Active NPI
Providence Care Center
- Skilled Nursing Facility
- Sandusky, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 4460
- Legal business name
- PROVIDENCE CARE CENTER
- Practice address
- 2025 Hayes Ave
Sandusky, OH 44870-4739 - Phone
- (419) 627-2273
- Fax
- (419) 627-5588
- NPI assigned
- Nov 17, 2005
- Last updated
- Jan 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Denice Day, LNHA
- Title
- Administrator
- Phone
- (419) 627-2273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 4460 | OH | Primary |
Addresses
Primary practice location
2025 Hayes Ave
Sandusky, OH 44870-4739
Mailing address
2025 Hayes Ave
Sandusky, OH 44870-4739
Phone (419) 627-2273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100517000728 | OH | Part A Provider - Skilled Nursing Facility | 5193853844 | Practice locations: Sandusky, OH |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1699757377. Details of each certification follow.
Skilled nursing facility certification: CCN 365976
- Legal name
- PROVIDENCE CARE CENTER
- Doing business as
- RICHTER HEALTHCARE CONSULTANTS
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1995
- Last certification
- May 21, 2025
- Beds
- 138
- Ownership / control type
- Church Related
- Multi-facility organization
- CHI Living Communities
- Organization structure
- Corporation
- Incorporated
- Jun 26, 1989 in OH
- Enrollment address
- 2025 Hayes Ave
Sandusky, OH 44870-4739 - Nursing home name
- PROVIDENCE CARE CENTER
- Affiliated entity
- COMMONSPIRIT HEALTH
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Providence Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Church related
- Certified
- Jan 1, 1995
- Medicare certification status
- Active
- Certified beds
- 138
- Chain
- Commonspirit Health
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba CHI Franciscan Villa
- Skilled Nursing Facility
- Sandusky, OH
- NPI 1952833071
Member Of
Locations
2025 Hayes Ave
Sandusky, OH 44870
Phone (419) 627-2273
Ownership & related parties
All disclosed owners & managing parties 40
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Ted Hazard | Corporate Director | Nov 8, 2017 | |
| Operational/Managerial Control | Nov 8, 2017 | ||
| Adp of the SNF | Nov 8, 2017 | ||
| Sylvania Franciscan Health | 5% Or Greater Indirect Ownership Interest | Nov 1, 2014 | 100% |
| Adp of the SNF | Nov 1, 2014 | ||
| Joan Longhin-Howard | Operational/Managerial Control | Apr 16, 2007 | |
| Adp of the SNF | Apr 16, 2007 | ||
| Caitlin Cecil | Corporate Director | Jun 18, 2012 | |
| Operational/Managerial Control | Jun 18, 2012 | ||
| Adp of the SNF | Jun 18, 2012 | ||
| Commonspirit Health | 5% Or Greater Indirect Ownership Interest | Nov 1, 2014 | 100% |
| Operational/Managerial Control | Nov 1, 2014 | ||
| Adp of the SNF | Nov 1, 2014 | ||
| Ramonda Riffle | Operational/Managerial Control | Jan 5, 2022 | |
| Stacey Grubbs | Corporate Director | Mar 6, 2012 | |
| Operational/Managerial Control | Mar 26, 2012 | ||
| Adp of the SNF | Mar 26, 2012 | ||
| Ulrichpinciotti Design Group, LLC | Operational/Managerial Control | Jul 1, 2011 | |
| Shirley Felder | Operational/Managerial Control | Dec 18, 2006 | |
| Concept Rehab, Inc. | Operational/Managerial Control | Jan 5, 2015 | |
| Adp of the SNF | Apr 8, 2025 | ||
| Marcelina Valliant | Operational/Managerial Control | Oct 23, 2024 | |
| Dianne McFarland | Operational/Managerial Control | Dec 18, 2023 | |
| Adp of the SNF | Dec 18, 2023 | ||
| Terika Richardson Mbanu | Managing Control - Governing Body | Jan 5, 2024 | |
| Lisa Wallen | Operational/Managerial Control | Jan 8, 2020 | |
| Mitch Melfi | Managing Control - Governing Body | May 23, 2016 | |
| CHI Living Communities | 5% Or Greater Direct Ownership Interest | Nov 1, 2014 | 100% |
