Active NPI
Maple Knoll Communities Inc
Doing business as Maple Knoll Village
- Skilled Nursing Facility
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 51-0654775
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0339735 | Medicaid | OH |
Other names 1
- MAPLE KNOLL VILLAGE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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).
-
dba The Knolls of Oxford
- Skilled Nursing Facility
- Oxford, OH
- NPI 1811998206
8426961673
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Maple Knoll Village
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- May 1, 1978
- Medicare certification status
- Active
- Certified beds
- 80
- Chain
- Bhi Senior Living
National Provider Directory
National Provider Directory- Tax ID family
- Maple Knoll Outreach Services
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Cincinnati, OH
- NPI 1104920701
-
dba The Knolls of Oxford
- Skilled Nursing Facility
- Oxford, OH
- NPI 1811998206
-
- Assisted Living Facility
- Oxford, OH
- NPI 1881799237
-
- Community/Behavioral Health Agency
- Cincinnati, OH
- NPI 1205234572
-
- Long Term Care Pharmacy
- Hamilton, OH
- NPI 1083937551
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Adp of the SNF | Jan 1, 2025 | ||
| Megan E Ulrich | Corporate Officer | Jul 1, 2022 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Jeffrey Caldwell | Corporate Director | Jul 1, 2022 | |
| Operational/Managerial Control | Jul 1, 2022 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Plante & Moran PLLC | Adp of the SNF | Jan 1, 2025 | |
| Bhi Retirement Communities Inc | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Marc George | Corporate Director | Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| L. Dean Jones | Corporate Director | Jul 1, 2022 | |
| Operational/Managerial Control | Jul 1, 2022 | ||
| Concept Rehab, Inc. | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Vijayalakshmi Chinta | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Fred Robbins | Corporate Director | Jan 1, 2025 | |
| Operational/Managerial Control | Jul 1, 2022 | ||
| Jeffrey a Terp | Corporate Director | Jul 1, 2022 | |
| Operational/Managerial Control | Jul 1, 2022 | ||
| Forvis Mazars, LLP | Operational/Managerial Control | Jun 1, 2023 | |
| Adp of the SNF | Jun 1, 2023 | ||
| Sharon Taylor | Corporate Director | Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Wendy L. Meredith | Corporate Director | Jul 1, 2022 | |
| Operational/Managerial Control | Jul 1, 2022 | ||
| Margaret Oakes | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Jane Richardson | Corporate Director | Jul 1, 2022 | |
| Operational/Managerial Control | Jul 1, 2022 | ||
| Debbie Cattran | Corporate Director | Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Brian Robert Ellis | Corporate Director | Jul 1, 2022 | |
| Operational/Managerial Control | Jul 1, 2022 | ||
| Douglass B Dalton | Corporate Director | Jan 1, 2025 | |
| Operational/Managerial Control | Jul 1, 2022 | ||
| Katherine Rhyan | Corporate Director | Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Beth Kelly | Corporate Director | Jul 1, 2022 | |
| Operational/Managerial Control | Jul 1, 2022 | ||
| Jane a. Seigel | Corporate Director | Jul 1, 2022 | |
| Operational/Managerial Control | Jul 1, 2022 | ||
| Elizabeth Koselke | Corporate Director | Jan 1, 2025 | |
| Operational/Managerial Control | Jul 1, 2022 | ||
| Nancy Dawson | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Tim McGowan | Corporate Officer | Jun 13, 2005 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| TCF National Bank | 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 | Corporate Director | Jul 1, 2022 | |
| Operational/Managerial Control | Jul 1, 2022 | ||
| John S. Dattilo | Corporate Officer | Jul 1, 2022 | |
| Operational/Managerial Control | Jul 1, 2022 | ||
| Adp of the SNF | Jul 1, 2022 | ||
| Roger E. Weideman II | Corporate Officer | Jul 1, 2022 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Laura Perez | Corporate Director | Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Joseph Volker | Corporate Director | Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Cordaisha Stevenson | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| John Bloomstrom | Corporate Director | 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.
-
- Family Medicine Physician
- Middletown, OH
- NPI 1962857888
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 23
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba The Lodge Care Center
- Skilled Nursing Facility
- Loveland, OH
- NPI 1376530063
Concept Rehab, Inc.
-
dba Bishop Drumm Retirement Center
- Skilled Nursing Facility
- Toledo, OH
- NPI 1568810372
Concept Rehab, Inc.
-
dba CHI Franciscan Villa
- Skilled Nursing Facility
- Sandusky, OH
- NPI 1952833071
Concept Rehab, Inc.
-
dba CHI Sacred Heart Home
- Skilled Nursing Facility
- Oregon, OH
- NPI 1952876328
Concept Rehab, Inc.
-
dba Ottawa County Riverview Nursing Home
- Skilled Nursing Facility
- Oak Harbor, OH
- NPI 1346232741
Concept Rehab, Inc.
-
dba Western Hills Care Center
- Skilled Nursing Facility
- Cincinnati, OH
- NPI 1871580563
Concept Rehab, Inc.
-
- Skilled Nursing Facility
- Cincinnati, OH
- NPI 1427081629
Concept Rehab, Inc.
-
dba The Knolls of Oxford
- Skilled Nursing Facility
- Oxford, OH
- NPI 1811998206
Bhi Retirement Communities Inc, Concept Rehab, Inc., Forvis Mazars, LLP, TCF National Bank
-
dba Oak Creek Terrace
- Skilled Nursing Facility
- Kettering, OH
- NPI 1316934011
Concept Rehab, Inc.
-
- Skilled Nursing Facility
- Cincinnati, OH
- NPI 1588053094
Concept Rehab, Inc.
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Cincinnati, OH
- NPI 1013276229
-
- Family Medicine Physician
- Middletown, OH
- NPI 1962857888
-
- Internal Medicine Physician
- Dayton, OH
- NPI 1457369027
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Cincinnati, OH
- NPI 1013276229
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; 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.