Organization Active NPI

Hendricks County Hospital

  • Skilled Nursing Facility
  • Indianapolis, IN
National Provider Identifier
1063409498
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0113563841001 Issued in IN
Legal business name
HENDRICKS COUNTY HOSPITAL
Practice address
7630 E 86TH St
Indianapolis, IN 46256-1212
Phone
(317) 845-0032
Fax
(317) 845-8626
NPI assigned
Sep 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Authorized official

Name
Mr. Kevin P. Speer
Title
Ceo
Phone
(317) 745-4451

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0113563841001 IN Primary
Nursing Facility Supplies (DME) 332BN1400X 0113563841001 IN
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 0113563841001 IN

Addresses

Primary practice location

7630 E 86TH St
Indianapolis, IN 46256-1212

Mailing address

7630 E 86TH St
Indianapolis, IN 46256-1212
Phone (317) 845-0032

Other identifiers 1

IdentifierTypeStateIssuer
100266840MedicaidIN

Other names 1

  • Castleton Health Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140609001193 IN Part A Provider - Skilled Nursing Facility 4880505528 Practice locations: Indianapolis, IN

Skilled nursing facility certification: CCN 155245

Legal name
HENDRICKS COUNTY HOSPITAL
Doing business as
CASTLETON HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jan 23, 1985
Last certification
Sep 13, 2024
Beds
109
Ownership / control type
Corporation
Multi-facility organization
OPCO Skilled Management
Organization structure
OtherNon-profit
Enrollment address
7630E 86TH St
Indianapolis, IN 46256-1212
Nursing home name
CASTLETON HEALTH CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Castleton Health Care CenterCCN 155245
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 23, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10980.1 residents per day on average
Special focus status
SFF Candidate
Penalties (3 years)
1Fines totaling $0

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
15D0647244Hendricks County Hospital Dba Castleton Health7630 E 86TH St, Indianapolis, IN 46256Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Hendricks Community Hosp110 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

