NPIMap

Organization Active NPI

United Church Homes, Inc

  • Skilled Nursing Facility
  • Jackson, OH
National Provider Identifier
1144203449
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5810 Issued in OH
Legal business name
UNITED CHURCH HOMES, INC
Practice address
215 Seth Ave
Jackson, OH 45640-9405
Phone
(740) 286-7551
Fax
(740) 286-7191
NPI assigned
Nov 22, 2005
Organization subpart
Yes
Parent organization
UNITED CHURCH HOMES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Authorized official

Name
Mr. Rob Weisbrodt
Title
V.P. It Services
Phone
(740) 382-4885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5810 OH Primary

Addresses

Primary practice location

215 Seth Ave
Jackson, OH 45640-9405

Mailing address

215 Seth Ave
Jackson, OH 45640-9405
Phone (740) 286-7551

Other identifiers 1

IdentifierTypeStateIssuer
2158418MedicaidOH

Other names 1

  • Four Winds Community Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070828000096 OH Part A Provider - Skilled Nursing Facility 2062514193 Practice locations: Jackson, OH

Skilled nursing facility certification: CCN 365669

Legal name
UNITED CHURCH HOMES, INC.
Doing business as
FOUR WINDS NURSING FACILITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 7, 1986
Last certification
Mar 20, 2025
Beds
86
Ownership / control type
Nonprofit Corporation
Multi-facility organization
united church homes
Organization structure
CorporationNon-profit
Incorporated
May 13, 1920 in OH
Enrollment address
215 Seth Ave
Jackson, OH 45640-9405
Nursing home name
FOUR WINDS NURSING FACILITY
Affiliated entity
UNITED CHURCH HOMES

Other NPIs with the same Medicare PAC ID 6

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Four Winds Nursing FacilityCCN 365669
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Feb 7, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8673.8 residents per day on average
Chain
United Church Homes9 facilities in the chain
Penalties (3 years)
1Fines totaling $0

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0881591Four Winds Nursing Facility215 Seth Avenue, Jackson, OH 45640Certificate of waiverJan 11, 2028

National Provider Directory

National Provider Directory
Tax ID family
United Church Homes Inc24 organizations share this tax ID, including this one
Part of
United Church Homes Inc

Other organizations with this tax ID 23

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

View all 23

Ownership & related parties

All disclosed owners & managing parties 45

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

NameRoleSinceShare
Kenneth L Young Individual Corporate OfficerPresident & Ceo Feb 7, 2025
Operational/Managerial Control Feb 7, 2025
Robert Sandman Individual Corporate DirectorBoard Member Jun 1, 2025
Pamela Benjamin Individual Corporate DirectorBoard Member Jun 1, 2021
James L Henry Individual Corporate DirectorBoard Member Jun 1, 2019
Lapearl Logan Winfrey Individual Corporate DirectorBoard Member Jun 1, 2020
George Graham Individual Corporate DirectorBoard Member Jun 1, 2025
Kathy Rosenberger Individual Operational/Managerial Control May 12, 2025
Debra Durbin Individual Operational/Managerial Control Aug 8, 2022
Scott Slutz Individual Operational/Managerial Control Feb 1, 2016
United Church Homes, Inc. Organization, Marion, OH Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Apr 1, 2000 100%
Operational/Managerial Control Apr 1, 2000
Adp of the SNF Apr 1, 2000
Teresa D Spitznagel Individual Operational/Managerial Control Jul 15, 2022
Daniel J Miller Individual Operational/Managerial Control Dec 4, 2017
Ashley Bills Individual Operational/Managerial Control Aug 26, 2022
Tamra Brubaker Individual Operational/Managerial Control Aug 19, 2022
Jessica Yeager Individual Operational/Managerial Control Aug 10, 2017
William Klenzman Individual Operational/Managerial Control Jul 15, 2022
Stephanie Williams Individual Corporate DirectorBoard Member Jun 1, 2024
Diana Burnette Individual Operational/Managerial Control Jun 16, 2021
Jeremy Long Individual Operational/Managerial Control Oct 9, 2023
Adp of the SNF Feb 3, 2026
Organization, Westerville, OH LLC, Consulting firm, For-profit Adp of the SNF Feb 3, 2026
James Robert Toothman Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Organization, Greenville, SC LLC, Medical staffing company Adp of the SNF Feb 3, 2026
David Long-Higgins Individual Corporate DirectorBoard Member Nov 1, 2018
Maria Dixon Individual Operational/Managerial Control Apr 13, 2010
Organization, Greenville, SC LLC, Consulting firm Adp of the SNF Feb 3, 2026
Karl Ulrich Individual Corporate DirectorBoard Member Jun 1, 2016
Jason Morgan Individual Operational/Managerial Control May 6, 2024
Elizabeth Long-Higgins Individual Operational/Managerial Control Apr 2, 2022
Michelle Maghes Individual Operational/Managerial Control Mar 24, 2025
Ro Nita Hawes-Saunders Individual Corporate DirectorBoard Member Feb 1, 2024
Peter Bailey Individual Corporate DirectorBoard Member Jun 1, 2024
Nathan Bollinger Individual Operational/Managerial Control Mar 31, 2023
James Guess Individual Corporate DirectorBoard Member Jun 1, 2021
Richard Hall Individual Operational/Managerial Control Jun 7, 2006
Gloria T Hurwitz Individual Operational/Managerial Control Oct 7, 2013
Judith Naderhoff Individual Corporate OfficerChief Financial Officer Jan 1, 2026
Operational/Managerial Control Jan 1, 2026
Megan Kelley Individual Operational/Managerial Control Aug 1, 2023
Vincent Eusanio Individual Operational/Managerial Control Mar 31, 2025
Michelle Tillman Individual Operational/Managerial Control Aug 21, 2020
Joanna D'Agostino Individual Corporate DirectorBoard Member Jun 1, 2024
Janis Shaw Individual Operational/Managerial Control Aug 21, 1990
Geoffrey Black Individual Corporate DirectorBoard Member Jun 1, 2016
Laura Farrell Individual Operational/Managerial Control Jan 26, 1996
Jill James Individual Corporate DirectorBoard Member Jun 1, 2025
Trevor Bates Individual Corporate DirectorBoard Member Feb 1, 2017

Owners & managing parties with NPI records 7

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

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Brookhaven Nursing and Care CenterBrookville, OH, CCN 365422 Skilled nursing facility 5% Or Greater Direct Ownership Interest (11.73%) Dec 27, 2006
United Church Homes, Inc.Canal Fulton, OH, CCN 365494 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF		 Apr 1, 2000
Apr 1, 2000
Apr 1, 2000
Trinity Community at BeavercreekBeavercreek, OH, CCN 365777 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Apr 1, 2000
Apr 1, 2000
Apr 1, 2000
Harmar PlaceMarietta, OH, CCN 366001 Skilled nursing facility Operational/Managerial Control (100%) Jul 1, 2015

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1144203449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SETH AVE",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456409405",
            "telephone_number": "740-286-7551",
            "fax_number": "740-286-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SETH AVE",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456409405",
            "telephone_number": "740-286-7551",
            "fax_number": "740-286-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CHURCH HOMES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITED CHURCH HOMES, INC",
        "enumeration_date": "2005-11-22",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "WEISBRODT",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "V.P. IT SERVICES",
        "authorized_official_telephone_number": "740-382-4885",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "5810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2158418",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Four Winds Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, OH

Sources for this page

Verify at the official NPI Registry.