NPIMap

Organization Active NPI

Colonial Senior Services, Inc.

  • Skilled Nursing Facility
  • Hamilton, OH
National Provider Identifier
1376535286
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5112 Issued in OH
Legal business name
COLONIAL SENIOR SERVICES, INC.
Practice address
50 Berkeley Dr
Hamilton, OH 45013
Phone
(513) 856-8600
Fax
(513) 856-8324
NPI assigned
Aug 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Authorized official

Name
Mr. Mark R Zoellner
Title
Cfo
Phone
(513) 785-4742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5112 OH Primary

Addresses

Primary practice location

50 Berkeley Dr
Hamilton, OH 45013

Mailing address

50 Berkeley Dr
Hamilton, OH 45013
Phone (513) 856-8600

Other identifiers 1

IdentifierTypeStateIssuer
2993560MedicaidOH

Other names 1

  • Berkeley Square Retirement Community Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070202000327 OH Part A Provider - Skilled Nursing Facility 7517969652 Practice locations: Hamilton, OH

Skilled nursing facility certification: CCN 366053

Legal name
COLONIAL SENIOR SERVICES, INC.
Doing business as
BERKELEY SQUARE RETIREMENT COMMUNITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 9, 1996
Last certification
Aug 4, 2022
Beds
33
Ownership / control type
Other Nonprofit
Multi-facility organization
Community First Solutions
Organization structure
CorporationNon-profit
Incorporated
Apr 6, 1998 in OH
Enrollment address
50 Berkley Dr
Hamilton, OH 45013-5805
Nursing home name
BERKELEY SQUARE RETIREMENT CEN

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Berkeley Square Retirement CenCCN 366053
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
May 9, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3327.0 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Colonial Senior Services Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

230 Ludlow St
Hamilton, OH 45011
Phone (513) 785-4899

Ownership & related parties

All disclosed owners & managing parties 30

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

NameRoleSinceShare
Neil Cohen Individual Corporate DirectorBoard Member Jan 1, 2017
Trustee of the SNF Jan 1, 2021
Brian Krause Individual Corporate OfficerChief Financial Officer Feb 1, 2020
Robin Miller Individual Corporate DirectorBoard Member Jan 1, 2021
Trustee of the SNF Jan 1, 2021
Individual Adp of the SNF Jan 1, 2022
Fifth Third Bank Organization, Cincinnati, OH Corporation, Financial institution, For-profit Operational/Managerial Control Dec 1, 2024
Adp of the SNF Apr 14, 2025
Plante & Moran PLLC Organization, Southfield, MI Adp of the SNF Jul 1, 2024
Lawrence Mulligan Individual Corporate DirectorBoard Member Jan 1, 2021
Individual Adp of the SNF Apr 28, 2019
Individual Trustee of the SNF Jan 1, 2021
Pete Abner Individual Corporate DirectorBoard Member Jan 1, 2024
Trustee of the SNF Jan 1, 2024
John Kirsch Individual Corporate DirectorBoard Member Jan 1, 2017
Trustee of the SNF Jan 1, 2021
Individual Adp of the SNF Sep 16, 2024
William Fant Individual Corporate DirectorBoard Member Jan 1, 2021
Timothy Egloff Individual Corporate DirectorBoard Member Jan 1, 2024
Trustee of the SNF Jan 1, 2024
Adp of the SNF Oct 18, 2024
Medicine Inpatient Group LLC Organization, Middletown, OH LLC, Medical provider/supplier, For-profit Operational/Managerial Control Jul 1, 2021
Adp of the SNF Apr 14, 2025
Kelley Lawrence Individual Operational/Managerial ControlVice President Health Services Feb 18, 2023
Adp of the SNF Feb 18, 2013
Husam Hamed Individual Adp of the SNF Jul 1, 2021
Cherry Bekaert LLP Organization, Louisville, KY LLC, For-profit Adp of the SNF May 31, 2024
Community First Solutions Organization, Hamilton, OH Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Sep 1, 2010 100%
Operational/Managerial Control Sep 1, 2010
Randy Oppenheimer Individual Corporate DirectorBoard Member Jan 1, 2021
Trustee of the SNF Jan 1, 2021
Individual Adp of the SNF Jan 1, 2017
Andrew Schuster Individual Corporate DirectorBoard Member Jan 1, 2024
Trustee of the SNF Jan 1, 2024
Wendy Brown Individual Adp of the SNF Jan 29, 2024
Ark Wellness Center Organization, West Chester, OH Medical provider/supplier Operational/Managerial Control Nov 21, 2024
Nicholas Ziepfel Individual Corporate DirectorBoard Member Jan 1, 2018
Trustee of the SNF Jan 1, 2021
Robert Weigel Individual Corporate DirectorBoard Member Jan 1, 2021
Trustee of the SNF Jan 1, 2021
Charmaine Watson Individual Operational/Managerial Control Nov 30, 2015
Adp of the SNF Nov 30, 2015
Select Rehabilitation, LLC Organization, Glenview, IL LLC, Medical provider/supplier, For-profit Operational/Managerial Control Oct 1, 2019
Brett Kirkpatrick Individual Corporate OfficerChief Executive Officer Aug 4, 2018
Corporate DirectorPresident Board of Directors Aug 4, 2018
Trustee of the SNF Aug 4, 2018
Adp of the SNF Aug 4, 2018
Raquel Loveberry Individual Corporate DirectorBoard Member Jan 1, 2021
Trustee of the SNF Jan 1, 2021

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 18

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

View all 18

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 2

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": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1376535286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BERKELEY DR",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "45013",
            "telephone_number": "513-856-8600",
            "fax_number": "513-856-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BERKELEY DR",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "45013",
            "telephone_number": "513-856-8600",
            "fax_number": "513-856-8324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL SENIOR SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "ZOELLNER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "513-785-4742",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "5112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2993560",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berkeley Square Retirement Community",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.