NPIMap

Organization Active NPI

United Church Homes, Inc.

  • Skilled Nursing Facility
  • Fairborn, OH
National Provider Identifier
1528041647
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5967 Issued in OH
Legal business name
UNITED CHURCH HOMES, INC.
Practice address
789 Stoneybrook TRL
Fairborn, OH 45324-6021
Phone
(937) 878-0262
NPI assigned
Nov 22, 2005
Organization subpart
Yes
Parent organization
UNITED CHURCH HOMES INCAs reported in NPPES

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 5967 OH Primary

Addresses

Primary practice location

789 Stoneybrook TRL
Fairborn, OH 45324-6021

Mailing address

789 Stoneybrook TRL
Fairborn, OH 45324-6021
Phone (937) 878-0262

Other identifiers 1

IdentifierTypeStateIssuer
2203814MedicaidOH

Other names 2

  • Patriot Ridge Community Doing business as
  • Trinity Community at Fairborn 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
O20070828000115 OH Part A Provider - Skilled Nursing Facility 2062514193 Practice locations: Fairborn, OH

Skilled nursing facility certification: CCN 365979

Legal name
UNITED CHURCH HOMES, INC.
Doing business as
TRINITY COMMUNITY AT FAIRBORN
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 31, 1994
Last certification
Feb 25, 2025
Beds
94
Ownership / control type
Nonprofit Corporation
Multi-facility organization
United Church Homes
Organization structure
CorporationNon-profit
Incorporated
May 13, 1920 in OH
Enrollment address
789 Stoneybrook TRL
Fairborn, OH 45324-6021
Nursing home name
TRINITY COMMUNITY AT FAIRBORN
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
Trinity Community at FairbornCCN 365979
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Aug 31, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9484.9 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
Part of
United Church Homes Inc

Other organizations with this tax ID 23

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

View all 23

Ownership & related parties

All disclosed owners & managing parties 9

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/ President Jun 1, 2011
Operational/Managerial ControlCeo/ President Jun 1, 2011
Catherine M Green Individual Corporate DirectorBoard Member Dec 31, 2014
Stacie Ward Individual W-2 Managing EmployeeExecutive Durector May 23, 2011
Robert Kutschbach Individual Corporate DirectorBoard Member Dec 31, 2014
Thomas Brownfield Individual Corporate DirectorBoard Member Dec 31, 2014
Richard Dible Individual Corporate OfficerVice President of Financial Serv Nov 29, 2016
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 1

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": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1528041647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 STONEYBROOK TRL",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453246021",
            "telephone_number": "937-878-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 STONEYBROOK TRL",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453246021",
            "telephone_number": "937-878-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CHURCH HOMES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITED CHURCH HOMES INC",
        "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": "5967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2203814",
            "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": "Patriot Ridge Community",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trinity Community at Fairborn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairborn, OH

Sources for this page

Verify at the official NPI Registry.