| Operational/Managerial Control | Apr 10, 2017 | ||
| Adp of the SNF | Apr 10, 2017 | ||
| Jennifer Nagel | Corporate Director | Nov 12, 2015 | |
| Operational/Managerial Control | Nov 12, 2015 | ||
| Adp of the SNF | Nov 12, 2015 | ||
| Amy Fox | Operational/Managerial Control | May 8, 2000 | |
| Casey Howard | Operational/Managerial Control | May 1, 2022 | |
| Adp of the SNF | May 1, 2022 | ||
| Gina Lucas | Adp of the SNF | Jun 28, 2024 | |
| Ohio Newspapers, Inc. | Operational/Managerial Control | Jul 1, 2011 | |
| Adp of the SNF | Apr 8, 2025 | ||
| Icp Inc | Operational/Managerial Control | Feb 1, 2024 | |
| Adp of the SNF | Apr 8, 2025 | ||
| Kathryn Stidham | Adp of the SNF | Dec 1, 2014 | |
| Prelude Systems, Inc. | Operational/Managerial Control | Apr 1, 2017 | |
| Adp of the SNF | Apr 8, 2025 | ||
| Jennifer Voelker | Operational/Managerial Control | Feb 1, 2019 | |
| Adp of the SNF | Feb 1, 2019 | ||
| Forvis Mazars LLP | Operational/Managerial Control | Aug 16, 2019 | |
| Adp of the SNF | Apr 8, 2025 | ||
| Heather Rehmer | Corporate Officer | Jun 25, 2024 | |
| Operational/Managerial Control | Jun 5, 2024 | ||
| Adp of the SNF | Jun 5, 2024 | ||
| Prentice Lipsey | Corporate Officer | Nov 1, 2021 | |
| Managing Control - Governing Body | Nov 1, 2021 | ||
| Pauline Basinger | Operational/Managerial Control | May 7, 2024 | |
| Barbara Snodgrass | Corporate Director | Aug 15, 2016 | |
| Adp of the SNF | Aug 15, 2016 | ||
| Matthew Wine | Corporate Director | Oct 1, 2018 | |
| Operational/Managerial Control | Oct 1, 2018 | ||
| Adp of the SNF | Oct 1, 2018 | ||
| Darrin R Bunting | Operational/Managerial Control | Jul 1, 2022 | |
| Adp of the SNF | Jul 1, 2022 | ||
| Christina Finn | Corporate Director | Jul 1, 2017 | |
| Operational/Managerial Control | Jul 1, 2017 | ||
| Adp of the SNF | Jul 1, 2017 | ||
| The Northern Trust Company | Operational/Managerial Control | Nov 1, 2014 | |
| Adp of the SNF | Apr 8, 2025 | ||
| Denice Day | Operational/Managerial Control | Jun 29, 2023 | |
| Adp of the SNF | Apr 8, 2025 | ||
| Alisa Iffland | Corporate Officer | Jan 6, 2017 | |
| Operational/Managerial Control | Jan 6, 2017 | ||
| Adp of the SNF | Jan 3, 2017 | ||
| Shelly Murriel | Corporate Director | Sep 9, 2024 | |
| Operational/Managerial Control | Sep 9, 2024 | ||
| Adp of the SNF | Sep 9, 2024 | ||
| Kyle Munroe | Corporate Director | Sep 8, 2015 | |
| Operational/Managerial Control | Sep 8, 2015 | ||
| Adp of the SNF | Sep 8, 2015 | ||
| Shawn Lind | Operational/Managerial Control | Jan 29, 2014 | |
| Richter and Associates | Adp of the SNF | Feb 1, 2019 |
Owners & managing parties with NPI records 7
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Sandusky, OH
- NPI 1215929278
Adp of the SNF, Operational/Managerial Control
-
dba Bishop Drumm Retirement Center
- Skilled Nursing Facility
- Toledo, OH
- NPI 1568810372
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
-
dba CHI Franciscan Villa
- Skilled Nursing Facility
- Sandusky, OH
- NPI 1952833071
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
-
dba CHI Sacred Heart Home
- Skilled Nursing Facility
- Oregon, OH
- NPI 1952876328
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
-
- Long Term Care Pharmacy
- Tiffin, OH
- NPI 1093776825
Adp of the SNF, Operational/Managerial Control
-
- Durable Medical Equipment & Medical Supplies
- Mason, OH
- NPI 1881965713
Adp of the SNF, Operational/Managerial Control
-
- Long Term Care Pharmacy
- Sharpsville, PA
- NPI 1568423390
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 107
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba The Lodge Care Center
- Skilled Nursing Facility
- Loveland, OH
- NPI 1376530063
Concept Rehab, Inc.
