Organization Active NPI

Maple Knoll Communities Inc

Doing business as Maple Knoll Village

  • Skilled Nursing Facility
  • Cincinnati, OH
National Provider Identifier
1194726588
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
51-0654775 Issued in OH
Legal business name
MAPLE KNOLL COMMUNITIES INC
Doing business as
Maple Knoll Village
Practice address
11100 Springfield Pike
Cincinnati, OH 45246-4112
Phone
(513) 782-2400
Fax
(513) 771-0175
NPI assigned
Aug 9, 2005
Last updated
Oct 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Authorized official

Name
Nancy Hendricks
Title
Business Office Comptroller
Phone
(513) 782-2737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 51-0654775 OH Primary

Addresses

Primary practice location

11100 Springfield Pike
Cincinnati, OH 45246-4112

Mailing address

11100 Springfield Pike
Cincinnati, OH 45246-4112
Phone (513) 782-2400

Other identifiers 1

IdentifierTypeStateIssuer
0339735MedicaidOH

Other names 1

  • MAPLE KNOLL VILLAGE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080828000095 OH Part A Provider - Skilled Nursing Facility 8426961673 Practice locations: Cincinnati, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194726588. Details of each certification follow.

Skilled nursing facility certification: CCN 365350

Legal name
MAPLE KNOLL COMMUNITIES, INC
Doing business as
MAPLE KNOLL VILLAGE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1978
Last certification
Dec 21, 2023
Beds
80
Ownership / control type
Nonprofit Corporation
Multi-facility organization
BHI
Organization structure
CorporationNon-profit
Enrollment address
11100 Springfield Pike
Cincinnati, OH 45246-4112
Nursing home name
MAPLE KNOLL VILLAGE
Affiliated entity
BHI SENIOR LIVING

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Maple Knoll VillageCCN 365350 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
May 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8072.5 residents per day on average
Chain
Bhi Senior Living9 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Maple Knoll Outreach Services6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Ownership & related parties

All disclosed owners & managing parties 34

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

NameRoleSinceShare
Individual Adp of the SNF Jan 1, 2025
Megan E Ulrich Individual Corporate OfficerVice President of Marketing Jul 1, 2022
Operational/Managerial Control Jan 1, 2025
Jeffrey Caldwell Individual Corporate DirectorDirector Jul 1, 2022
Operational/Managerial Control Jul 1, 2022
Organization, Carmel, IN Financial institution Adp of the SNF Jan 1, 2025
Plante & Moran PLLC Organization, Southfield, MI LLC, Consulting firm Adp of the SNF Jan 1, 2025
Bhi Retirement Communities Inc Organization, Indianapolis, IN Corporation, Management services company Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Marc George Individual Corporate DirectorAssociate Executive Director Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
L. Dean Jones Individual Corporate DirectorDirector Jul 1, 2022
Operational/Managerial Control Jul 1, 2022
Concept Rehab, Inc. Organization, Toledo, OH Corporation Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Vijayalakshmi Chinta Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Fred Robbins Individual Corporate DirectorBoard Member Jan 1, 2025
Operational/Managerial Control Jul 1, 2022
Jeffrey a Terp Individual Corporate DirectorDirector Jul 1, 2022
Operational/Managerial Control Jul 1, 2022
Forvis Mazars, LLP Organization, Springfield, MO Consulting firm Operational/Managerial Control Jun 1, 2023
Adp of the SNF Jun 1, 2023
Sharon Taylor Individual Corporate DirectorDirector of Nursing Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Wendy L. Meredith Individual Corporate DirectorDirector Jul 1, 2022
Operational/Managerial Control Jul 1, 2022
Margaret Oakes Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Jane Richardson Individual Corporate DirectorChairperson Jul 1, 2022
Operational/Managerial Control Jul 1, 2022
Debbie Cattran Individual Corporate DirectorDirector Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Brian Robert Ellis Individual Corporate DirectorDirector Jul 1, 2022
Operational/Managerial Control Jul 1, 2022
Douglass B Dalton Individual Corporate DirectorDirector Jan 1, 2025
Operational/Managerial Control Jul 1, 2022
Katherine Rhyan Individual Corporate DirectorSocial Services Director Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Beth Kelly Individual Corporate DirectorDirector Jul 1, 2022
Operational/Managerial Control Jul 1, 2022
Jane a. Seigel Individual Corporate DirectorDirector Jul 1, 2022
Operational/Managerial Control Jul 1, 2022
Elizabeth Koselke Individual Corporate DirectorDirector Jan 1, 2025
Operational/Managerial Control Jul 1, 2022
Nancy Dawson Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Tim McGowan Individual Corporate OfficerVice President of Operations -Oh Jun 13, 2005
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
TCF National Bank Organization, Columbus, OH Financial institution 5% Or Greater Mortgage Interest Jan 1, 2025 40.88%
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Roger Miller Individual Corporate DirectorDirector Jul 1, 2022
Operational/Managerial Control Jul 1, 2022
John S. Dattilo Individual Corporate OfficerPresident/Ceo Jul 1, 2022
Operational/Managerial Control Jul 1, 2022
Adp of the SNF Jul 1, 2022
Roger E. Weideman II Individual Corporate OfficerChief Financial Officer Jul 1, 2022
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Laura Perez Individual Corporate DirectorSocial Services Director Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Joseph Volker Individual Corporate DirectorDirector Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Cordaisha Stevenson Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
John Bloomstrom Individual Corporate DirectorBoard Member Jul 1, 2012
Operational/Managerial Control Jul 1, 2012

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 23

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

View all 23

Practitioners & affiliated clinicians

Practitioners 3

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.

Affiliated clinicians 3

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": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1194726588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 SPRINGFIELD PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452464112",
            "telephone_number": "513-782-2400",
            "fax_number": "513-771-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 SPRINGFIELD PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452464112",
            "telephone_number": "513-782-2400",
            "fax_number": "513-771-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE KNOLL COMMUNITIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "BUSINESS OFFICE COMPTROLLER",
        "authorized_official_telephone_number": "513-782-2737"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "51-0654775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0339735",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAPLE KNOLL VILLAGE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.