NPIMap

Organization Active NPI

United Church Homes, Inc

Doing business as The Community at Parkvue

  • Skilled Nursing Facility
  • Sandusky, OH
National Provider Identifier
1508849605
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
4968 Issued in OH
Legal business name
UNITED CHURCH HOMES, INC
Doing business as
The Community at Parkvue
Practice address
3800 Boardwalk Blvd
Sandusky, OH 44870-7033
Phone
(419) 621-1900
Fax
(419) 621-1121
NPI assigned
Nov 22, 2005
Last updated
Jul 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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 4968 OH Primary

Addresses

Primary practice location

3800 Boardwalk Blvd
Sandusky, OH 44870-7033

Mailing address

3800 Boardwalk Blvd
Sandusky, OH 44870-7033
Phone (419) 621-1900

Other identifiers 1

IdentifierTypeStateIssuer
0136507MedicaidOH

Other names 1

  • The Community at Parkvue Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070828000136 OH Part A Provider - Skilled Nursing Facility 2062514193 Practice locations: Sandusky, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508849605. Details of each certification follow.

Skilled nursing facility certification: CCN 365997

Legal name
UNITED CHURCH HOMES, INC.
Doing business as
THE COMMUNITY AT PARKVUE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 21, 1995
Last certification
Oct 31, 2024
Beds
84
Ownership / control type
Corporation
Multi-facility organization
United Church Home
Organization structure
CorporationNon-profit
Incorporated
May 13, 1920 in OH
Enrollment address
3800 Boardwalk Blvd
Sandusky, OH 44870-7033
Nursing home name
PARKVUE HEALTH CARE CENTER
Affiliated entity
UNITED CHURCH HOMES

Other NPIs with the same Medicare PAC ID 6

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Parkvue Health Care CenterCCN 365997 · All quality measures
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
For profit - Corporation
Certified
Apr 21, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8477.3 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
United Church Homes Inc24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

Member organizations 5

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
John Renner Individual Corporate OfficerSenior VP of Finance/ Cfo Jan 27, 2014
Operational/Managerial ControlSenior VP of Finance/ Cfo Jan 27, 2014
James L Henry Individual Corporate DirectorBoard Member Dec 31, 2014
Kenneth Daniel Individual Corporate OfficerCeo Jun 1, 2011
Operational/Managerial ControlCeo/President Feb 14, 2013
Catherine M Green Individual Corporate DirectorBoard Member Dec 31, 2014
Robert Kutschbach Individual Corporate DirectorBoard Member Dec 31, 2014
Ken Keller Individual W-2 Managing EmployeeExecutive Director Aug 28, 1989
Thomas Brownfield Individual Corporate DirectorBoard Member Dec 31, 2014
Susan B Sheidler Individual Corporate DirectorBoard Member Dec 31, 2014

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Brookhaven Nursing and Care CenterBrookville, OH, CCN 365422 Skilled nursing facility 5% Or Greater Direct Ownership Interest (11.73%) Dec 27, 2006
Four Winds Nursing FacilityJackson, OH, CCN 365669 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Apr 1, 2000
Apr 1, 2000
Apr 1, 2000
United Church Homes, Inc.Canal Fulton, OH, CCN 365494 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF		 Apr 1, 2000
Apr 1, 2000
Apr 1, 2000
Trinity Community at BeavercreekBeavercreek, OH, CCN 365777 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Apr 1, 2000
Apr 1, 2000
Apr 1, 2000
Harmar PlaceMarietta, OH, CCN 366001 Skilled nursing facility Operational/Managerial Control (100%) Jul 1, 2015

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Affiliated clinicians 6

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": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1508849605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 BOARDWALK BLVD",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448707033",
            "telephone_number": "419-621-1900",
            "fax_number": "419-621-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 BOARDWALK BLVD",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448707033",
            "telephone_number": "419-621-1900",
            "fax_number": "419-621-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CHURCH HOMES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "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": "4968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0136507",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Community at Parkvue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.