Active NPI
Kenton Housing, Inc.
Doing business as Rosedale Green
- Nursing Facility/Intermediate Care Facility
- Covington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 100269
- 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, 2014
- 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
- Ms. Londa Leah Knollman
- Title
- Executive Director
- Phone
- (859) 431-2244
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12500260 | Medicaid | KY |
Other names 1
- Rosedale Green
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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).
-
dba Emerald Trace
- Skilled Nursing Facility
- Elsmere, KY
- NPI 1518413889
4284777145
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Rosedale Green
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Mar 1, 1991
- Medicare certification status
- Active
- Certified beds
- 176
National Provider Directory
National Provider Directory- Tax ID family
- Kenton Housing Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Rosedale Manor Nursing Home
- Parenteral & Enteral Nutrition Supplies (DME)
- Covington, KY
- NPI 1215069943
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Jerome Neuhaus | Corporate Director | Jun 12, 2007 | |
| Bonnie Halderman | Corporate Officer | Apr 1, 2011 | |
| Corporate Director | May 22, 1990 | ||
| Kelly Simmons | Corporate Director | Sep 27, 2011 | |
| Jeffrey Sewell | Corporate Director | Jan 1, 2010 | |
| Mark E Middendorf | Corporate Director | May 8, 1990 | |
| Stephen Wolnitzek | Corporate Director | Apr 1, 2013 | |
| Paul Weaver | Corporate Officer | Apr 1, 2011 | |
| Corporate Director | May 12, 1992 | ||
| David Allan Boyer | W-2 Managing Employee | Jan 1, 2019 | |
| Edward Fritz | Corporate Officer | Apr 1, 2011 | |
| Corporate Director | Apr 11, 2006 | ||
| Michael Hemmer | Corporate Officer | Apr 1, 2013 | |
| Corporate Director | Mar 31, 2007 | ||
| Londa Knollman | Corporate Director | Aug 16, 2004 | |
| Operational/Managerial Control | Aug 16, 2004 | ||
| Norman Ziegler | Corporate Officer | Apr 1, 2011 | |
| Corporate Director | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Emerald Trace | 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.
-
dba Emerald Trace
- Skilled Nursing Facility
- Elsmere, KY
- NPI 1518413889
5% Or Greater Direct Ownership Interest, 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.
-
- Internal Medicine Physician
- Independence, KY
- NPI 1962580258
-
- Internal Medicine Physician
- Fort Thomas, KY
- NPI 1811922511
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
- Rita Karen Keagle, APRN, BC-ADM
- Deonza Irene Keeton, OTR/L
- Tim Burke Keller, MD
- Victoria Grey Kennedy, LPCC
- Kenton Housing Inc (Rosedale Manor Nursing Home)
- Kentucky CVS Pharmacy, L.L.C. (CVS Pharmacy# 06113)
- Mary Kay Kerner, MA
- Richard S Kerstine, MD
- Ashleigh M Khayo, FNP
- Madison Brady Kidwell, APRN, WHNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.