The Ohio Masonic Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5208 Issued in OH

Legal business name

THE OHIO MASONIC HOME

Practice address

3 Masonic Dr
Springfield, OH 45504-3658

Phone

(937) 325-1531

Fax

(937) 525-8291

NPI assigned

Aug 27, 2006

Organization subpart

No

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

Authorized official

Name

Scott Buchanan

Title

Chief Financial Officer

Phone

(937) 525-4975

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Springfield Masonic Community Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Skilled nursing facility certification: CCN 366116

Legal name

THE OHIO MASONIC HOME

Doing business as

SPRINGFIELD MASONIC COMMUNITY

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 14, 1997

Last certification

Feb 9, 2023

Beds

84

Ownership / control type

Nonprofit Corporation

Multi-facility organization

Ohio Masonic Communities

Organization structure

CorporationNon-profit

Incorporated

Dec 21, 1995 in OH

Enrollment address

3 Masonic Dr
Springfield, OH 45504-3658

Nursing home name

SPRINGFIELD MASONIC COMMUNITY

Listed as

Springfield Masonic CommunityCCN 366116

Overall star rating

4 of 5

Health inspections

3 of 5

Staffing

5 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Apr 14, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8479.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Springfield Masonic Community3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Springfield Masonic Community

  • Clinical Medical Laboratory
  • Springfield, OH
  • NPI 1710211149
  NPD tax ID
• The Ohio Masonic Home

  • Internal Medicine Physician
  • Springfield, OH
  • NPI 1508410465
  NPD tax ID

All disclosed owners & managing parties 10

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.

• Christine B Weller, DO, CMD

  • Family Medicine Physician
  • Bellbrook, OH
  • NPI 1811953318

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 1

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

• Christine B Weller, DO, CMD

  • Family Medicine Physician
  • Bellbrook, OH
  • NPI 1811953318
  NPD (past)

Affiliated clinicians 1

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

• Christine B Weller, DO, CMD

  • Family Medicine Physician
  • Bellbrook, OH
  • NPI 1811953318

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1962510305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MASONIC DR",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455043658",
            "telephone_number": "937-325-1531",
            "fax_number": "937-525-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MASONIC DR",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455043658",
            "telephone_number": "937-325-1531",
            "fax_number": "937-525-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OHIO MASONIC HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-27",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "937-525-4975"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "5208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000002797",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2005850",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springfield Masonic Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Ability Builders
• The Community Hospital Mammography Center
• The Community Hospital of Springfield and Clark County
• The Community Hospital Snu
• The Ohio Masonic Home
• Theracare Inc
• Rebecca L Thiede, LABOR DOULA
• Raymond Thiel
• Thomas E Dunaway MD LLC
• Thomas W. Ericksen, M.D.

• Skilled Nursing Facility in Springfield, OH
• Providers in Springfield, 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 Jun 23, 2014; 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.