Active NPI
Trilogy Healthcare of Sylvania LLC
- Skilled Nursing Facility
- Sylvania, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- TRILOGY HEALTHCARE OF SYLVANIA LLC
- Doing business as
- The Lakes of Sylvania
- Practice address
- 5351 Mitchaw Road
Sylvania, OH 43560 - Phone
- (419) 824-6699
- Fax
- (419) 824-6698
- NPI assigned
- Sep 23, 2016
- Organization subpart
- Yes
- Parent organization
- TRILOGY OPCO, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brad Williamson
- Title
- Sr. Vice President
- Phone
- (502) 412-5847
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
5351 Mitchaw Road
Sylvania, OH 43560
Mailing address
PO Box 221648
Louisville, KY 40252-1648
Phone (502) 412-5847
Other names 1
- The Lakes of Sylvania
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161214000930 | OH | Part A Provider - Skilled Nursing Facility | 4880974690 | Practice locations: Sylvania, OH |
Skilled nursing facility certification: CCN 366452
- Legal name
- TRILOGY HEALTHCARE OF SYLVANIA LLC
- Doing business as
- THE LAKES OF SYLVANIA
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 28, 2017
- Last certification
- Nov 22, 2023
- Beds
- 62
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Trilogy Health Services
- Organization structure
- LLC
- Incorporated
- Sep 18, 2015 in DE
- Enrollment address
- 5351 Mitchaw Rd
Sylvania, OH 43560-9406 - Nursing home name
- LAKES OF SYLVANIA, THE
- Affiliated entity
- TRILOGY HEALTH SERVICES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Lakes of Sylvania, the
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Feb 28, 2017
- Medicare certification status
- Active
- Certified beds
- 62
- Chain
- Trilogy Health Services
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 |
|---|---|---|---|
| 36D2123230 | Lakes of Sylvania, the | Certificate of waiver | Dec 14, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 26
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 |
|---|---|---|---|
| Emily Soles | Operational/Managerial Control | Jan 27, 2023 | 100% |
| American Healthcare Reit Inc | 5% Or Greater Indirect Ownership Interest | Oct 1, 2021 | 100% |
| Randall J Bufford | Corporate Officer | Nov 1, 2019 | 11.11% |
| Northstar Healthcare Income Operating Partnership LP | 5% Or Greater Indirect Ownership Interest | Oct 1, 2021 | 100% |
| William Bryant | Corporate Officer | Jan 5, 2016 | 11.11% |
| Trilogy Real Estate Investment Trust | 5% Or Greater Indirect Ownership Interest | Oct 1, 2021 | 96.7% |
| Trilogy Reit Holdings LLC | 5% Or Greater Indirect Ownership Interest | Oct 1, 2021 | 96.7% |
| Cristina E Pietrowski | Corporate Officer | Jan 31, 2022 | 11.11% |
| Trilogy Management Services LLC | Operational/Managerial Control | Oct 1, 2021 | |
| Gahc3 Trilogy JV LLC | 5% Or Greater Indirect Ownership Interest | Oct 1, 2021 | 70% |
| Gregory a. Conner | Corporate Officer | Jun 3, 2021 | 11.11% |
| American Healthcare Reit Holdings LP | 5% Or Greater Indirect Ownership Interest | Oct 1, 2021 | 100% |
| Danny Prosky | Corporate Officer | Dec 1, 2015 | 11.11% |
| Trilogy Opco LLC | 5% Or Greater Direct Ownership Interest | Dec 1, 2015 | 100% |
| Lisa Fightmaster | W-2 Managing Employee | Dec 1, 2015 | |
| Trilogy Holdings NT-Hci, LLC | 5% Or Greater Indirect Ownership Interest | Oct 1, 2021 | 24% |
| Leigh Ann Barney | Corporate Officer | Nov 1, 2019 | 11.11% |
| Mathieu B Streiff | Corporate Officer | Dec 1, 2015 | 11.11% |
| Trilogy Investors LLC | 5% Or Greater Indirect Ownership Interest | Oct 1, 2021 | 100% |
| Trilogy Healthcare Holdings Inc | 5% Or Greater Indirect Ownership Interest | Oct 1, 2021 | 100% |
| Kathy M Corbin | W-2 Managing Employee | Jan 11, 2011 | |
| Todd B Mehaffey | Corporate Officer | Jan 31, 2022 | 11.11% |
| David W Davis | Corporate Officer | Aug 21, 2017 | 11.11% |
| Continental Merger Sub LLC | 5% Or Greater Indirect Ownership Interest | Oct 1, 2021 | 100% |
| Northstar Healthcare Income Inc | 5% Or Greater Indirect Ownership Interest | Oct 1, 2021 | 100% |
| Gahc4 Trilogy JV LLC | 5% Or Greater Indirect Ownership Interest | Oct 1, 2021 | 6% |
Facilities with the same owner 72
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Cincinnati, OH
- NPI 1992129399
Northstar Healthcare Income Inc, Northstar Healthcare Income Operating Partnership LP
-
- Skilled Nursing Facility
- Cincinnati, OH
