Organization Active NPI

St Leonard

  • Nursing Facility/Intermediate Care Facility
  • Centerville, OH
National Provider Identifier
1851387047
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
1887 Issued in OH
Legal business name
ST LEONARD
Practice address
8100 Clyo Rd
Centerville, OH 45458-2720
Phone
(937) 436-6317
Fax
(937) 439-7104
NPI assigned
Sep 22, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sylvia Clasen
Title
Controller
Phone
(937) 439-7159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 1887 OH Primary

Addresses

Primary practice location

8100 Clyo Rd
Centerville, OH 45458-2720

Mailing address

8100 Clyo Rd
Centerville, OH 45458-2720
Phone (937) 436-6317

Other identifiers 1

IdentifierTypeStateIssuer
2218602MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051109000203 OH Part A Provider - Skilled Nursing Facility 3173541018 Practice locations: Centerville, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851387047. Details of each certification follow.

Skilled nursing facility certification: CCN 365714

Legal name
ST LEONARD
Doing business as
ST LEONARD
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 14, 1988
Last certification
Jul 18, 2024
Beds
150
Ownership / control type
Corporation
Multi-facility organization
CHI LIVING COMMUNITIES
Organization structure
CorporationNon-profit
Incorporated
Oct 31, 2000 in OH
Enrollment address
8100 Clyo Rd
Centerville, OH 45458-2720
Nursing home name
ST LEONARD HCC
Affiliated entity
COMMONSPIRIT HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
St Leonard HCCCCN 365714 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 14, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
150124.6 residents per day on average
Chain
Commonspirit Health18 facilities in the chain
Penalties (3 years)
4Fines totaling $89,700

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
St Leonard3 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.

Member of 1

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

Locations

8100 Clyo Rd
Dayton, OH 45458
Phone (937) 433-0480

Ownership & related parties

All disclosed owners & managing parties 44

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 DirectorDirector 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
Indirect Ownership Interest Nov 1, 2014 100%
Joan Longhin-Howard Individual Operational/Managerial Control Apr 16, 2007
Adp of the SNF Apr 16, 2007
Rickey Crum Individual Operational/Managerial Control Aug 18, 2011
Caitlin Cecil Individual Corporate DirectorDirector 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
Stacey Grubbs Individual Corporate DirectorRegional Director of Finance Mar 26, 2012
Operational/Managerial Control Mar 26, 2012
Adp of the SNF Mar 26, 2012
Eric Van Doren Individual Operational/Managerial Control May 6, 2024
Irina V Overman Individual Operational/Managerial Control Aug 1, 2024
Adp of the SNF Aug 1, 2024
Ulrichpinciotti Design Group, LLC Organization, Toledo, OK LLC Operational/Managerial Control Jul 1, 2011
Adp of the SNF Apr 10, 2025
Kelly Lance Individual Operational/Managerial Control Aug 29, 2011
Concept Rehab, Inc. Organization, Toledo, OH Corporation Adp of the SNF Jan 5, 2015
Dianne McFarland Individual Operational/Managerial Control Dec 18, 2023
Adp of the SNF Dec 18, 2023
Kelsey Barney Individual Operational/Managerial Control Nov 6, 2023
Terika Richardson Mbanu Individual Managing Control - Governing BodyDirector Jan 5, 2024
Anton C Vasiliu Individual Operational/Managerial Control Aug 27, 2024
Adp of the SNF Aug 27, 2024
Frances Angelo Individual Operational/Managerial Control Nov 29, 2018
Mitch Melfi Individual Managing Control - Governing BodyVice Chair May 23, 2016
Mika Rose Individual Operational/Managerial Control Oct 18, 2016
Skilled Care Pharmacy LLC Organization, Mason, OH LLC Operational/Managerial Control Feb 1, 2024
Adp of the SNF Apr 10, 2025
Ana Jost Individual Operational/Managerial Control Oct 2, 2024
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 Nov 1, 2014
Adp of the SNF Nov 1, 2014
Jennifer Nagel Individual Corporate DirectorDirector of Talent Acquisition Nov 12, 2015
Operational/Managerial Control Nov 12, 2015
Adp of the SNF Nov 12, 2015
Casey Howard Individual Operational/Managerial Control May 1, 2022
Adp of the SNF May 1, 2022
Elizabeth Barta Individual Adp of the SNF May 21, 2018
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 10, 2025
Sebastian Rock Individual Operational/Managerial Control Dec 3, 2024
Adp of the SNF Jun 28, 2024
Prelude Systems, Inc. Organization, Mechanicsburg, PA Corporation Operational/Managerial Control Apr 1, 2017
Adp of the SNF Apr 10, 2025
Jennifer Voelker Individual Adp of the SNF Feb 1, 2019
Forvis Mazars LLP Organization, Springfield, MO Consulting firm Operational/Managerial Control Aug 16, 2019
Adp of the SNF Apr 10, 2025
Heather Rehmer Individual Corporate OfficerSecretary Jun 25, 2024
Operational/Managerial Control Jun 25, 2024
Adp of the SNF Jun 25, 2024
Prentice Lipsey Individual Corporate OfficerPresident and Ceo Nov 1, 2021
Managing Control - Governing BodyPresident & Ceo Nov 1, 2021
Barbara Snodgrass Individual Corporate DirectorRegional Clinical Director Aug 15, 2016
Adp of the SNF Aug 15, 2016
Matthew Wine Individual Corporate DirectorDirector of Payer Relations Oct 1, 2018
Operational/Managerial Control Oct 1, 2018
Adp of the SNF Oct 1, 2018
Christina Finn Individual Corporate DirectorDirector of Compensation & HR Benef Jul 1, 2017
Operational/Managerial Control Jul 1, 2017
Adp of the SNF Jul 1, 2017
Rocky Matthews Individual Operational/Managerial Control Jul 10, 2024
The Northern Trust Company Organization, Chicago, IL Corporation, Investment firm Operational/Managerial Control Nov 1, 2021
Adp of the SNF Apr 10, 2025
Alisa Iffland Individual Corporate OfficerVP of Finance and Treasurer Jan 6, 2017
Operational/Managerial Control Jan 6, 2017
Adp of the SNF Jan 6, 2017
Shelly Murriel Individual Corporate DirectorDirector of Clinical Reimbursement Sep 9, 2024
Operational/Managerial Control Sep 9, 2024
Adp of the SNF Sep 9, 2024
Kyle Munroe Individual Corporate DirectorDirector of Financial Planning Sep 8, 2015
Operational/Managerial Control Sep 8, 2015
Adp of the SNF Sep 8, 2015
Timothy Dressman Individual Operational/Managerial Control Jan 15, 2025
Mary Houston Individual Operational/Managerial Control Jul 14, 2016
Richter and Associates Organization, Twinsburg, OH Corporation, Management services company, Consulting firm Operational/Managerial Control Feb 1, 2019
Adp of the SNF Apr 17, 2025

Owners & managing parties with NPI records 6

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

Facilities with the same owner 100

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

View all 100

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 2

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": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851387047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 CLYO RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454582720",
            "telephone_number": "937-436-6317",
            "fax_number": "937-439-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 CLYO RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454582720",
            "telephone_number": "937-436-6317",
            "fax_number": "937-439-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LEONARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLASEN",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "937-439-7159"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OH",
            "license": "1887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2218602",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.