NPIMap

Organization Active NPI

St Elizabeth Medical Center, Inc

Doing business as St Elizabeth Ft. Thomas SNF

  • Skilled Nursing Facility
  • Fort Thomas, KY
National Provider Identifier
1902842073
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
100759 Issued in KY
Legal business name
ST ELIZABETH MEDICAL CENTER, INC
Doing business as
St Elizabeth Ft. Thomas SNF
Practice address
85 N Grand Ave
Fort Thomas, KY 41075-1793
Phone
(859) 572-3100
Fax
(859) 578-5980
NPI assigned
Jun 20, 2006
Last updated
Jun 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Authorized official

Name
Lori Ritchey-Baldwin
Title
Cfo (Interim)
Phone
(859) 655-0109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 100759 KY Primary

Addresses

Primary practice location

85 N Grand Ave
Fort Thomas, KY 41075-1793

Mailing address

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 655-1889

Other names 1

  • St Elizabeth Ft. Thomas SNF Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090622000075 KY Part A Provider - Skilled Nursing Facility 0648174623 Practice locations: Fort Thomas, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902842073. Details of each certification follow.

Skilled nursing facility certification: CCN 185328

Legal name
ST ELIZABETH MEDICAL CENTER, INC
Doing business as
ST. ELIZABETH FT. THOMAS - SNF
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Jan 29, 1992
Last certification
Jan 9, 2025
Beds
20
Ownership / control type
Nonprofit Corporation
Multi-facility organization
St. Elizabeth Healthcare
Organization structure
CorporationNon-profit
Incorporated
Apr 3, 1978 in KY
Enrollment address
85 N Grand Ave
Fort Thomas, KY 41075-1793
Nursing home name
ST ELIZABETH FT THOMAS SNF

Other NPIs with the same Medicare PAC ID 14

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

View all 14

Care Compare: Nursing home

Medicare Care Compare
Listed as
St Elizabeth Ft Thomas SNFCCN 185328 · All quality measures
Overall star rating
4 of 5
Health inspections
5 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare
Ownership
Non profit - Corporation
Certified
Jan 29, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
2013.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
St Elizabeth Grant Coun26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
St Elizabeth Medical Center, Inc Organization, Edgewood, KY Chain home office Adp of the SNF Dec 31, 2024
Donald L Price Individual Corporate DirectorBoard Member Jan 1, 2024
Amy Thompson Individual Adp of the SNF Dec 10, 2014
Robert D Moorhead Individual Corporate DirectorBoard Member Jan 1, 2021
Jason Jackman Individual Corporate DirectorBoard Member Jan 1, 2019
Jackie S Sweeney Individual Corporate DirectorBoard Member Jan 1, 2019
Sylvia Buxton Individual Corporate DirectorBoard Member Jan 1, 2024
Joseph Koester Individual Corporate DirectorBoard Member Jan 1, 2020
Lori a Ritchey-Baldwin Individual Corporate OfficerCorporate Treasurer - Cfo Jan 1, 2014
John Hawkins Individual Corporate DirectorBoard Member Jan 1, 2023
Robert Stevens Individual Corporate DirectorBoard Member Jan 1, 2022
Kristi Nelson Individual Corporate DirectorBoard Member Jan 1, 2022
Andrew Schaeffer Individual Corporate DirectorBoard Member Jan 1, 2019
Jeanne Schroer Individual Corporate DirectorBoard Member Jan 1, 2023
Debbie Simpson Individual Corporate DirectorBoard Member Jan 1, 2026
Kris Knochelmann Individual Corporate DirectorBoard Member Jan 1, 2021
Garren Colvin Individual Corporate OfficerPresident and Ceo Oct 28, 2008
Corporate DirectorPresident and Ceo Feb 13, 2015
Marsha a Ladenburger Individual Corporate DirectorBoard Member Jan 1, 2021
Judith L Neff Individual Operational/Managerial Control Jan 1, 2017
Adp of the SNF Jan 1, 2017
Derek Haught Individual Corporate DirectorBoard Member Jan 1, 2025
Lisa Frey Individual Corporate OfficerCorporate Secretary Jan 1, 2019
Vera Hall Individual Corporate OfficerVice President Jan 1, 2024

Owners & managing parties with NPI records 17

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

View all 17

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
St. Elizabeth Dearborn HospitalLawrenceburg, IN, CCN 150086 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2020
St Elizabeth HealthcareEdgewood, KY, CCN 185394 Skilled nursing facility Adp of the SNF Jan 16, 2019
St. Elizabeth Home CareFlorence, KY, CCN 187075 Home health agency 5% Or Greater Direct Ownership Interest (50%) Dec 3, 2007
St Elizabeth Home Care ServicesLawrenceburg, IN, CCN 157055 Home health agency 5% Or Greater Direct Ownership Interest (50%) Oct 9, 2020

Owned or controlled facilities with NPI records 4

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

Practitioners & affiliated clinicians

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": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1902842073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL VILLAGE DR",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173403",
            "telephone_number": "859-655-1889",
            "fax_number": "859-578-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 N GRAND AVE",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410751793",
            "telephone_number": "859-572-3100",
            "fax_number": "859-578-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ELIZABETH MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "RITCHEY-BALDWIN",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CFO (INTERIM)",
        "authorized_official_telephone_number": "859-655-0109"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Elizabeth Ft. Thomas SNF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Thomas, KY

Sources for this page

Verify at the official NPI Registry.