Organization Active NPI

Providence Care Center

  • Skilled Nursing Facility
  • Sandusky, OH
National Provider Identifier
1699757377
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
4460 Issued in OH
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 CenterCCN 365976 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Jan 1, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
13893.5 residents per day on average
Chain
Commonspirit Health18 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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.

NameRoleSinceShare
Ted Hazard Individual Corporate DirectorDirector of Accounting Nov 8, 2017
Operational/Managerial Control Nov 8, 2017
Adp of the SNF Nov 8, 2017
Sylvania Franciscan Health Organization, Englewood, CO Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 1, 2014 100%
Adp of the SNF Nov 1, 2014
Joan Longhin-Howard Individual Operational/Managerial Control Apr 16, 2007
Adp of the SNF Apr 16, 2007
Caitlin Cecil Individual Corporate DirectorDirector of Compensation & HR Benef Jun 18, 2012
Operational/Managerial Control Jun 18, 2012
Adp of the SNF Jun 18, 2012
Commonspirit Health Organization, Englewood, CO Corporation, Non-profit 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 Individual Operational/Managerial Control Jan 5, 2022
Stacey Grubbs Individual Corporate DirectorRegional Director of Finance Mar 6, 2012
Operational/Managerial Control Mar 26, 2012
Adp of the SNF Mar 26, 2012
Ulrichpinciotti Design Group, LLC Organization, Toledo, OH LLC Operational/Managerial Control Jul 1, 2011
Shirley Felder Individual Operational/Managerial Control Dec 18, 2006
Concept Rehab, Inc. Organization, Toledo, OH Corporation Operational/Managerial Control Jan 5, 2015
Adp of the SNF Apr 8, 2025
Marcelina Valliant Individual Operational/Managerial Control Oct 23, 2024
Dianne McFarland Individual Operational/Managerial Control Dec 18, 2023
Adp of the SNF Dec 18, 2023
Terika Richardson Mbanu Individual Managing Control - Governing BodyDirector Jan 5, 2024
Lisa Wallen Individual Operational/Managerial Control Jan 8, 2020
Mitch Melfi Individual Managing Control - Governing BodyVice Chair May 23, 2016
CHI Living Communities Organization, Oregon, OH Corporation, Non-profit, Chain home office, Owned by another organization or individual 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 Individual Corporate DirectorDirector of Talent Acquisition Nov 12, 2015
Operational/Managerial Control Nov 12, 2015
Adp of the SNF Nov 12, 2015
Amy Fox Individual Operational/Managerial Control May 8, 2000
Casey Howard Individual Operational/Managerial Control May 1, 2022
Adp of the SNF May 1, 2022
Gina Lucas Individual Adp of the SNF Jun 28, 2024
Ohio Newspapers, Inc. Organization, Dayton, OH Corporation Operational/Managerial Control Jul 1, 2011
Adp of the SNF Apr 8, 2025
Icp Inc Organization, Tiffin, OH Corporation Operational/Managerial Control Feb 1, 2024
Adp of the SNF Apr 8, 2025
Kathryn Stidham Individual Adp of the SNF Dec 1, 2014
Prelude Systems, Inc. Organization, Mechanicsburg, PA Corporation Operational/Managerial Control Apr 1, 2017
Adp of the SNF Apr 8, 2025
Jennifer Voelker Individual Operational/Managerial Control Feb 1, 2019
Adp of the SNF Feb 1, 2019
Forvis Mazars LLP Organization, Springfield, MO Operational/Managerial Control Aug 16, 2019
Adp of the SNF Apr 8, 2025
Heather Rehmer Individual Corporate OfficerSecretary Jun 25, 2024
Operational/Managerial Control Jun 5, 2024
Adp of the SNF Jun 5, 2024
Prentice Lipsey Individual Corporate OfficerPresident CHI Living Communities Nov 1, 2021
Managing Control - Governing BodyPresident & Ceo Nov 1, 2021
Pauline Basinger Individual Operational/Managerial Control May 7, 2024
Barbara Snodgrass Individual Corporate DirectorRegional Clinical Director Aug 15, 2016
Adp of the SNF Aug 15, 2016
Matthew Wine Individual Corporate DirectorDirector of Payer Relations Oct 1, 2018
Operational/Managerial Control Oct 1, 2018
Adp of the SNF Oct 1, 2018
Darrin R Bunting Individual Operational/Managerial Control Jul 1, 2022
Adp of the SNF Jul 1, 2022
Christina Finn Individual Corporate DirectorDirector of Compensation & HR Benef Jul 1, 2017
Operational/Managerial Control Jul 1, 2017
Adp of the SNF Jul 1, 2017
The Northern Trust Company Organization, Chicago, IL Corporation, Investment firm Operational/Managerial Control Nov 1, 2014
Adp of the SNF Apr 8, 2025
Denice Day Individual Operational/Managerial Control Jun 29, 2023
Adp of the SNF Apr 8, 2025
Alisa Iffland Individual Corporate OfficerVP of Finance and Treasurer Jan 6, 2017
Operational/Managerial Control Jan 6, 2017
Adp of the SNF Jan 3, 2017
Shelly Murriel Individual Corporate DirectorDirector of Clinical Reimbursement Sep 9, 2024
Operational/Managerial Control Sep 9, 2024
Adp of the SNF Sep 9, 2024
Kyle Munroe Individual Corporate DirectorDirector of Financial Planning Sep 8, 2015
Operational/Managerial Control Sep 8, 2015
Adp of the SNF Sep 8, 2015
Shawn Lind Individual Operational/Managerial Control Jan 29, 2014
Richter and Associates Organization, Twinsburg, OH Corporation, Management services company, Consulting firm 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.

Facilities with the same owner 107

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

View all 107

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.

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

Verify at the official NPI Registry.