Active NPI
United Church Homes, Inc
- Skilled Nursing Facility
- Canal Fulton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1180N
- Legal business name
- UNITED CHURCH HOMES, INC
- Practice address
- 12200 Strausser St NW
Canal Fulton, OH 44614-9479 - Phone
- (330) 854-4177
- NPI assigned
- Nov 23, 2005
- 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
- Mr. Rob Weisbrodt
- Title
- VP It Services
- Phone
- (740) 382-4885
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1180N | OH | Primary |
Addresses
Primary practice location
12200 Strausser St NW
Canal Fulton, OH 44614-9479
Mailing address
12200 Strausser St NW
Canal Fulton, OH 44614-9479
Phone (330) 854-4177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0055381 | Medicaid | OH |
Other names 1
- Chapel Hill Community
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070910000216 | OH | Part A Provider - Skilled Nursing Facility | 2062514193 | Practice locations: Canal Fulton, OH |
Skilled nursing facility certification: CCN 365494
- Legal name
- UNITED CHURCH HOMES, INC.
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 1, 1980
- Last certification
- Apr 24, 2025
- Beds
- 80
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- United Church Homes
- Organization structure
- Corporation
- Incorporated
- May 13, 1920 in OH
- Enrollment address
- 12200 Strausser NWST
Canal Fulton, OH 44614 - Nursing home name
- CHAPEL HILL COMMUNITY
- Affiliated entity
- UNITED CHURCH HOMES
Other NPIs with the same Medicare PAC ID 6
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Chapel Hill Community
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Apr 1, 1980
- Medicare certification status
- Active
- Certified beds
- 80
- Chain
- United Church Homes
National Provider Directory
National Provider Directory- Tax ID family
- United Church Homes Inc
Other organizations with this tax ID 23
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Jackson, OH
- NPI 1053572842
-
- Clinical Medical Laboratory
- Upper Sandusky, OH
- NPI 1154582930
-
- Assisted Living Facility
- Upper Sandusky, OH
- NPI 1154918357
-
- Assisted Living Facility
- Fairborn, OH
- NPI 1205423407
-
- Clinical Medical Laboratory
- Sandusky, OH
- NPI 1255592036
-
- Assisted Living Facility
- Canal Fulton, OH
- NPI 1376130567
-
- Assisted Living Facility
- Beavercreek, OH
- NPI 1558958769
-
- Assisted Living Facility
- Sandusky, OH
- NPI 1588251789
-
- Assisted Living Facility
- Marietta, OH
- NPI 1760084115
-
- Clinical Medical Laboratory
- Canal Fulton, OH
- NPI 1851552632
-
- Clinical Medical Laboratory
- Cincinnati, OH
- NPI 1982865762
-
- Skilled Nursing Facility
- Jackson, OH
- NPI 1144203449
Ownership & related parties
All disclosed owners & managing parties 46
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 |
|---|---|---|---|
| Brianna Horning | Operational/Managerial Control | Oct 28, 2020 | |
| Jenna Covalesky | Operational/Managerial Control | Sep 22, 2017 | |
| Kenneth L Young | Corporate Officer | Feb 7, 2025 | |
| Operational/Managerial Control | Feb 7, 2025 | ||
| Robert Sandman | Corporate Director | Jun 1, 2025 | |
| Pamela Benjamin | Corporate Director | Jun 1, 2021 | |
| Adp of the SNF | Feb 1, 2026 | ||
| Holly Juersivich | Operational/Managerial Control | Jun 18, 2020 | |
| James L Henry | Corporate Director | Dec 31, 2014 | |
| Lapearl Logan Winfrey | Corporate Director | Jun 1, 2020 | |
| George Graham | Corporate Director | Jun 1, 2025 | |
| Debra Durbin | Operational/Managerial Control | Aug 8, 2022 | |
| Scott Slutz | Operational/Managerial Control | Feb 1, 2016 | |
| United Church Homes, Inc. | 5% Or Greater Direct Ownership Interest | Apr 1, 2000 | 100% |
| Operational/Managerial Control | Apr 1, 2000 | 100% | |
| Adp of the SNF | Apr 1, 2000 | ||
| Teresa D Spitznagel | Operational/Managerial Control | Jul 15, 2022 | |
| Daniel J Miller | Operational/Managerial Control | Dec 4, 2017 | |
| Ashley Bills | Operational/Managerial Control | Aug 26, 2022 | |
| Tamra Brubaker | Operational/Managerial Control | Aug 19, 2022 | |
| Adp of the SNF | Feb 1, 2026 | ||
| Cheryl Baughman | Operational/Managerial Control | Sep 26, 1990 | |
| William Klenzman | Operational/Managerial Control | Jul 15, 2022 | |
| Stephanie Williams | Corporate Director | Jun 1, 2024 | |
| Adp of the SNF | Feb 1, 2026 | ||
| Jordan Cuenot | Operational/Managerial Control | Dec 2, 2024 | |
| Elizabeth Siatta | Operational/Managerial Control | Jan 13, 2025 | |
| David Long-Higgins | Corporate Director | Nov 1, 2018 | |
| Karl Ulrich | Corporate Director | Jun 1, 2024 | |
| Marc Dye | Operational/Managerial Control | Mar 26, 2014 | |
| Elizabeth Long-Higgins | Operational/Managerial Control | Apr 2, 2022 | |
| Michelle Maghes | Operational/Managerial Control | Mar 24, 2025 | |
| Ro Nita Hawes-Saunders | Corporate Director | Feb 1, 2024 | |
| Peter Bailey | Corporate Director | Jun 1, 2024 | |
| Nathan Bollinger | Operational/Managerial Control | Mar 31, 2023 | |
