Organization Active NPI

Sayre Christian Village Nursing Home, Inc.

  • Skilled Nursing Facility
  • Lexington, KY
National Provider Identifier
1881620490
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
100544 Issued in KY
Legal business name
SAYRE CHRISTIAN VILLAGE NURSING HOME, INC.
Practice address
3775 Belleau Wood Dr
Lexington, KY 40517-1804
Phone
(859) 271-9000
Fax
(859) 271-8160
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Authorized official

Name
Dawn M Davis
Title
Business Office
Phone
(859) 271-9000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 100544 KY Primary
Skilled Nursing Facility 314000000X

Addresses

Primary practice location

3775 Belleau Wood Dr
Lexington, KY 40517-1804

Mailing address

3775 Belleau Wood Dr
Lexington, KY 40517-1804
Phone (859) 271-9000

Other identifiers 1

IdentifierTypeStateIssuer
12501045MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Lexington
CONNECT URL Lexington

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100211000086 KY Part A Provider - Skilled Nursing Facility 2567505662 Practice locations: Lexington, KY

Skilled nursing facility certification: CCN 185248

Legal name
SAYRE CHRISTIAN VILLAGE NURSING HOME, INC.
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Mar 14, 1991
Last certification
Apr 24, 2025
Beds
164
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 1, 1984 in KY
Enrollment address
3775 Belleau Wood Dr
Lexington, KY 40517-1804
Nursing home name
SAYRE CHRISTIAN VILLAGE NURSING HOME

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sayre Christian Village Nursing HomeCCN 185248 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Mar 14, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
164157.7 residents per day on average
Penalties (3 years)
2Fines totaling $7,901

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D0323551Sayre Christian Village Nursing Home3775 Belleau Wood Dr, Lexington, KY 40517Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 27

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

NameRoleSinceShare
Ron Ring Individual Corporate DirectorBoard Member Jan 1, 2020 100%
Operational/Managerial Control Mar 23, 2000
J.L Lynn Individual Corporate DirectorBoard Member Apr 16, 1998
Operational/Managerial Control Apr 16, 1998
Mendy Pridemore Individual Corporate OfficerVP of Quality & Compliance Nov 14, 2024
Operational/Managerial Control Nov 14, 2024
Adp of the SNF Nov 14, 2024
Benjamin Buckley Individual Corporate DirectorBoad Member Jan 1, 2020 100%
Operational/Managerial Control Mar 24, 2016
Evan Mossbarger Individual Corporate DirectorBoard Member Sep 28, 2023
Operational/Managerial Control Sep 28, 2023
Ben Allen Individual Corporate DirectorBoard Member Apr 28, 2022
Operational/Managerial Control Apr 28, 2022
Daniel Danford Individual Corporate DirectorBoard Member Nov 18, 2024
Operational/Managerial Control Nov 18, 2024
Janet Fey Individual Corporate DirectorBoard Member Jul 5, 2024
Operational/Managerial Control Jul 5, 2024
Jana Thore Individual Corporate DirectorBoard Member Nov 18, 2024
Operational/Managerial Control Nov 18, 2024
John W Richard Individual Adp of the SNF Jan 1, 2020
Elise Hinchman Individual Corporate OfficerCoo Feb 18, 2019
Operational/Managerial Control Feb 18, 2019
Adp of the SNF Feb 18, 2019
Darlene Herndon Individual Corporate DirectorBoard Member Jan 1, 2020 100%
Operational/Managerial Control Jul 27, 2017
Nancy Skiba Individual Corporate DirectorBoard Member May 22, 2014
Operational/Managerial Control May 22, 2014
Christian Benevolent Outreach, Inc. Organization, Lexington, KY Corporation, Non-profit Operational/Managerial Control Jun 6, 1984
Adp of the SNF Jun 6, 1984
Penny M Upton Individual Corporate OfficerVP of Healthcare Services Jun 2, 2021 100%
Wayne Logan Individual Corporate DirectorBoard Member Apr 28, 2022
Operational/Managerial Control Apr 28, 2022
Heather Griffith Individual Corporate OfficerVP of Healthcare Services Feb 9, 2026
Operational/Managerial Control Feb 9, 2026
Adp of the SNF Feb 9, 2026
Kennetha Keinath Individual Corporate DirectorTreasurer Jan 1, 2020 100%
Operational/Managerial Control Mar 24, 2016
Gary Coleman Individual Corporate DirectorBoard Member Apr 16, 1998
Operational/Managerial Control Apr 16, 1998
Shane Smith Individual Corporate OfficerCfo Dec 1, 2025
Operational/Managerial Control Dec 1, 2025
Adp of the SNF Dec 1, 2025
Vicki Philips Individual Corporate OfficerVP of Housing Jan 25, 2010
Operational/Managerial Control Jan 25, 2010
Adp of the SNF Jan 25, 2010
Karen L Venis Individual Corporate OfficerCeo Jan 1, 2019 100%
Operational/Managerial Control Sep 1, 2010
Adp of the SNF Sep 1, 2010
John Dundon Individual Corporate OfficerCfo Jan 1, 2022
Jerry Kelly Individual Corporate DirectorBoard Member Apr 26, 2007
Operational/Managerial Control Apr 26, 2007
Doug Flynn Individual Corporate DirectorBoard Member Jul 22, 2021
Operational/Managerial Control Jul 22, 2021
Tom Hurtz Individual Corporate DirectorBoard Member Mar 24, 2016
Operational/Managerial Control Mar 24, 2016
Jeffrey Yeary Individual Corporate DirectorBoard Member Apr 8, 2022
Operational/Managerial Control Apr 8, 2022

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

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": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1881620490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3775 BELLEAU WOOD DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405171804",
            "telephone_number": "859-271-9000",
            "fax_number": "859-271-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 BELLEAU WOOD DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405171804",
            "telephone_number": "859-271-9000",
            "fax_number": "859-271-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAYRE CHRISTIAN VILLAGE NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS OFFICE",
        "authorized_official_telephone_number": "859-271-9000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100544",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12501045",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lexington",
            "affiliation": "N",
            "address_1": "3775 Belleau Wood Dr",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405171804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lexington",
            "affiliation": "N",
            "address_1": "3775 Belleau Wood Dr",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405171804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.