MADONNA MANOR, INC.
NPI 1043215296
Skilled Nursing Facility in Villa Hills, KY

Active since June 15, 2005CLIA Certified · 2 labs
3/5
Overall Rating
2344 AMSTERDAM RD, VILLA HILLS, KY 41017(859) 341-3981(859) 578-7475 Get Directions Write a Review

NPPES record last updated: May 1, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Madonna Manor, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADONNA MANOR, INC. (NPI 1043215296) is a healthcare organization registered as a skilled nursing facility in Villa Hills, Kentucky and active in the NPI registry since June 2005. The organization holds 2 active CLIA laboratory certificates and lists Wendy Dolyk, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1043215296
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMADONNA MANOR, INC.
Location Address2344 AMSTERDAM RDVilla Hills, KY 41017-3712
Mailing Address2344 Amsterdam RdVilla Hills, KY 41017-3712 · (859) 341-3981 · Fax (859) 578-7475
Fax(859) 578-7475
Organization SubpartNo
Authorized OfficialWendy DolykChief Operating Officer · (567) 455-0414
Enumeration DateJune 15, 2005
Last NPPES UpdateMay 1, 2017
NPI 1043215296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in KY · 100268
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
2344 AMSTERDAM RD, Villa Hills, KY 41017

Other Identifiers 2

Medicare ID-Type Unspecified185241KY
Medicaid12500567KY

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0954829

Madonna Manor · Villa Hills, KY
Active · expires Dec 9, 2026
CLIA Number18D0954829
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateDecember 10, 2024
Certificate Expiration DateDecember 9, 2026
Laboratory DirectorMs. Maureen D. Waters
Laboratory Phone(606) 341-3981
Laboratory LocationMadonna Manor2344 Amsterdam Rd, Villa Hills, KY 41017
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2201433

Madonna Manor Assisted Living · Villa Hills, KY
Active · expires Nov 19, 2026
CLIA Number18D2201433
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 20, 2024
Certificate Expiration DateNovember 19, 2026
Laboratory DirectorMs. Denise Corrou
Laboratory Phone(859) 426-6302
Laboratory LocationMadonna Manor Assisted Living2344 Amsterdam Rd, Villa Hills, KY 41017
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Madonna Manor (CMS certification number 185241), from CMS Care Compare.

Madonna Manor

Nursing home · Villa Hills, KY
3/5 CMS Overall Rating
OwnershipNon profit - Church related
CMS Certification Number185241
Certified Beds60 beds53 residents per day on average
Medicare & Medicaid Participant SinceNovember 7, 1990
Resident & Family CouncilResident council
Continuing care retirement community Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
23.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
6 totaling $14,377.56
Medicare Payment Denials
0
Total Penalties
6
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
2344 AMSTERDAM RD
VILLA HILLS, KY 41017
Physical Therapy Assistant
2344 AMSTERDAM RD
VILLA HILLS, KY 41017

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madonna Manor, Inc.'s NPI number?

The NPI number for Madonna Manor, Inc. is 1043215296. It was assigned to this organization in the NPPES registry on June 15, 2005.

Where is Madonna Manor, Inc. located?

Madonna Manor, Inc. is located at 2344 Amsterdam Rd, Villa Hills, KY 41017. The listed phone number is (859) 341-3981.

What is Madonna Manor, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Madonna Manor, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

Is Madonna Manor, Inc. a Medicare-certified nursing home?

Yes. Madonna Manor is a Medicare-certified nursing home with 60 certified beds.

What quality rating does Madonna Manor, Inc. have?

CMS rates Madonna Manor 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Madonna Manor, Inc. was last updated on May 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.