NPIMap

Madonna Manor, Inc.

Organization Active NPI Skilled Nursing Facility · Villa Hills, KY

NPI 1043215296 · NPPES record last updated May 1, 2017

Key facts

NPI
1043215296
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
100268 (KY)
Legal business name
MADONNA MANOR, INC.
Practice address
2344 Amsterdam Rd
Villa Hills, KY 41017-3712
Phone
(859) 341-3981
Fax
(859) 578-7475
NPI assigned
Jun 15, 2005
Organization subpart
No

Authorized official

Name
Ms. Wendy Dolyk
Title
Chief Operating Officer
Phone
(567) 455-0414

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • CHI Living Communities Skilled Nursing Facility · Toledo, OH · NPI 1568810372
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · ADP OF THE SNF · OPERATIONAL/MANAGERIAL CONTROL
  • CHI Living Communities Skilled Nursing Facility · Sandusky, OH · NPI 1952833071
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · ADP OF THE SNF · OPERATIONAL/MANAGERIAL CONTROL
  • CHI Living Communities Skilled Nursing Facility · Oregon, OH · NPI 1952876328
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · ADP OF THE SNF · OPERATIONAL/MANAGERIAL CONTROL
  • Kelash Kumar, M.D Internal Medicine Physician · Cincinnati, OH · NPI 1326499542
    CMS ownership ADP OF THE SNF · OPERATIONAL/MANAGERIAL CONTROL
  • Skilled Care Pharmacy LLC Long Term Care Pharmacy · Mason, OH · NPI 1063410504
    CMS ownership ADP OF THE SNF · OPERATIONAL/MANAGERIAL CONTROL

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Facilities with the same owner 98

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

View all 98

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.

Medicare Care Compare: Nursing home

Listed as
Madonna Manor CCN 185241
Overall star rating
★☆☆☆☆ 1 of 5
Health inspections
★☆☆☆☆ 1 of 5
Staffing
★★★★☆ 4 of 5
Quality measures
★★★☆☆ 3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Nov 7, 1990
Medicare certification status
Active (Provider of Services file)
Certified beds
60 · 54.5 residents per day on average
Chain
Commonspirit Health (18 facilities)
Penalties (3 years)
2 · fines totaling $181,278

Source: Medicare Care Compare, processed Aug 1, 2026.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY

Skilled nursing facility certification: CCN 185241

Legal name
MADONNA MANOR, INC.
Doing business as
RICHTER HEALTHCARE CONSULTANTS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Nov 7, 1990
Last certification
Aug 23, 2024
Beds
60
Ownership / control type
Church Related
Organization structure
Corporation · Non-profit
Incorporated
Oct 31, 2000 in KY
Enrollment address
2344 Amsterdam Rd
Villa Hills, KY 41017-3712
Nursing home name
MADONNA MANOR
Affiliated entity
COMMONSPIRIT HEALTH

