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

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Member of 1

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

Facilities with the same owner 107

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

View all 107

Practitioners 2

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.

Medicare Care Compare: Nursing home

Listed as
Providence Care Center CCN 365976
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 (Provider of Services file)
Certified beds
138 · 93.5 residents per day on average
Chain
Commonspirit Health (18 facilities)

Source: Medicare Care Compare, processed Aug 1, 2026.

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

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 Director
Director 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 Director
Director 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 Director
Regional 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 Body
Director
Jan 5, 2024
Lisa Wallen
Individual
Operational/Managerial Control Jan 8, 2020
Mitch Melfi
Individual
Managing Control - Governing Body
Vice 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 Director
Director 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 Officer
Secretary
Jun 25, 2024
Operational/Managerial Control Jun 5, 2024
Adp of the SNF Jun 5, 2024
Prentice Lipsey
Individual
Corporate Officer
President CHI Living Communities
Nov 1, 2021
Managing Control - Governing Body
President & Ceo
Nov 1, 2021
Pauline Basinger
Individual
Operational/Managerial Control May 7, 2024
Barbara Snodgrass
Individual
Corporate Director
Regional Clinical Director
Aug 15, 2016
Adp of the SNF Aug 15, 2016
Matthew Wine
Individual
Corporate Director
Director 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 Director
Director 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 Officer
VP of Finance and Treasurer
Jan 6, 2017
Operational/Managerial Control Jan 6, 2017
Adp of the SNF Jan 3, 2017
Shelly Murriel
Individual
Corporate Director
Director of Clinical Reimbursement
Sep 9, 2024
Operational/Managerial Control Sep 9, 2024
Adp of the SNF Sep 9, 2024
Kyle Munroe
Individual
Corporate Director
Director 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

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000312181OtherOHANTHEM PROVIDER NUMBER
0860064MedicaidOH

Other providers in Sandusky, OH

All providers in Sandusky, OH · Skilled Nursing Facility in Ohio

Sources for this page

Verify at the official NPI Registry.