Organization Active NPI

Village Green Rehabilitation and Healthcare Center LLC

  • Skilled Nursing Facility
  • Greenville, OH
National Provider Identifier
1992521884
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Nov 25, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 CenterCCN 365505
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 20, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5147.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Village Green Rehabilitation and Healthcare Center LLC2 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 31

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

NameRoleSinceShare
Organization, Toms River, NJ Indirect Ownership Interest Mar 1, 2025 4.34%
Kevin Daubenmire Individual 5% Or Greater Indirect Ownership Interest50 Mar 1, 2025
Operational/Managerial Control Mar 1, 2025
Managing Control - Governing BodyManager of the Manager Mar 1, 2025
Adp of the SNF Mar 1, 2025
Organization, Toms River, NJ Indirect Ownership Interest Mar 1, 2025
Village Green Holdco LLC Organization, Toms River, NJ LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 1, 2025 100%
Individual Indirect Ownership Interest Mar 1, 2025 1%
Organization, Toms River, NJ Adp of the SNF Mar 1, 2025
Individual Indirect Ownership Interest Mar 1, 2025 1%
Organization, Toms River, NJ LLC Adp of the SNF Mar 1, 2025
Organization, Toms River, NJ Indirect Ownership Interest Mar 1, 2025 4.34%
Organization, Toms River, NJ Indirect Ownership Interest Mar 1, 2025 5.43%
Organization, Toms River, NJ Adp of the SNF Mar 1, 2025
Organization, Toms River, NJ LLC Adp of the SNF Mar 1, 2025
Individual Indirect Ownership Interest Mar 1, 2025 0.5%
Organization, Toms River, NJ LLC Adp of the SNF Mar 1, 2025
Organization, Toms River, NJ Indirect Ownership Interest Mar 1, 2025 4.34%
Individual Indirect Ownership Interest Mar 1, 2025 1%
Elkins Way LLC Organization, Toms River, NJ LLC, Holding company Operational/Managerial Control Mar 1, 2024
Hafiz Rehman Individual Operational/Managerial Control Mar 1, 2025
Adp of the SNF Mar 1, 2025
Organization, Toms River, NJ Indirect Ownership Interest Mar 1, 2025 4.34%
Organization, Toms River, NJ Adp of the SNF Mar 1, 2025
Individual Indirect Ownership Interest Mar 1, 2024 1%
Village Green TBD Holdco LLC Organization, Toms River, NJ Management services company, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2025 100%
Organization, Toms River, NJ LLC, Holding company Adp of the SNF Mar 1, 2025
Organization, Toms River, NJ Indirect Ownership Interest Mar 1, 2025 4.34%
Organization, Toms River, NJ Indirect Ownership Interest Mar 1, 2025 4.34%
Thomas Troyer Individual Operational/Managerial Control Mar 1, 2025
Adp of the SNF Mar 1, 2025
Organization, Toms River, NJ Indirect Ownership Interest Mar 1, 2025 4.34%
Organization, Toms River, NJ Adp of the SNF Mar 1, 2025
Organization, Toms River, NJ Indirect Ownership Interest Mar 1, 2025 4.34%
Individual Indirect Ownership Interest Mar 1, 2024 1%
Organization, Toms River, NJ 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.

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Practitioners 1

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

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

Verify at the official NPI Registry.