Buckeye Forest at Madeira LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BUCKEYE FOREST AT MADEIRA LLC

Doing business as

Ayden Healthcare of Madeira

Practice address

5970 Kenwood Rd
Madeira, OH 45243-2930

Phone

(513) 561-4111

NPI assigned

Dec 6, 2021

Last updated

Dec 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abba Stein

Title

Ceo

Phone

(513) 561-4111

Specialties & licenses 1

Addresses

Other names 1

• Ayden Healthcare of Madeira Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962160077. Details of each certification follow.

• CCN 365186 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 365186

Legal name

BUCKEYE FOREST AT MADEIRA LLC

Doing business as

BUCKEYE FOREST AT MADEIRA

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 1, 1967

Last certification

Jan 24, 2024

Beds

115

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Lionstone

Organization structure

LLCProprietary

Incorporated

Aug 17, 2021 in NY

Enrollment address

5970 Kenwood Rd
Madeira, OH 45243-2930

Nursing home name

AYDEN HEALTHCARE OF MADEIRA

Affiliated entity

AYDEN HEALTHCARE

Listed as

Ayden Healthcare of MadeiraCCN 365186 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Nov 1, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

11589.0 residents per day on average

Chain

Ayden Healthcare11 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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.

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.

• Shane Jeffers, M.D.

  • Family Medicine Physician
  • Hilliard, OH
  • NPI 1053707893
  NPD (past)
• Naveena Nelson, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Cincinnati, OH
  • NPI 1548224280
  NPD (past)

Affiliated clinicians 1

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

• Shane Jeffers, M.D.

  • Family Medicine Physician
  • Hilliard, OH
  • NPI 1053707893

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1962160077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5970 KENWOOD RD",
            "city": "MADEIRA",
            "state": "OH",
            "postal_code": "452432930",
            "telephone_number": "513-561-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5970 KENWOOD RD",
            "city": "MADEIRA",
            "state": "OH",
            "postal_code": "452432930",
            "telephone_number": "513-561-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE FOREST AT MADEIRA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "ABBA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-561-4111"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ayden Healthcare of Madeira",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Matthew Black, RPH
• Camargo Leasing Co, LLC (Madeira Healthcare Center)
• Jessica Rena Campbell, PCC
• Concierge Mental Wellness, LLC
• Sue Crane, RPH
• Deborah L Dobelhoff, OTR/L MED

• Skilled Nursing Facility in Madeira, OH
• Providers in Madeira, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.