Active NPI
St. Mary's Educational Institute at Cincinnati
Doing business as Mount Notre Dame Health Center
- Skilled Nursing Facility
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2311N
- Legal business name
- ST. MARY'S EDUCATIONAL INSTITUTE AT CINCINNATI
- Doing business as
- Mount Notre Dame Health Center
- Practice address
- 699 E Columbia Ave
Cincinnati, OH 45215-3945 - Phone
- (513) 821-7448
- Fax
- (513) 821-7476
- NPI assigned
- Jan 29, 2007
- Last updated
- Sep 25, 2012
- 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
- Donna Wisowaty
- Title
- Administrator
- Phone
- (513) 821-7448
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2311N | OH | Primary |
Addresses
Primary practice location
699 E Columbia Ave
Cincinnati, OH 45215-3945
Mailing address
699 E Columbia Ave
Cincinnati, OH 45215-3945
Phone (513) 821-7448
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2267934 | Medicaid | OH |
Other names 1
- Mount Notre Dame Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120509000597 | OH | Part A Provider - Skilled Nursing Facility | 7618139528 | Practice locations: Cincinnati, OH |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1710023759. Details of each certification follow.
Skilled nursing facility certification: CCN 366223
- Legal name
- ST. MARY'S EDUCATIONAL INSTITUTE AT CINCINNATI
- Doing business as
- MT NOTRE DAME HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 29, 2001
- Last certification
- Nov 13, 2024
- Beds
- 40
- Ownership / control type
- Church Related
- Organization structure
- Corporation
- Incorporated
- Jan 25, 1843 in OH
- Enrollment address
- 699 E Columbia Ave
Cincinnati, OH 45215-3945 - Nursing home name
- MOUNT NOTRE DAME HEALTH CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Mount Notre Dame Health Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Church related
- Certified
- Aug 29, 2001
- Medicare certification status
- Active
- Certified beds
- 40
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0984420 | Mount Notre Dame Healthcare Center | Certificate of waiver | Mar 20, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Emmanuel V Rivera | Operational/Managerial Control | Sep 1, 2001 | |
| Adp of the SNF | Sep 1, 2001 | ||
| Kathleen Harmon | 5% Or Greater Direct Ownership Interest | Aug 15, 2020 | 100% |
| Corporate Officer | Aug 15, 2020 | 100% | |
| Corporate Director | Aug 15, 2020 | 100% | |
| Direct Ownership Interest | Aug 15, 2020 | 100% | |
| St. Mary's Educational Institute at Cincinnati | 5% Or Greater Direct Ownership Interest | Aug 31, 2001 | 100% |
| Sarah Kern | Operational/Managerial Control | Apr 15, 2019 | |
| Adp of the SNF | Apr 15, 2019 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Family Medicine) Physician
- Cincinnati, OH
- NPI 1912946146
Adp of the SNF, Operational/Managerial Control
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Mason, OH
- NPI 1972506855
-
- Geriatric Medicine (Family Medicine) Physician
- Cincinnati, OH
- NPI 1912946146
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Mason, OH
- NPI 1972506855
Nursing home
-
- Geriatric Medicine (Family Medicine) Physician
- Cincinnati, OH
- NPI 1912946146
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348531200000",
"number": "1710023759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "699 E COLUMBIA AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452153945",
"telephone_number": "513-821-7448",
"fax_number": "513-821-7476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "699 E COLUMBIA AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452153945",
"telephone_number": "513-821-7448",
"fax_number": "513-821-7476"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. MARY'S EDUCATIONAL INSTITUTE AT CINCINNATI",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-29",
"last_updated": "2012-09-25",
"status": "A",
"authorized_official_last_name": "WISOWATY",
"authorized_official_first_name": "DONNA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "513-821-7448"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OH",
"license": "2311N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2267934",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mount Notre Dame Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cincinnati, OH
- St. Joseph Infant & Maternity Home (St. Joseph Home of Cincinnati)
- St. Joseph Infant and Maternity Home (St. Joseph Home of Cincinnati)
- St. Joseph Orphanage
- St. Joseph Orphanage
- St. Margaret Hall
- Jacqueline St. Onge
- Francesca Amanda St. Pe, MA
- Kay St. Peter, PA
- St. Vincent de Paul Charitable Pharmacy - Neyer Outreach Center (St. Vincent de Paul Charitable Pharmacy)
- St. Vincent Health Wellness and Preventive Care Institute, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.