Miami Cov SNF, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MIAMI COV SNF, INC.

Practice address

75 Mote Dr
Covington, OH 45318-1245

Phone

(937) 473-2075

NPI assigned

May 29, 2018

Organization subpart

No

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

Authorized official

Name

Dan Damico

Title

Coo

Phone

(330) 856-4232

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Skilled nursing facility certification: CCN 365483

Legal name

MIAMI COV SNF INC

Doing business as

STILLWATER SKILLED NURSING AND REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 5, 1980

Last certification

Mar 24, 2023

Beds

75

Ownership / control type

Limited Liability Corporation

Organization structure

CorporationProprietary

Incorporated

May 23, 2018 in OH

Enrollment address

75 Mote Dr
Covington, OH 45318-1245

Nursing home name

STILLWATER SKILLED NURSING AND REHABILITATION

Affiliated entity

MICHAEL SLYK

Listed as

Stillwater Skilled Nursing and RehabilitationCCN 365483

Overall star rating

2 of 5

Health inspections

3 of 5

Staffing

1 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Apr 5, 1980

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7552.2 residents per day on average

Chain

Michael Slyk7 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 6

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Koby Michael Dixon Sr., MD

  • General Practice Physician
  • Chapel Hill, NC
  • NPI 1134784937

  Adp of the SNF

  CMS ownership

Practitioners 1

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

• Koby Michael Dixon Sr., MD

  • General Practice Physician
  • Chapel Hill, NC
  • NPI 1134784937
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Mackenzie Baker, PA

  • Physician Assistant
  • Kettering, OH
  • NPI 1104204221

  Nursing home

  Care Compare affiliation
• Koby Michael Dixon Sr., MD

  • General Practice Physician
  • Chapel Hill, NC
  • NPI 1134784937

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1922599729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MOTE DR",
            "city": "COVINGTON",
            "state": "OH",
            "postal_code": "453181245",
            "telephone_number": "330-856-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MOTE DR",
            "city": "COVINGTON",
            "state": "OH",
            "postal_code": "453181245",
            "telephone_number": "937-473-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI COV SNF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "DAMICO",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "330-856-4232"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Nicole Leach, PHARMD
• Annette Lutes
• Coleen Carol Manny, LPN
• Heather M Marshall, RN, MSN CNP
• Rachelle Renee McDaniel Mendleson
• Julia R. Moore, RPH
• Jessica Amy Moses, LPN
• Kimberly Sue Noll, LMT
• Brian John Olson, D.C.
• Jessica Lynn Pfoutz

• All providers in Covington, OH
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.

Verify at the official NPI Registry.