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Organization Active NPI

Heather Knoll Retirement Village Inc

  • Skilled Nursing Facility
  • Tallmadge, OH
National Provider Identifier
1376533877
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5582 Issued in OH
Legal business name
HEATHER KNOLL RETIREMENT VILLAGE INC
Practice address
1134 North Ave
Tallmadge, OH 44278-1065
Phone
(330) 688-8600
Fax
(330) 688-8495
NPI assigned
Oct 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Mark A Sprenger
Title
Executive VP and Cio
Phone
(440) 989-5234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5582 OH Primary

Addresses

Primary practice location

1134 North Ave
Tallmadge, OH 44278-1065

Mailing address

1134 North Ave
Tallmadge, OH 44278-1065
Phone (330) 688-8600

Other identifiers 3

IdentifierTypeStateIssuer
341904757003OtherOHMEDICAL MUTUAL
2590352MedicaidOH
BC000000M89OtherANTHEM

Other names 1

  • Heather Knoll of Summit County Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060414000050 OH Part A Provider - Skilled Nursing Facility 2668481979 Practice locations: Tallmadge, OH

Skilled nursing facility certification: CCN 365739

Legal name
HEATHER KNOLL RETIREMENT VILLAGE INC
Doing business as
HUNTINGTON NATIONAL BANK
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 22, 1989
Last certification
Mar 6, 2025
Beds
115
Ownership / control type
Corporation
Multi-facility organization
Sprenger Healthcare Systems
Most recent change of ownership
Oct 1, 2005
Organization structure
CorporationProprietary
Incorporated
Apr 14, 2005 in OH
Enrollment address
1134 North Ave
Tallmadge, OH 44278-1065
Nursing home name
HEATHER KNOLL RETIREMENT VILLAGE
Affiliated entity
SPRENGER HEALTH CARE SYSTEMS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Heather Knoll Retirement VillageCCN 365739
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 22, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
115106.2 residents per day on average
Chain
Sprenger Health Care Systems12 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 28

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

NameRoleSinceShare
Wendie Hutsenpiller Individual 5% Or Greater Indirect Ownership Interest Apr 14, 2005 18.46%
Brandon Malanowki Individual Corporate OfficerCfo Dec 31, 2024
Operational/Managerial Control Dec 31, 2024
Adp of the SNF Dec 31, 2024
Huntington Organization, Columbus, OH Corporation, Financial institution Adp of the SNF Oct 1, 2001
Kenneth Malanowski Individual 5% Or Greater Indirect Ownership Interest Apr 14, 2005 19.99%
Adp of the SNF Jul 1, 2008
Individual Indirect Ownership Interest Jul 1, 2008 0.01%
Wellspring Staffing, Inc. Organization, Lorain, OH Corporation, Medical staffing company, For-profit Adp of the SNF Oct 15, 2021
Individual Indirect Ownership Interest Jul 1, 2008 0.01%
CMS & Co. Management Services, Inc. Organization, Lorain, OH Corporation, Management services company, For-profit Operational/Managerial Control Oct 1, 2005
Adp of the SNF Sep 10, 2025
Jennifer Sawulski Individual Adp of the SNF Jul 1, 2008
Heather Knoll Rental Properties LLC Organization, Lorain, OH LLC, For-profit Adp of the SNF Apr 14, 2005
Jaime Marino-Freetage Individual Operational/Managerial Control Mar 1, 2011
Adp of the SNF Mar 1, 2011
Jodi Skidmore Individual Adp of the SNF Jul 1, 2008
Bluesky Healthcare Inc Organization, Lorain, OH Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 14, 2005 100%
Tracey M Sprenger Individual 5% Or Greater Indirect Ownership Interest Apr 14, 2005 30.77%
Adp of the SNF Apr 14, 2005
Kristen Gollinger Individual Operational/Managerial Control Nov 13, 2000
Adp of the SNF Nov 13, 2000
Amanda McQueen Individual Operational/Managerial Control Dec 22, 2023
Adp of the SNF Dec 22, 2023
Michael Patyak Individual Operational/Managerial Control Mar 21, 2022
Adp of the SNF Mar 21, 2022
Organization, Quincy, MA Corporation, Medical staffing company, For-profit Adp of the SNF Sep 10, 2025
Kimberly Ann Miller Individual Operational/Managerial Control Jun 1, 2021
Adp of the SNF Jun 1, 2021
Jacob Micale Individual Operational/Managerial Control Feb 20, 2023
Adp of the SNF Feb 20, 2023
Nicole Sprenger Individual 5% Or Greater Indirect Ownership Interest Apr 14, 2005 30.77%
Adp of the SNF Apr 14, 2005
Shannon Kuhn Individual Corporate OfficerPresident and Ceo Dec 31, 2024
Operational/Managerial Control Dec 31, 2024
Adp of the SNF Dec 31, 2024
Delta Health Care Consultants, Inc. Organization, Columbus, OH Corporation, Consulting firm Adp of the SNF Jan 1, 2008
Emily Fox Individual Corporate OfficerCoo Dec 31, 2024
Operational/Managerial Control Dec 31, 2024
Adp of the SNF Dec 31, 2024
Citrin Cooperman and Company, LLP Organization, Middleburg Heights, OH Adp of the SNF Feb 1, 2025
Organization, Lorain, OH LLC, For-profit Adp of the SNF Apr 15, 2005
Robert Epperly Individual Operational/Managerial Control Jan 20, 2022
Adp of the SNF Jan 20, 2022
Melissa Courtock Individual Operational/Managerial Control Dec 2, 2002
Adp of the SNF Dec 2, 2002

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 12

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 1

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": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1376533877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 NORTH AVE",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442781065",
            "telephone_number": "330-688-8600",
            "fax_number": "330-688-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 NORTH AVE",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442781065",
            "telephone_number": "330-688-8600",
            "fax_number": "330-688-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER KNOLL RETIREMENT VILLAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "SPRENGER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE VP AND CIO",
        "authorized_official_telephone_number": "440-989-5234"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "5582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "341904757003",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2590352",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "BC000000M89",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heather Knoll of Summit County",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tallmadge, OH

Sources for this page

Verify at the official NPI Registry.