Providence Care Center
Organization Active NPI Skilled Nursing Facility · Sandusky, OH
NPI 1699757377 · NPPES record last updated Jan 17, 2008
Key facts
- NPI
- 1699757377
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 4460 (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
- Organization subpart
- No
Authorized official
- Name
- Mrs. Denice Day, LNHA
- Title
- Administrator
- Phone
- (419) 627-2273
Owners & managing parties with NPI records 7
-
Darrin R Bunting, DO
Member of 1
Facilities with the same owner 107
Practitioners 2
-
Darrin R Bunting, DO
Affiliated clinicians 1
-
Darrin R Bunting, DO
Medicare Care Compare: Nursing home
- Listed as
- Providence Care Center
- 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
- Active
- Certified beds
- 138 · 93.5 residents per day on average
- Chain
- Commonspirit Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
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 · Non-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
All disclosed owners & managing parties 40
| 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 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100517000728 | OH | Part a Provider - Skilled Nursing Facility | 5193853844 | Practice locations: Sandusky, OH |
National Provider Directory
Locations
2025 Hayes Ave
Sandusky, OH 44870
Phone (419) 627-2273
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 4460 | OH | Yes |
Addresses
Primary practice location
2025 Hayes Ave
Sandusky, OH 44870-4739
Mailing address
2025 Hayes Ave
Sandusky, OH 44870-4739
Phone (419) 627-2273
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000312181 | Other | OH | ANTHEM PROVIDER NUMBER |
| 0860064 | Medicaid | OH |
Other providers in Sandusky, OH
- James E Preston
- Brian J Printy
- Pro-Vision Inc
- Promedica Central Physicians LLC
- Adrian Protzman
- Lisa A Pruitt
- Tristin Delrae Pruitt
- Tim Pudloski
- Cassandra Purcell
- Abdul Qadir
All providers in Sandusky, OH · Skilled Nursing Facility in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.