Organization Active NPI

Worthington Christian Village, Inc.

  • Nursing Facility/Intermediate Care Facility
  • Columbus, OH
National Provider Identifier
1194722744
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
1838 Issued in OH
Legal business name
WORTHINGTON CHRISTIAN VILLAGE, INC.
Practice address
165 Highbluffs Blvd
Columbus, OH 43235-1484
Phone
(614) 846-6076
Fax
(614) 842-9541
NPI assigned
Jun 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Randy Richardson
Title
Executive Director
Phone
(614) 846-6076

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 1838R OH
Nursing Facility/Intermediate Care Facility 313M00000X 1838 OH Primary
Skilled Nursing Facility 314000000X 1838 OH

Addresses

Primary practice location

165 Highbluffs Blvd
Columbus, OH 43235-1484

Mailing address

165 Highbluffs Blvd
Columbus, OH 43235-1484
Phone (614) 846-6076

Other identifiers 1

IdentifierTypeStateIssuer
0619352MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120405000191 OH Part A Provider - Skilled Nursing Facility 3375704075 Practice locations: Columbus, OH

Skilled nursing facility certification: CCN 365671

Legal name
WORTHINGTON CHRISTIAN VILLAGE, INC.
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 3, 1986
Last certification
Mar 21, 2024
Beds
40
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 2, 1977 in OH
Enrollment address
165 Highbluffs Blvd
Columbus, OH 43235-1484
Nursing home name
WORTHINGTON CHRISTIAN VILLAGE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Worthington Christian VillageCCN 365671
Overall star rating
5 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Mar 3, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4031.1 residents per day on average
Penalties (3 years)
1Fines totaling $13,870

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
36D0330536Worthington Christian Village Inc165 Highbluffs Boulevard, Columbus, OH 43235Certificate of waiverJun 28, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Patrick Mauger Individual Corporate OfficerCeo Jan 1, 2021
W-2 Managing EmployeeExecutive Director Jan 1, 2021
Ginger Brady Individual W-2 Managing Employee Oct 8, 2017
Mike Stumpf Individual Corporate Director Jun 1, 2020
Charles William Thomas Individual Corporate DirectorBoard MBR Jun 1, 2016
Michael Willis Individual W-2 Managing EmployeeController Aug 4, 2015
Hugh Snepp Individual Corporate Director Jun 1, 2022
William Lavely Individual Corporate DirectorBoard MBR Jun 1, 2014
Marcia Hardy Individual Corporate Director Jun 1, 2020
Daniel Spears Individual Corporate OfficerVice President Jun 1, 2021
Henry Norris Individual Corporate DirectorBoard MBR Jun 1, 2013
Kathy Breen Individual Corporate Director Jun 1, 2021
Lynn Borton Individual Corporate Director Jun 1, 2015
Robert Spengler Individual Corporate OfficerPresident Jun 1, 2021

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": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1194722744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 HIGHBLUFFS BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351484",
            "telephone_number": "614-846-6076",
            "fax_number": "614-842-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 HIGHBLUFFS BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351484",
            "telephone_number": "614-846-6076",
            "fax_number": "614-842-9541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORTHINGTON CHRISTIAN VILLAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "614-846-6076",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "1838R",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OH",
            "license": "1838",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1838",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0619352",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.