NPIMap

Organization Active NPI

Csji-Tiffin Inc

  • Skilled Nursing Facility
  • Tiffin, OH
National Provider Identifier
1467924043
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CSJI-TIFFIN INC
Practice address
182 Saint Francis Ave
Tiffin, OH 44883-3456
Phone
(419) 447-2723
NPI assigned
Dec 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Authorized official

Name
Mr. William Joseph Slater
Title
Assistant Treasurer
Phone
(316) 689-4012

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

182 Saint Francis Ave
Tiffin, OH 44883-3456

Mailing address

3700 E Lincoln St
Wichita, KS 67218-2008

Other identifiers 2

IdentifierTypeStateIssuer
0741RMedicaidOH
0741NMedicaidOH

Other names 1

  • St Francis Senior Ministries Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190521000322 OH Part A Provider - Skilled Nursing Facility 5395088058 Practice locations: Tiffin, OH

Skilled nursing facility certification: CCN 366102

Legal name
CSJI-TIFFIN INC
Doing business as
ST FRANCIS SENIOR MINISTRIES
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 6, 1997
Last certification
Apr 10, 2025
Beds
54
Ownership / control type
Church Related
Multi-facility organization
CSJ Initiatives
Most recent change of ownership
Mar 1, 2019
Organization structure
CorporationNon-profit
Incorporated
Oct 4, 2018 in WV
Enrollment address
182 Saint Francis Ave
Tiffin, OH 44883-3456
Nursing home name
ST FRANCIS SENIOR MINISTRIES
Affiliated entity
CSJ INITIATIVES

Care Compare: Nursing home

Medicare Care Compare
Listed as
St Francis Senior MinistriesCCN 366102
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Jan 6, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5451.1 residents per day on average
Chain
CSJ Initiatives2 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Csji-Tiffin 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.

Locations

3700 E Lincoln St
Wichita, KS 67218
Phone (316) 686-7171

182 Saint Francis Ave
Tiffin, OH 44883
Phone (419) 447-2723

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
CSJ Initiatives Inc Organization, Wichita, KS Corporation, Non-profit 5% Or Greater Direct Ownership Interest Mar 1, 2019 100%
Operational/Managerial Control Mar 1, 2019
Jan S Kucera Individual Corporate DirectorVoting Member Mar 1, 2019
Tyler Webb Individual Corporate OfficerChair Mar 1, 2019
Corporate DirectorVoting Member Mar 1, 2019
Jill Griffin Individual Corporate DirectorVoting Member Mar 1, 2019
William Slater Individual Corporate OfficerAssistant Treasurer Mar 1, 2019
Shellie Mack Individual Corporate DirectorVoting Member Mar 1, 2019
Dominic a Fabrizio Individual Corporate OfficerTreasurer Mar 1, 2019
Corporate DirectorVoting Member Mar 1, 2019
Brian Falter Individual Corporate DirectorVoting Member Mar 1, 2019
Kelli Dariano Individual Corporate DirectorVoting Member Mar 1, 2019
Sara Aldridge Individual Corporate DirectorVoting Member Mar 1, 2019
Gabriel Stoll Individual W-2 Managing EmployeeAdministrator Mar 1, 2019
Marguerite O'Brien Individual Corporate OfficerSecretary Mar 1, 2019
Corporate DirectorVoting Member Mar 1, 2019
Denise Gannon Individual Corporate DirectorVoting Member Mar 1, 2019
Eleanor Anderson Individual Corporate DirectorVoting Member Mar 1, 2019
Myra Arnone Individual Corporate DirectorVoting Member Mar 1, 2019

Owners & managing parties with NPI records 2

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

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1545264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1467924043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 E LINCOLN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 SAINT FRANCIS AVE",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448833456",
            "telephone_number": "419-447-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSJI-TIFFIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-20",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "SLATER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "ASSISTANT TREASURER",
        "authorized_official_telephone_number": "316-689-4012",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0741R",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0741N",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Francis Senior Ministries",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Francis Senior Ministries",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tiffin, OH

Sources for this page

Verify at the official NPI Registry.