-
dba Bishop Drumm Retirement Center
- Skilled Nursing Facility
- Toledo, OH
- NPI 1568810372
Concept Rehab, Inc., Forvis Mazars LLP, Ohio Newspapers, Inc., Sylvania Franciscan Health, The Northern Trust Company, Ulrichpinciotti Design Group, LLC
-
dba CHI Franciscan Villa
- Skilled Nursing Facility
- Sandusky, OH
- NPI 1952833071
Concept Rehab, Inc., Forvis Mazars LLP, Sylvania Franciscan Health, The Northern Trust Company, Ulrichpinciotti Design Group, LLC
-
dba CHI Sacred Heart Home
- Skilled Nursing Facility
- Oregon, OH
- NPI 1952876328
Concept Rehab, Inc., Forvis Mazars LLP, Icp Inc, Ohio Newspapers, Inc., Prelude Systems, Inc., Sylvania Franciscan Health, Ulrichpinciotti Design Group, LLC
-
dba Ottawa County Riverview Nursing Home
- Skilled Nursing Facility
- Oak Harbor, OH
- NPI 1346232741
Concept Rehab, Inc.
-
dba Western Hills Care Center
- Skilled Nursing Facility
- Cincinnati, OH
- NPI 1871580563
Concept Rehab, Inc.
-
- Skilled Nursing Facility
- Toledo, OH
- NPI 1316921794
CHI Living Communities, Sylvania Franciscan Health
-
- Skilled Nursing Facility
- Cincinnati, OH
- NPI 1427081629
Concept Rehab, Inc.
-
dba Maple Knoll Village
- Skilled Nursing Facility
- Cincinnati, OH
- NPI 1194726588
Concept Rehab, Inc.
-
dba The Knolls of Oxford
- Skilled Nursing Facility
- Oxford, OH
- NPI 1811998206
Concept Rehab, Inc.
-
dba Oak Creek Terrace
- Skilled Nursing Facility
- Kettering, OH
- NPI 1316934011
Concept Rehab, Inc.
-
- Skilled Nursing Facility
- Cincinnati, OH
- NPI 1588053094
Concept Rehab, Inc.
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Medicine Physician
- Sandusky, OH
- NPI 1215929278
-
- Family Medicine Physician
- Sandusky, OH
- NPI 1538144357
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": "1132185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200528000000",
"number": "1699757377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 HAYES AVE",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448704739",
"telephone_number": "419-627-2273",
"fax_number": "419-627-5588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 HAYES AVE",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448704739",
"telephone_number": "419-627-2273",
"fax_number": "419-627-5588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROVIDENCE CARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-17",
"last_updated": "2008-01-17",
"status": "A",
"authorized_official_last_name": "DAY",
"authorized_official_first_name": "DENICE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "419-627-2273",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LNHA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OH",
"license": "4460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandusky, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.