United Church Homes, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5810 Issued in OH

Legal business name

UNITED CHURCH HOMES, INC

Doing business as

Four Winds Community

Practice address

215 Seth Ave
Jackson, OH 45640-9405

Phone

(740) 286-7551

Fax

(740) 286-7191

NPI assigned

Nov 22, 2005

Last updated

Jul 28, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

UNITED CHURCH HOMES, INCAs reported in NPPES

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

Addresses

Other names 1

• Four Winds Community Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144203449. Details of each certification follow.

• CCN 365669 Skilled nursing facility · Active · Details

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).

• United Church Homes, Inc

  dba The Community at Parkvue

  • Skilled Nursing Facility
  • Sandusky, OH
  • NPI 1508849605

  2062514193

  Same PAC ID
• United Church Homes, Inc

  dba Chapel Hill Community

  • Skilled Nursing Facility
  • Canal Fulton, OH
  • NPI 1972586980

  2062514193

  Same PAC ID
• United Church Homes, Inc.

  dba Harmar Place

  • Skilled Nursing Facility
  • Marietta, OH
  • NPI 1073994893

  2062514193

  Same PAC ID
• United Church Homes, Inc.

  dba Patriot Ridge Community

  • Skilled Nursing Facility
  • Fairborn, OH
  • NPI 1528041647

  2062514193

  Same PAC ID
• United Church Homes, Inc.

  dba Trinity Community

  • Skilled Nursing Facility
  • Beavercreek, OH
  • NPI 1760465884

  2062514193

  Same PAC ID
• United Church Homes, Inc.

  • Multi-Specialty Clinic/Center
  • Marion, OH
  • NPI 1811733280

  2062514193

  Same PAC ID

Listed as

Four Winds Nursing FacilityCCN 365669 · All quality measures

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.

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

CLIA laboratory certificates

Tax ID family

United Church Homes Inc Dba the Parkvue Community on Catawba Island24 organizations share this tax ID, including this one

Part of

United Church Homes Inc Dba the Parkvue Community on Catawba Island

Other organizations with this tax ID 23

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

• United Church Homes Inc

  dba Four Winds - Laboratory

  • Clinical Medical Laboratory
  • Jackson, OH
  • NPI 1053572842
  NPD tax ID
• United Church Homes Inc

  dba Fairhaven North - Laboratory

  • Clinical Medical Laboratory
  • Upper Sandusky, OH
  • NPI 1154582930
  NPD tax ID
• United Church Homes Inc

  dba Fairhaven Community

  • Assisted Living Facility
  • Upper Sandusky, OH
  • NPI 1154918357
  NPD tax ID
• United Church Homes Inc

  dba Trinity Community at Fairborn

  • Assisted Living Facility
  • Fairborn, OH
  • NPI 1205423407
  NPD tax ID
• United Church Homes Inc

  dba Parkvue - Laboratory

  • Clinical Medical Laboratory
  • Sandusky, OH
  • NPI 1255592036
  NPD tax ID
• United Church Homes Inc

  dba Chapel Hill Community

  • Assisted Living Facility
  • Canal Fulton, OH
  • NPI 1376130567
  NPD tax ID
• United Church Homes Inc

  dba Trinity Community at Beavercreek

  • Assisted Living Facility
  • Beavercreek, OH
  • NPI 1558958769
  NPD tax ID
• United Church Homes Inc

  dba Parkvue Place

  • Assisted Living Facility
  • Sandusky, OH
  • NPI 1588251789
  NPD tax ID
• United Church Homes Inc

  dba Glenwood Community

  • Assisted Living Facility
  • Marietta, OH
  • NPI 1760084115
  NPD tax ID
• United Church Homes Inc

  dba Chapel Hill - Laboratory

  • Clinical Medical Laboratory
  • Canal Fulton, OH
  • NPI 1851552632
  NPD tax ID
• United Church Homes Inc

  dba Riverview - Laboratory

  • Clinical Medical Laboratory
  • Cincinnati, OH
  • NPI 1982865762
  NPD tax ID
• United Church Homes, Inc

  dba The Community at Parkvue

  • Skilled Nursing Facility
  • Sandusky, OH
  • NPI 1508849605
  NPD tax ID

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.

