340
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Skilled nursing facility certification: CCN 365380
- Legal name
- 670 OH OPCO LLC
- Doing business as
- AUTUMNWOOD CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 16, 1979
- Last certification
- Dec 12, 2024
- Beds
- 93
- Ownership / control type
- Corporation
- Multi-facility organization
- Garden Springs
- Organization structure
- LLC · Proprietary
- Enrollment address
- 670 E State Route 18
Tiffin, OH 44883-1856 - Nursing home name
- AUTUMNWOOD CARE CENTER
- Affiliated entity
- GARDEN SPRINGS HEALTHCARE
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| |
Adp of the SNF | Dec 12, 2024 | |
| Indirect Ownership Interest | Jun 20, 2024 | 1% | |
| Ilya Rafi Mahilnitski |
5% Or Greater Indirect Ownership Interest | Jun 20, 2024 | 15.3% |
| Operational/Managerial Control | Jun 20, 2024 | ||
| Adp of the SNF | Jun 20, 2024 | ||
| |
Adp of the SNF | Jun 20, 2024 | |
| |
Adp of the SNF | Jun 20, 2024 | |
| Indirect Ownership Interest | Jun 20, 2024 | 1% | |
| |
Indirect Ownership Interest | Jun 20, 2024 | 1.5% |
| Yfr Equities LLC |
5% Or Greater Indirect Ownership Interest | Jun 20, 2024 | 5% |
| Adp of the SNF | Jun 20, 2024 | ||
| Mark J Akers |
Operational/Managerial Control | Jun 20, 2024 | |
| Adp of the SNF | Jun 20, 2024 | ||
| Nuel Franklin |
Operational/Managerial Control | Jun 20, 2024 | |
| Adp of the SNF | Jun 20, 2020 | ||
| Matis Mark Friedman |
5% Or Greater Indirect Ownership Interest | Jun 20, 2024 | 50% |
| Operational/Managerial Control | Jun 20, 2024 | ||
| Adp of the SNF | Jun 20, 2024 | ||
| |
Adp of the SNF | Jun 20, 2024 | |
| Indirect Ownership Interest | Jun 20, 2024 | 1% | |
| |
Adp of the SNF | Jun 20, 2024 | |
| Indirect Ownership Interest | Jun 20, 2024 | 1% | |
| Jennifer Strauss |
5% Or Greater Indirect Ownership Interest | Jun 20, 2024 | 3.1% |
| Gitty Friedman |
5% Or Greater Indirect Ownership Interest | Jun 20, 2024 | 1% |
| Indirect Ownership Interest | Jun 20, 2024 | 1% | |
| Alyssa Barenbaum |
5% Or Greater Indirect Ownership Interest | Jun 20, 2024 | 2% |
| Indirect Ownership Interest | Jun 20, 2024 | 2% | |
| |
Adp of the SNF | Jun 20, 2024 | |
| Oheads Opco Holdings LLC |
5% Or Greater Direct Ownership Interest | Jun 20, 2024 | 100% |
| Adp of the SNF | May 2, 2025 | ||
| Rap 118 LLC |
5% Or Greater Indirect Ownership Interest | Jun 20, 2024 | 15% |
| Adp of the SNF | Jun 20, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250502001267 | OH | Part a Provider - Skilled Nursing Facility | 0840716825 | Practice locations: Tiffin, OH |
National Provider Directory
- Tax ID family
- 670 Oh Opco LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
670 E State Route 18
Tiffin, OH 44883-1856
Mailing address
30100 Chagrin Blvd Ste 202
Pepper Pike, OH 44124-5722
Phone (419) 447-7151
Other names
- AUTUMNWOOD CARE CENTER
Other providers in Tiffin, OH
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- Access Wellness & Consulting LLC
- Advanced Medical Imaging Inc
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- Ali Ahmad
All providers in Tiffin, OH · Skilled Nursing Facility in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.