All disclosed owners & managing parties 42

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

NameRoleSinceShare
Ted Hazard
Individual 		Corporate Director
Director of Accounting		 Nov 8, 2017
Operational/Managerial Control Nov 8, 2017
Adp of the SNF Nov 8, 2017
Sylvania Franciscan Health
Organization · Englewood, CO
Corporation, Non-profit, Owned by another organization or individual 		5% Or Greater Indirect Ownership Interest Nov 1, 2014 100%
Adp of the SNF Nov 1, 2014
Indirect Ownership Interest Nov 1, 2014 100%
Joan Longhin-Howard
Individual 		Operational/Managerial Control Apr 16, 2007
Adp of the SNF Apr 6, 2007
Kellie Reeves
Individual 		Operational/Managerial Control Apr 1, 2024
Caitlin Cecil
Individual 		Corporate Director
Director of Compensation & HR Benef		 Jun 18, 2012
Operational/Managerial Control Jun 8, 2021
Adp of the SNF Jun 18, 2012
Commonspirit Health
Organization · Englewood, CO
Non-profit 		5% Or Greater Indirect Ownership Interest Nov 1, 2014 100%
Operational/Managerial Control Nov 1, 2014
Adp of the SNF Nov 1, 2014
Stacey Grubbs
Individual 		Corporate Director
Regional Director of Finance		 Mar 6, 2021
Operational/Managerial Control Mar 26, 2012
Adp of the SNF Mar 26, 2012
Ulrichpinciotti Design Group, LLC
Organization · Toledo, OH
LLC 		Operational/Managerial Control Jul 1, 2011
Adp of the SNF Mar 28, 2025
Kelash Kumar
Individual 		Operational/Managerial Control Jun 1, 2024
Adp of the SNF Jun 1, 2024
Concept Rehab, Inc.
Organization · Toledo, OH
Corporation 		Adp of the SNF Jan 5, 2015
Roger Brinson
Individual 		Operational/Managerial Control Aug 4, 2022
Michele Owens
Individual 		Operational/Managerial Control Apr 14, 2023
Dianne McFarland
Individual 		Operational/Managerial Control Dec 18, 2023
Adp of the SNF Dec 18, 2023
Terika Richardson Mbanu
Individual 		Managing Control - Governing Body
Director		 Jan 5, 2024
Mitch Melfi
Individual 		Managing Control - Governing Body
Vice Chair		 May 23, 2016
Denise Corrou
Individual 		Operational/Managerial Control Aug 30, 2021
Adp of the SNF Apr 17, 2025
Skilled Care Pharmacy LLC
Organization · Mason, OH
LLC 		Operational/Managerial Control Feb 1, 2024
Adp of the SNF Mar 28, 2025
Elaine Evans
Individual 		Operational/Managerial Control Oct 26, 2022
CHI Living Communities
Organization · Oregon, OH
Corporation, Non-profit, Chain home office, Owned by another organization or individual 		5% Or Greater Direct Ownership Interest Nov 1, 2014 100%
Operational/Managerial Control Apr 10, 2017
Adp of the SNF Nov 1, 2014
Jennifer Nagel
Individual 		Corporate Director
Director of Talent Acquisition		 Nov 12, 2015
Operational/Managerial Control Nov 12, 2015
Adp of the SNF Nov 12, 2015
Casey Howard
Individual 		Operational/Managerial Control May 1, 2022
Adp of the SNF May 1, 2022
Gina Lucas
Individual 		Adp of the SNF Jun 28, 2024
Mitzi Yelton
Individual 		Operational/Managerial Control Jun 6, 2022
Ohio Newspapers, Inc.
Organization · Dayton, OH
Corporation 		Operational/Managerial Control Jul 11, 2011
Adp of the SNF Mar 28, 2025
Kathryn Stidham
Individual 		Adp of the SNF Dec 1, 2014
Dale Lunsford
Individual 		Operational/Managerial Control Apr 12, 2019
Prelude Systems, Inc.
Organization · Mechanicsburg, PA
Corporation 		Operational/Managerial Control Apr 1, 2017
Adp of the SNF Mar 28, 2025
Jennifer Voelker
Individual 		Operational/Managerial Control Feb 1, 2019
Adp of the SNF Feb 1, 2019
Forvis Mazars LLP
Organization · Springfield, MO
Consulting firm 		Operational/Managerial Control Jul 1, 2011
Adp of the SNF Mar 28, 2025
Heather Rehmer
Individual 		Corporate Officer
Secretary		 Jun 25, 2024
Operational/Managerial Control Jun 5, 2024
Adp of the SNF Jun 25, 2024
Prentice Lipsey
Individual 		Corporate Officer
President/Ceo		 Jan 1, 2022
Managing Control - Governing Body
President/Ceo		 Nov 1, 2021
Barbara Snodgrass
Individual 		Corporate Director
Regional Clinical Director		 Aug 15, 2016
Adp of the SNF Aug 15, 2016
Matthew Wine
Individual 		Corporate Director
Director of Payer Relations		 Oct 1, 2018
Operational/Managerial Control Oct 1, 2018
Adp of the SNF Oct 1, 2018
Pamela Temple
Individual 		Operational/Managerial Control May 25, 2022
Christina Finn
Individual 		Corporate Director
Director of Compensation & HR Benef		 Jul 1, 2017
Operational/Managerial Control Jul 1, 2017
Adp of the SNF Jul 1, 2007
Linda Thomas
Individual 		Operational/Managerial Control May 27, 2023
The Northern Trust Company
Organization · Chicago, IL
Corporation, Investment firm 		Operational/Managerial Control Nov 1, 2014
Adp of the SNF Apr 7, 2025
Alisa Iffland
Individual 		Corporate Officer
VP of Finance and Treasurer		 Jan 6, 2017
Operational/Managerial Control Jan 6, 2017
Adp of the SNF Jan 6, 2017
Shelly Murriel
Individual 		Corporate Director
Director of Clinical Reimbursement		 Sep 9, 2024
Operational/Managerial Control Sep 9, 2024
Adp of the SNF Sep 9, 2024
Dicon Health Services, Inc.
Organization · Cincinnati, OH 		Operational/Managerial Control Sep 2, 2022
Adp of the SNF Apr 7, 2025
Kyle Munroe
Individual 		Corporate Director
Director of Financial Planning		 Sep 8, 2015
Operational/Managerial Control Sep 8, 2015
Adp of the SNF Sep 8, 2015
Richter and Associates
Organization · Twinsburg, OH
Corporation, Management services company, Consulting firm 		Adp of the SNF Feb 1, 2019

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20070515000377 KY Part a Provider - Skilled Nursing Facility 4284731944 Practice locations: Villa Hills, KY

National Provider Directory

Locations

930 S Wynn Rd
Oregon, OH 43616
Phone (419) 698-4331

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 100268 KY Yes

Addresses

Primary practice location

2344 Amsterdam Rd
Villa Hills, KY 41017-3712

Mailing address

2344 Amsterdam Rd
Villa Hills, KY 41017-3712
Phone (859) 341-3981

Other identifiers

IdentifierTypeStateIssuer
12500567MedicaidKY

Other providers in Villa Hills, KY

All providers in Villa Hills, KY · Skilled Nursing Facility in Kentucky

Sources for this page

Verify at the official NPI Registry.