NPIMap

Organization Active NPI

Hillandale Nursing Care, LTD.

  • Skilled Nursing Facility
  • Hamilton, OH
National Provider Identifier
1982766366
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
3929 Issued in OH
Legal business name
HILLANDALE NURSING CARE, LTD.
Practice address
4195 Hamilton Mason Rd
Hamilton, OH 45011-5415
Phone
(513) 868-2266
Fax
(513) 896-9743
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Tim G. Ontko
Title
Controller
Phone
(513) 326-0005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 3929 OH Primary

Addresses

Primary practice location

4195 Hamilton Mason Rd
Hamilton, OH 45011-5415

Mailing address

8073 Tylersville Rd
West Chester, OH 45069-2589
Phone (513) 777-1400

Other identifiers 1

IdentifierTypeStateIssuer
2431970MedicaidOH

Other names 1

  • Hillandale Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040224000268 OH Part A Provider - Skilled Nursing Facility 2264328889 Practice locations: Fairfield Township, OH

Skilled nursing facility certification: CCN 366040

Legal name
HILLANDALE NURSING CARE, LTD.
Doing business as
DOVERWOOD VILLAGE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 24, 1995
Last certification
Sep 28, 2022
Beds
99
Ownership / control type
Corporation
Multi-facility organization
Carespring Healthcare Management
Organization structure
LLCProprietary
Incorporated
Sep 15, 2003 in OH
Enrollment address
4195 Hamilton Mason Rd
Fairfield Township, OH 45011-5415
Nursing home name
DOVERWOOD VILLAGE
Affiliated entity
CARESPRING

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Doverwood VillageCCN 366040
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
Nov 24, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9991.1 residents per day on average
Chain
Carespring16 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Birchwood2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Sara Gramann Individual W-2 Managing EmployeeAd; Nov 19, 2023 100%
CS Hillandale Holdings LLC Organization, Loveland, OH Created for acquisition, LLC 5% Or Greater Direct Ownership Interest May 10, 2022 100%
Bortz Family Irrevocable T/a Organization, Cincinnati, OH 5% Or Greater Indirect Ownership Interest May 10, 2022 9%
Christopher Chirumbolo Individual Corporate OfficerCeo May 10, 2022
Barry N Bortz 06042009 TR Organization, Cincinnati, OH 5% Or Greater Indirect Ownership Interest May 10, 2022 72%
Carespring Health Care Management, LLC Organization, Loveland, OH Management services company Operational/Managerial Control Jul 1, 2022 100%
Carespring Health Care Holdings LP Organization, Loveland, OH Holding company 5% Or Greater Indirect Ownership Interest May 10, 2022 100%
David Eppers Individual 5% Or Greater Indirect Ownership Interest May 10, 2022 15%
Corporate OfficerCfo May 10, 2022

Facilities with the same owner 16

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 16

Practitioners & affiliated clinicians

Practitioners 3

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

Affiliated clinicians 3

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982766366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8073 TYLERSVILLE RD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450692589",
            "telephone_number": "513-777-1400",
            "fax_number": "513-777-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4195 HAMILTON MASON RD",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450115415",
            "telephone_number": "513-868-2266",
            "fax_number": "513-896-9743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLANDALE NURSING CARE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ONTKO",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "513-326-0005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "3929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2431970",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillandale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.