Active NPI
Village Green Rehabilitation and Healthcare Center LLC
- Skilled Nursing Facility
- Greenville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- VILLAGE GREEN REHABILITATION AND HEALTHCARE CENTER LLC
- Practice address
- 1315 Kitchen Aid Way
Greenville, OH 45331-1394 - Phone
- (937) 548-1993
- NPI assigned
- Nov 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Daubenmire
- Title
- Autorized Representative
- Phone
- (937) 548-1993
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1315 Kitchen Aid Way
Greenville, OH 45331-1394
Mailing address
1315 Kitchen Aid Way
Greenville, OH 45331-1394
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250401003522 | OH | Part A Provider - Skilled Nursing Facility | 8123541935 | Practice locations: Greenville, OH |
Skilled nursing facility certification: CCN 365505
- Legal name
- VILLAGE GREEN REHABILITATION AND HEALTHCARE CENTER LLC
- Doing business as
- VILLAGE GREEN REHABILITATION AND HEALTHCARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 20, 1980
- Last certification
- Dec 28, 2023
- Beds
- 51
- Ownership / control type
- Corporation
- Multi-facility organization
- TRILOGY HEALTH SERVICES REIT
- Most recent change of ownership
- Mar 1, 2026
- Organization structure
- LLC
- Enrollment address
- 1315 Kitchen Aid Way
Greenville, OH 45331-1394 - Nursing home name
- VILLAGE GREEN REHABILITATION AND HEALTHCARE CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Village Green Rehabilitation and Healthcare Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Mar 20, 1980
- Medicare certification status
- Active
- Certified beds
- 51
National Provider Directory
National Provider Directory- Tax ID family
- Village Green Rehabilitation and Healthcare Center LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Greenville, OH
- NPI 1649096520
Ownership & related parties
All disclosed owners & managing parties 31
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 |
|---|---|---|---|
| Indirect Ownership Interest | Mar 1, 2025 | 4.34% | |
| Kevin Daubenmire | 5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | |
| Operational/Managerial Control | Mar 1, 2025 | ||
| Managing Control - Governing Body | Mar 1, 2025 | ||
| Adp of the SNF | Mar 1, 2025 | ||
| Indirect Ownership Interest | Mar 1, 2025 | ||
| Village Green Holdco LLC | 5% Or Greater Direct Ownership Interest | Mar 1, 2025 | 100% |
| Indirect Ownership Interest | Mar 1, 2025 | 1% | |
| Adp of the SNF | Mar 1, 2025 | ||
| Indirect Ownership Interest | Mar 1, 2025 | 1% | |
| Adp of the SNF | Mar 1, 2025 | ||
| Indirect Ownership Interest | Mar 1, 2025 | 4.34% | |
| Indirect Ownership Interest | Mar 1, 2025 | 5.43% | |
| Adp of the SNF | Mar 1, 2025 | ||
| Adp of the SNF | Mar 1, 2025 | ||
| Indirect Ownership Interest | Mar 1, 2025 | 0.5% | |
| Adp of the SNF | Mar 1, 2025 | ||
| Indirect Ownership Interest | Mar 1, 2025 | 4.34% | |
| Indirect Ownership Interest | Mar 1, 2025 | 1% | |
| Elkins Way LLC | Operational/Managerial Control | Mar 1, 2024 | |
| Hafiz Rehman | Operational/Managerial Control | Mar 1, 2025 | |
| Adp of the SNF | Mar 1, 2025 | ||
| Indirect Ownership Interest | Mar 1, 2025 | 4.34% | |
| Adp of the SNF | Mar 1, 2025 | ||
| Indirect Ownership Interest | Mar 1, 2024 | 1% | |
| Village Green TBD Holdco LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 100% |
| Adp of the SNF | Mar 1, 2025 | ||
| Indirect Ownership Interest | Mar 1, 2025 | 4.34% | |
| Indirect Ownership Interest | Mar 1, 2025 | 4.34% | |
| Thomas Troyer | Operational/Managerial Control | Mar 1, 2025 | |
| Adp of the SNF | Mar 1, 2025 | ||
| Indirect Ownership Interest | Mar 1, 2025 | 4.34% | |
| Adp of the SNF | Mar 1, 2025 | ||
| Indirect Ownership Interest | Mar 1, 2025 | 4.34% | |
| Indirect Ownership Interest | Mar 1, 2024 | 1% | |
| Indirect Ownership Interest | Mar 1, 2025 | 4.34% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Greenville, OH
- NPI 1255707519
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 4
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Chillicothe, OH
- NPI 1457177594
Elkins Way LLC
-
- Skilled Nursing Facility
- Swanton, OH
- NPI 1740753201
Elkins Way LLC
-
- Skilled Nursing Facility
- Broadview Heights, OH
- NPI 1487127940
Elkins Way LLC
-
- Skilled Nursing Facility
- Troy, OH
- NPI 1558834028
Elkins Way LLC
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
- Greenville, OH
- NPI 1255707519
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": "1732492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732492800000",
"number": "1992521884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 KITCHEN AID WAY",
"city": "GREENVILLE",
"state": "OH",
"postal_code": "453311394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 KITCHEN AID WAY",
"city": "GREENVILLE",
"state": "OH",
"postal_code": "453311394",
"telephone_number": "937-548-1993"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE GREEN REHABILITATION AND HEALTHCARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-25",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A",
"authorized_official_last_name": "DAUBENMIRE",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "AUTORIZED REPRESENTATIVE",
"authorized_official_telephone_number": "937-548-1993"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.