| Gloria T Hurwitz | Operational/Managerial Control | Oct 7, 2013 | |
| Judith Naderhoff | Corporate Officer | Jan 1, 2026 | |
| Operational/Managerial Control | Jan 1, 2026 | ||
| Daniel J Cannone | Operational/Managerial Control | Dec 6, 2012 | |
| Adp of the SNF | Dec 6, 2012 | ||
| Megan Kelley | Operational/Managerial Control | Aug 1, 2023 | |
| Vincent Eusanio | Operational/Managerial Control | Mar 31, 2025 | |
| Michelle Tillman | Operational/Managerial Control | Aug 21, 2020 | |
| Joanna D'Agostino | Corporate Director | Jun 1, 2024 | |
| Adp of the SNF | Feb 1, 2026 | ||
| Geoffrey Black | Corporate Director | Jun 1, 2016 | |
| Tracy Thompson | Operational/Managerial Control | Jul 24, 2014 | |
| Joshua Kerr | Operational/Managerial Control | Mar 17, 2020 | |
| Adp of the SNF | Feb 2, 2026 | ||
| Laura Farrell | Operational/Managerial Control | Jan 26, 1996 | |
| Jill James | Corporate Director | Jun 1, 2025 | |
| Trevor Bates | Corporate Director | Feb 1, 2017 |
Owners & managing parties with NPI records 7
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Family Medicine) Physician
- Wadsworth, OH
- NPI 1750483962
Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Jackson, OH
- NPI 1144203449
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Sandusky, OH
- NPI 1508849605
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Marietta, OH
- NPI 1073994893
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Fairborn, OH
- NPI 1528041647
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Beavercreek, OH
- NPI 1760465884
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
-
- Multi-Specialty Clinic/Center
- Marion, OH
- NPI 1811733280
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
All facility ownership & control disclosures 4
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Brookhaven Nursing and Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (11.73%) | Dec 27, 2006 |
| Four Winds Nursing Facility | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Apr 1, 2000 Apr 1, 2000 Apr 1, 2000 |
| Trinity Community at Beavercreek | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Apr 1, 2000 Apr 1, 2000 Apr 1, 2000 |
| Harmar Place | Skilled nursing facility | Operational/Managerial Control (100%) | Jul 1, 2015 |
Owned or controlled facilities with NPI records 4
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Brookville, OH
- NPI 1790758423
5% Or Greater Direct Ownership Interest
-
- Skilled Nursing Facility
- Jackson, OH
- NPI 1144203449
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Marietta, OH
- NPI 1073994893
Operational/Managerial Control
-
- Skilled Nursing Facility
- Beavercreek, OH
- NPI 1760465884
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 4
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Brookville, OH
- NPI 1790758423
United Church Homes, Inc.
-
- Skilled Nursing Facility
- Jackson, OH
- NPI 1144203449
United Church Homes, Inc.
-
- Skilled Nursing Facility
- Marietta, OH
- NPI 1073994893
United Church Homes, Inc.
-
- Skilled Nursing Facility
- Beavercreek, OH
- NPI 1760465884
United Church Homes, Inc.
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Massillon, OH
- NPI 1285620252
-
- Family Medicine Physician
- Sandusky, OH
- NPI 1356314421
-
- Internal Medicine Physician
- Xenia, OH
- NPI 1760487979
-
- Family Medicine Physician
- Canal Fulton, OH
- NPI 1407819600
-
- Internal Medicine Physician
- Barberton, OH
- NPI 1568567410
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": "1132704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785196800000",
"number": "1972586980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12200 STRAUSSER ST NW",
"city": "CANAL FULTON",
"state": "OH",
"postal_code": "446149479",
"telephone_number": "330-854-4177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12200 STRAUSSER ST NW",
"city": "CANAL FULTON",
"state": "OH",
"postal_code": "446149479",
"telephone_number": "330-854-4177"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED CHURCH HOMES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-23",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A",
"authorized_official_last_name": "WEISBRODT",
"authorized_official_first_name": "ROB",
"authorized_official_title_or_position": "VP IT SERVICES",
"authorized_official_telephone_number": "740-382-4885",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OH",
"license": "1180N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0055381",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1066.1",
"affiliationName": "eSolutions Inc",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CSV",
"address_1": "8215 W 108th Ter",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "662101661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Chapel Hill Community",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Canal Fulton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.