NPIMap

Organization Active NPI

S E M Haven, Inc.

  • Skilled Nursing Facility
  • Milford, OH
National Provider Identifier
1235112871
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
4228 Issued in OH
Legal business name
S E M HAVEN, INC.
Practice address
225 Cleveland Ave
Milford, OH 45150-1009
Phone
(513) 248-1270
NPI assigned
Nov 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 4228 OH Primary

Addresses

Primary practice location

225 Cleveland Ave
Milford, OH 45150-1009

Mailing address

225 Cleveland Ave
Milford, OH 45150-1009
Phone (513) 248-1270

Other identifiers 1

IdentifierTypeStateIssuer
0420904MedicaidOH

Other names 1

  • SEM Haven Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091022000574 OH Part A Provider - Skilled Nursing Facility 2961549019 Practice locations: Milford, OH

Skilled nursing facility certification: CCN 365628

Legal name
S E M HAVEN, INC.
Doing business as
S.E.M. HAVEN HEALTHCARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 30, 1984
Last certification
Dec 14, 2022
Beds
93
Ownership / control type
Other Nonprofit
Organization structure
CorporationNon-profit
Incorporated
Apr 1, 1980 in OH
Enrollment address
225 Cleveland Ave
Milford, OH 45150-1009
Nursing home name
S.E.M. HAVEN HEALTH CARE CENTER
Affiliated entity
UNITED CHURCH HOMES

Care Compare: Nursing home

Medicare Care Compare
Listed as
S.E.M. Haven Health Care CenterCCN 365628
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 - Other
Certified
Jul 30, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9375.7 residents per day on average
Chain
United Church Homes9 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
S E M Haven Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Barbara Wolf Individual Contracted Managing EmployeeAdministrator Jan 25, 1999
John Renner Individual Contracted Managing EmployeeVP of Operations of MGMT Company Jan 27, 2014
Charles R Mooney Individual Operational/Managerial ControlVP of Operations Dec 10, 2012
Kenneth Daniel Individual Contracted Managing EmployeePresident/ Ceo of Management Co. Jun 1, 2011
Joseph Kuethe Individual Corporate OfficerVP of Bod Jul 21, 2015
Corporate DirectorVP of Bod Jul 21, 2015
Joyce Howell Individual Corporate OfficerTreasurer of Bod Jul 21, 2015
Corporate DirectorTreasurer of Bod Jul 21, 2015
United Church Homes Management, Inc. Organization, Marion, OH Corporation Operational/Managerial Control Jan 27, 2014 100%

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235112871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CLEVELAND AVE",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451501009",
            "telephone_number": "513-248-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CLEVELAND AVE",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451501009",
            "telephone_number": "513-248-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S E M HAVEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEISBRODT",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "VP 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": "4228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0420904",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEM Haven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milford, OH

Sources for this page

Verify at the official NPI Registry.