Chesterwood Nursing Care, LTD.
Organization Active NPI Skilled Nursing Facility · West Chester, OH
NPI 1962564237 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1962564237
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 5678 (OH)
- Legal business name
- CHESTERWOOD NURSING CARE, LTD.
- Practice address
- 8073 Tylersville Rd
West Chester, OH 45069-2589 - Phone
- (513) 777-1400
- Fax
- (513) 777-4249
- NPI assigned
- Dec 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Tim G. Ontko
- Title
- Controller
- Phone
- (513) 326-0005
Facilities with the same owner 16
Practitioners 3
-
Saba Azher Ansari, M.D
-
Husam Hamed, M.D.
-
Pawel M Szczykutowicz, M.D.
Affiliated clinicians 4
-
Saba Azher Ansari, M.D
-
Husam Hamed, M.D.
-
Pawel M Szczykutowicz, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Chesterwood Atc
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jun 28, 1996
- Medicare certification status
- Active
- Certified beds
- 125 · 119.5 residents per day on average
- Chain
- Carespring
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0885734 | Chesterwood Nursing Care LTD and | Certificate of waiver | Dec 18, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Skilled nursing facility certification: CCN 366080
- Legal name
- CHESTERWOOD NURSING CARE, LTD
- Doing business as
- CHESTERWOOD ATC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 28, 1996
- Last certification
- Feb 14, 2025
- Beds
- 125
- Ownership / control type
- Corporation
- Multi-facility organization
- Carespring Healthcare Management
- Organization structure
- LLC · Proprietary
- Incorporated
- Mar 4, 2002 in OH
- Enrollment address
- 7924 Chesterwood Blvd
West Chester, OH 45069-6398 - Nursing home name
- CHESTERWOOD ATC
- Affiliated entity
- CARESPRING
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| CS Hillandale Holdings LLC |
5% Or Greater Direct Ownership Interest | May 10, 2022 | 100% |
| Bortz Family Irrevocable T/a |
5% Or Greater Indirect Ownership Interest | May 10, 2022 | 9% |
| Christopher Chirumbolo |
Corporate Officer |
May 10, 2022 | |
| Hillandale Care Management, LLC |
Operational/Managerial Control | May 10, 2022 | |
| Barry N Bortz 06042009 TR |
5% Or Greater Indirect Ownership Interest | May 10, 2022 | 72% |
| William Niehause |
Operational/Managerial Control | May 10, 2022 | |
| Adp of the SNF | May 10, 2022 | ||
| Carespring Health Care Holdings LP |
5% Or Greater Indirect Ownership Interest | May 10, 2022 | 100% |
| David Eppers |
5% Or Greater Indirect Ownership Interest | May 10, 2022 | 15% |
| Corporate Officer |
May 10, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040315001171 | OH | Part a Provider - Skilled Nursing Facility | 9032008073 | Practice locations: West Chester, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 5678 | OH | Yes |
Addresses
Primary practice location
8073 Tylersville Rd
West Chester, OH 45069-2589
Mailing address
8073 Tylersville Rd
West Chester, OH 45069-2589
Phone (513) 777-1400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2432022 | Medicaid | OH |
Other names
- Chesterwood Village
Other providers in West Chester, OH
- Rekha Chaudhary
- Aakriti Chaudhry
- Amit Prabhakar Chavan
- Princewill Che
- Chenault Home Care LLC
- Kerry Elaine Chevalier
- Joan Njiintang CHI
- Nancy Irene Chikwa
- Allison Childs
- Brian Chilelli
All providers in West Chester, 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 Aug 22, 2020. 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.