Organization Active NPI

Kenton Housing, Inc.

Doing business as Rosedale Green

  • Nursing Facility/Intermediate Care Facility
  • Covington, KY
National Provider Identifier
1720077704
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
100269 Issued in KY
Legal business name
KENTON HOUSING, INC.
Doing business as
Rosedale Green
Practice address
4250 Glenn Ave
Covington, KY 41015-1641
Phone
(859) 431-2244
Fax
(859) 431-7790
NPI assigned
Oct 21, 2005
Last updated
Jun 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Londa Leah Knollman
Title
Executive Director
Phone
(859) 431-2244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 100269 KY Primary

Addresses

Primary practice location

4250 Glenn Ave
Covington, KY 41015-1641

Mailing address

4250 Glenn Ave
Covington, KY 41015-1641
Phone (859) 431-2244

Other identifiers 1

IdentifierTypeStateIssuer
12500260MedicaidKY

Other names 1

  • Rosedale Green Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100202000007 KY Part A Provider - Skilled Nursing Facility 4284777145 Practice locations: Covington, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720077704. Details of each certification follow.

Skilled nursing facility certification: CCN 185225

Legal name
KENTON HOUSING, INC.
Doing business as
ROSEDALE GREEN
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 1991
Last certification
Apr 17, 2025
Beds
176
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Kenton Housing, Inc.
Organization structure
CorporationNon-profit
Incorporated
Mar 9, 1962 in KY
Enrollment address
4250 Glenn Ave
Covington, KY 41015-1641
Nursing home name
ROSEDALE GREEN

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Rosedale GreenCCN 185225 · All quality measures
Overall star rating
4 of 5
Health inspections
5 of 5
Staffing
2 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Mar 1, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
176169.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Kenton Housing Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jerome Neuhaus Individual Corporate DirectorBoard Member Jun 12, 2007
Bonnie Halderman Individual Corporate OfficerSecretary of the Board Apr 1, 2011
Corporate DirectorBoard Member May 22, 1990
Kelly Simmons Individual Corporate DirectorBoard Member Sep 27, 2011
Jeffrey Sewell Individual Corporate Director Jan 1, 2010
Mark E Middendorf Individual Corporate DirectorBoard Member May 8, 1990
Stephen Wolnitzek Individual Corporate DirectorBoard Member Apr 1, 2013
Paul Weaver Individual Corporate OfficerVice Chair/ Board of Directors Apr 1, 2011
Corporate DirectorBoard Member May 12, 1992
David Allan Boyer Individual W-2 Managing EmployeeChief Financial Officer Jan 1, 2019
Edward Fritz Individual Corporate OfficerChairman of the Board Apr 1, 2011
Corporate DirectorBoard Member Apr 11, 2006
Michael Hemmer Individual Corporate OfficerTreasurer of the Board Apr 1, 2013
Corporate DirectorBoard Member Mar 31, 2007
Londa Knollman Individual Corporate DirectorExecutive Director Aug 16, 2004
Operational/Managerial ControlExecutive Director Aug 16, 2004
Norman Ziegler Individual Corporate OfficerImmediate Past Chairman of Board Apr 1, 2011
Corporate DirectorBoard Member Apr 1, 2002

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Emerald TraceElsmere, KY, CCN 185481 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jan 1, 2017
Jan 1, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1129852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1720077704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 GLENN AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410151641",
            "telephone_number": "859-431-2244",
            "fax_number": "859-431-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 GLENN AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410151641",
            "telephone_number": "859-431-2244",
            "fax_number": "859-431-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTON HOUSING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-21",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "KNOLLMAN",
        "authorized_official_first_name": "LONDA",
        "authorized_official_middle_name": "LEAH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "859-431-2244",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "KY",
            "license": "100269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12500260",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosedale Green",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, KY

Sources for this page

Verify at the official NPI Registry.