Owners & managing parties with NPI records 7

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

• United Church Homes, Inc

  dba The Community at Parkvue

  • Skilled Nursing Facility
  • Sandusky, OH
  • NPI 1508849605

  5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

  CMS ownership
• United Church Homes, Inc

  dba Chapel Hill Community

  • Skilled Nursing Facility
  • Canal Fulton, OH
  • NPI 1972586980

  5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

  CMS ownership
• United Church Homes, Inc.

  dba Harmar Place

  • Skilled Nursing Facility
  • Marietta, OH
  • NPI 1073994893

  5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

  CMS ownership
• United Church Homes, Inc.

  dba Patriot Ridge Community

  • Skilled Nursing Facility
  • Fairborn, OH
  • NPI 1528041647

  5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

  CMS ownership
• United Church Homes, Inc.

  dba Trinity Community

  • Skilled Nursing Facility
  • Beavercreek, OH
  • NPI 1760465884

  5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

  CMS ownership
• United Church Homes, Inc.

  • Multi-Specialty Clinic/Center
  • Marion, OH
  • NPI 1811733280

  5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

  CMS ownership
• James Robert Toothman, D.O.

  • Internal Medicine Physician
  • Hurricane, WV
  • NPI 1992758411

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

All facility ownership & control disclosures 4

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

Owned or controlled facilities with NPI records 4

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

• Brookville Enterprises, Inc.

  dba Brookhaven Nursing Care Center

  • Skilled Nursing Facility
  • Brookville, OH
  • NPI 1790758423

  5% Or Greater Direct Ownership Interest

  CMS ownership
• United Church Homes, Inc

  dba Chapel Hill Community

  • Skilled Nursing Facility
  • Canal Fulton, OH
  • NPI 1972586980

  5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

  CMS ownership
• United Church Homes, Inc.

  dba Harmar Place

  • Skilled Nursing Facility
  • Marietta, OH
  • NPI 1073994893

  Operational/Managerial Control

  CMS ownership
• United Church Homes, Inc.

  dba Trinity Community

  • Skilled Nursing Facility
  • Beavercreek, OH
  • NPI 1760465884

  5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 4

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

• Brookville Enterprises, Inc.

  dba Brookhaven Nursing Care Center

  • Skilled Nursing Facility
  • Brookville, OH
  • NPI 1790758423

  United Church Homes, Inc.

  CMS ownership
• United Church Homes, Inc

  dba Chapel Hill Community

  • Skilled Nursing Facility
  • Canal Fulton, OH
  • NPI 1972586980

  United Church Homes, Inc.

  CMS ownership
• United Church Homes, Inc.

  dba Harmar Place

  • Skilled Nursing Facility
  • Marietta, OH
  • NPI 1073994893

  United Church Homes, Inc.

  CMS ownership
• United Church Homes, Inc.

  dba Trinity Community

  • Skilled Nursing Facility
  • Beavercreek, OH
  • NPI 1760465884

  United Church Homes, Inc.

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Robert Toothman, D.O.

  • Internal Medicine Physician
  • Hurricane, WV
  • NPI 1992758411
  NPD (past)

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": [],
    "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"
        }
    ]
}

• Autumn Susan Trace, LPN
• Alexander Triplett
• Sandra Lee Troester, CRNA
• Leo Ulery
• United Church Homes Inc (Four Winds - Laboratory)
• Sarah Elizabeth Valentine, RN
• Lacie Vanbibber
• Shawna Vandine
• Linda Vaughn
• Marlene Waechter, CPM

• Skilled Nursing Facility in Jackson, OH
• Providers in Jackson, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.

Verify at the official NPI Registry.