Organization Active NPI

Friendship Village of Dublin Ohio, Inc.

Doing business as Friendship Village of Dublin

  • Skilled Nursing Facility
  • Dublin, OH
National Provider Identifier
1891778536
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1746N Issued in OH
Legal business name
FRIENDSHIP VILLAGE OF DUBLIN OHIO, INC.
Doing business as
Friendship Village of Dublin
Practice address
6000 Riverside Dr
Dublin, OH 43017
Phone
(614) 764-1600
Fax
(614) 746-7466
NPI assigned
Nov 28, 2005
Last updated
Aug 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Authorized official

Name
Jessica Ashley Rieker, NHA
Title
Administrator
Phone
(614) 717-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1746N OH Primary

Addresses

Primary practice location

6000 Riverside Dr
Dublin, OH 43017

Mailing address

6000 Riverside Dr
Dublin, OH 43017-1492
Phone (614) 764-1600

Other identifiers 1

IdentifierTypeStateIssuer
0463903MedicaidOH

Other names 1

  • Friendship Village of Dublin Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111219000028 OH Part A Provider - Skilled Nursing Facility 1759453277 Practice locations: Dublin, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891778536. Details of each certification follow.

Skilled nursing facility certification: CCN 365560

Legal name
FRIENDSHIP VILLAGE OF DUBLIN OHIO, INC.
Doing business as
FRIENDSHIP VILLAGE OF DUBLIN
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 15, 1981
Last certification
Nov 14, 2024
Beds
50
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 4, 1978 in OH
Enrollment address
6000 Riverside Dr
Dublin, OH 43017-1492
Nursing home name
FRIENDSHIP VILLAGE OF DUBLIN

Care Compare: Nursing home

Medicare Care Compare
Listed as
Friendship Village of DublinCCN 365560 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jul 15, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5040.9 residents per day on average

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
36D0696126Friendship Village of Dublin6000 Riverside Dr, Dublin, OH 43017Certificate of waiverAug 31, 2026
36D0917860Friendship Village of Dublin Home HLTH6000 Riverside Dr, Dublin, OH 43017Certificate of waiverJul 28, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Bank of America, N.a. Organization, Charlotte, NC 5% Or Greater Security Interest Sep 30, 2016 6.31%
William J Koniewich Individual Corporate DirectorBoard Member Nov 28, 2011
Tom Gessells Individual Corporate DirectorBoard Member Jan 1, 2019
Friendship Village of Dublin Ohio, Inc. Organization, Dublin, OH Created for acquisition, Corporation, Medical provider/supplier, Non-profit 5% Or Greater Direct Ownership Interest Apr 4, 1978 100%
Medard R Lutmerding Individual Corporate DirectorBoard Member Jan 1, 2019
Jessica a Rieker Individual W-2 Managing EmployeeAdministrator Jul 22, 2013
Kathleen a McGinnis Individual Corporate DirectorBoard Member Nov 28, 2011
Ronald J Bachman Individual Corporate DirectorBoard Member Nov 1, 2010
Richard a Baker Individual Corporate DirectorBoard Member Apr 22, 2014
Cynthia Valdez Dougherty Individual Corporate DirectorBoard Member Jan 1, 2017
Bruce a Wall Individual Corporate DirectorBoard Member Jun 1, 2010
Rita Doherty Individual Corporate Director Feb 1, 2022
W-2 Managing EmployeeExecutive Director Feb 1, 2022
Operational/Managerial ControlExecutive Director Mar 5, 2018
Kathryn Lasley Brod Individual Corporate Director Jan 1, 2023
Deborah a Johnson Individual Corporate DirectorBoard Member Jan 1, 2019
Richard Collins Simpson Individual Corporate Director Jan 1, 2023
Stefanie Morrow Individual Corporate DirectorBoard Member Jan 1, 2018
Mike Vasbinder Individual Corporate DirectorBoard Member Feb 1, 2022
Philip Cochran Individual Corporate Director Jan 1, 2023
Howard Rohleder Individual Corporate DirectorBoard Member Nov 1, 2021

Practitioners & affiliated clinicians

Affiliated clinicians 7

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": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1891778536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 RIVERSIDE DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171492",
            "telephone_number": "614-764-1600",
            "fax_number": "614-746-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 RIVERSIDE DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "43017",
            "telephone_number": "614-764-1600",
            "fax_number": "614-746-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDSHIP VILLAGE OF DUBLIN OHIO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-28",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "RIEKER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "614-717-1600",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1746N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0463903",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friendship Village of Dublin",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Friendship Village of Dublin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.