- NPI 1407270721
Northstar Healthcare Income Inc, Northstar Healthcare Income Operating Partnership LP
-
- Skilled Nursing Facility
- Lima, OH
- NPI 1124073895
American Healthcare Reit Holdings LP, American Healthcare Reit Inc, Continental Merger Sub LLC, Gahc3 Trilogy JV LLC, Gahc4 Trilogy JV LLC, Northstar Healthcare Income Inc, Northstar Healthcare Income Operating Partnership LP, Trilogy Healthcare Ho
-
- Skilled Nursing Facility
- Delphos, OH
- NPI 1932154812
American Healthcare Reit Holdings LP, American Healthcare Reit Inc, Gahc3 Trilogy JV LLC, Gahc4 Trilogy JV LLC, Northstar Healthcare Income Inc, Northstar Healthcare Income Operating Partnership LP, Trilogy Healthcare Holdings Inc, Trilogy Holdings
-
- Skilled Nursing Facility
- Bellevue, OH
- NPI 1457529950
American Healthcare Reit Holdings LP, American Healthcare Reit Inc, Continental Merger Sub LLC, Gahc3 Trilogy JV LLC, Gahc4 Trilogy JV LLC, Trilogy Healthcare Holdings Inc, Trilogy Investors LLC, Trilogy Opco LLC, Trilogy Real Estate Investment TR
-
- Skilled Nursing Facility
- Bowling Green, OH
- NPI 1578244166
American Healthcare Reit Holdings LP, American Healthcare Reit Inc, Continental Merger Sub LLC, Gahc3 Trilogy JV LLC, Gahc4 Trilogy JV LLC, Trilogy Healthcare Holdings Inc, Trilogy Investors LLC, Trilogy Management Services LLC, Trilogy Opco LLC ·
-
- Skilled Nursing Facility
- Hamilton, OH
- NPI 1972106201
American Healthcare Reit Holdings LP, American Healthcare Reit Inc, Gahc3 Trilogy JV LLC, Gahc4 Trilogy JV LLC, Northstar Healthcare Income Inc, Northstar Healthcare Income Operating Partnership LP, Trilogy Healthcare Holdings Inc, Trilogy Holdings
-
- Skilled Nursing Facility
- Cincinnati, OH
- NPI 1255842084
American Healthcare Reit Holdings LP, American Healthcare Reit Inc, Continental Merger Sub LLC, Gahc3 Trilogy JV LLC, Gahc4 Trilogy JV LLC, Northstar Healthcare Income Inc, Northstar Healthcare Income Operating Partnership LP, Trilogy Healthcare Ho
-
- Skilled Nursing Facility
- New Albany, OH
- NPI 1205482189
American Healthcare Reit Holdings LP, American Healthcare Reit Inc, Continental Merger Sub LLC, Gahc3 Trilogy JV LLC, Gahc4 Trilogy JV LLC, Trilogy Healthcare Holdings Inc, Trilogy Investors LLC, Trilogy Management Services LLC, Trilogy Opco LLC ·
-
- Skilled Nursing Facility
- Gahanna, OH
- NPI 1548890338
American Healthcare Reit Holdings LP, American Healthcare Reit Inc, Gahc3 Trilogy JV LLC, Gahc4 Trilogy JV LLC, Northstar Healthcare Income Inc, Northstar Healthcare Income Operating Partnership LP, Trilogy Healthcare Holdings Inc, Trilogy Holdings
-
- Skilled Nursing Facility
- Harrison, OH
- NPI 1144815937
American Healthcare Reit Holdings LP, American Healthcare Reit Inc, Gahc3 Trilogy JV LLC, Gahc4 Trilogy JV LLC, Northstar Healthcare Income Inc, Northstar Healthcare Income Operating Partnership LP, Trilogy Healthcare Holdings Inc, Trilogy Holdings
-
- Skilled Nursing Facility
- Cincinnati, OH
- NPI 1649437815
American Healthcare Reit Holdings LP, American Healthcare Reit Inc, Continental Merger Sub LLC, Gahc3 Trilogy JV LLC, Gahc4 Trilogy JV LLC, Northstar Healthcare Income Inc, Northstar Healthcare Income Operating Partnership LP, Trilogy Healthcare Ho
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Canal Fulton, OH
- NPI 1689150138
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1493078400000",
"number": "1932658549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 221648",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402521648",
"telephone_number": "502-412-5847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5351 MITCHAW ROAD",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "43560",
"telephone_number": "419-824-6699",
"fax_number": "419-824-6698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRILOGY HEALTHCARE OF SYLVANIA LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TRILOGY OPCO, LLC",
"enumeration_date": "2016-09-23",
"last_updated": "2017-04-25",
"status": "A",
"authorized_official_last_name": "WILLIAMSON",
"authorized_official_first_name": "BRAD",
"authorized_official_title_or_position": "SR. VICE PRESIDENT",
"authorized_official_telephone_number": "502-412-5847"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Lakes of Sylvania",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Sylvania, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.