Ownership & related parties

All disclosed owners & managing parties 29

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

NameRoleSinceShare
James D Pike Individual Operational/Managerial Control Mar 1, 2024
Adp of the SNF Mar 1, 2024
Oregon Realty, LLC Organization, Los Angeles, CA LLC, Holding company, Owned by another organization or individual 5% Or Greater Security Interest Mar 1, 2024 14%
Adp of the SNF Mar 1, 2024
Esdov Investments LLC Organization, Los Angeles, CA LLC, Holding company Adp of the SNF Mar 1, 2024
Azalea Investors LLC Organization, Los Angeles, CA LLC, Holding company Operational/Managerial Control Mar 1, 2024
Adp of the SNF Mar 1, 2024
Millennial Acquisitions, LLC Organization, Los Angeles, CA LLC, Holding company Adp of the SNF Mar 1, 2024
Timothy a Whicker Individual Corporate DirectorBoard Member Jan 12, 2022
Managing Control - Governing BodyBoard Member Jan 12, 2022
Trustee of the SNF Jan 12, 2022
Deanna M Fenoughty Individual Corporate OfficerPresident and Ceo Jul 10, 2023
Operational/Managerial Control Jul 10, 2023
Managing Control - Governing BodyBoard Member Jul 10, 2023
Trustee of the SNF Jul 10, 2023
Frontier Realty Investors LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Mar 1, 2024
Adp of the SNF Mar 1, 2024
Crossroads Senior Living Group LLC Organization, Los Angeles, CA LLC, Management services company Operational/Managerial Control Mar 1, 2024
Adp of the SNF Mar 1, 2024
LTC Consulting Services LLC Organization, Lakewood, NJ LLC Operational/Managerial Control Mar 1, 2024
Adp of the SNF Mar 1, 2024
Opco Ca Skilled MGMT Inc. Organization, Los Angeles, CA Corporation, Consulting firm Operational/Managerial Control Mar 1, 2024
Adp of the SNF Mar 1, 2024
Windsor Square Realty, LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Mar 1, 2024 100%
Adp of the SNF Mar 1, 2024
Erin M Engels Individual 5% Or Greater Mortgage Interest Oct 22, 2012
Corporate DirectorChair Nov 1, 2013
Managing Control - Governing BodyBoard Member Oct 12, 2012
Trustee of the SNF Oct 12, 2012
John Waite Individual Corporate DirectorVice Chair Aug 1, 2020
Managing Control - Governing BodyBoard Member Aug 1, 2020
Trustee of the SNF Aug 1, 2020
Anita Johnson Individual Operational/Managerial Control Jan 9, 2026
Hendricks County Hospital Organization, Danville, IN 5% Or Greater Direct Ownership Interest Nov 1, 2013 100%
Jubilee Master Holdings LLC Organization, Los Angeles, CA LLC, Holding company Adp of the SNF Mar 1, 2024
Castleton Care Center, LLC Organization, Los Angeles, CA LLC, Management services company Operational/Managerial Control Mar 1, 2024
Adp of the SNF Mar 1, 2024
Mark Edward Gentry Individual Corporate DirectorBoard Member Jan 12, 2022
Managing Control - Governing BodyBoard Member Jan 12, 2022
Trustee of the SNF Jan 12, 2022
Scooper Realty, LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Mar 1, 2024 80%
Adp of the SNF Mar 1, 2024
Tyler Starkey Individual Corporate DirectorSecretary Aug 1, 2020
Managing Control - Governing BodyBoard Member Aug 1, 2020
Trustee of the SNF Aug 1, 2020
Forvis Mazars LLP Organization, Springfield, MO Consulting firm Operational/Managerial Control Jun 1, 2023
Adp of the SNF Jun 1, 2023
Pease Bell Cpas LLC Organization, Cleveland, OH Consulting firm Operational/Managerial Control Jun 14, 2018
Adp of the SNF Jun 14, 2018
Gibraltar Trust Organization, Los Angeles, CA Owned by another organization or individual 5% Or Greater Mortgage Interest Mar 1, 2024 20%
Adp of the SNF Mar 1, 2024
David Garetz Individual Operational/Managerial Control Mar 1, 2024
Adp of the SNF Mar 1, 2024
Magnolia Realty, LLC Organization, Los Angeles, CA LLC, Holding company Adp of the SNF Mar 1, 2024
7630 E 86TH Street in LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Mar 1, 2024 100%
Adp of the SNF Mar 1, 2024
Opco in Skilled MGMT LLC Organization, Los Angeles, CA LLC, Consulting firm Adp of the SNF Mar 1, 2024
Mosha Kaplan Individual Operational/Managerial Control Mar 1, 2024
Adp of the SNF Mar 1, 2024

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 46

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

FacilityTypeRoleSince
Hendricks Regional HealthDanville, IN, CCN 150005 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Laporte Care CenterLa Porte, IN, CCN 155062 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Churchman Care CenterIndianapolis, IN, CCN 155138 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Bloomington Care CenterBloomington, IN, CCN 155278 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Brookview Care CenterIndianapolis, IN, CCN 155076 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Sycamore Village Care CenterKokomo, IN, CCN 155367 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Valparaiso Care CenterValparaiso, IN, CCN 155137 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Twelfth Street Care CenterMishawaka, IN, CCN 155109 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Merrillville Care CenterMerrillville, IN, CCN 155362 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Woodbridge Care CenterEvansville, IN, CCN 155390 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Portage Care CenterPortage, IN, CCN 155187 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Lincoln Hills Care CenterTell City, IN, CCN 155384 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Golden Rule Care CenterRichmond, IN, CCN 155264 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Elkhart Care CenterElkhart, IN, CCN 155685 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Brandywine Care CenterGreenfield, IN, CCN 155120 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Brentwood Care CenterEvansville, IN, CCN 155248 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Terrace Care CenterLa Porte, IN, CCN 155136 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Knox Care CenterKnox, IN, CCN 155686 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Woodlands Care CenterNewburgh, IN, CCN 155252 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Hamilton Trace of FishersFishers, IN, CCN 155793 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 15, 2013
Brickyard Healthcare - Fountainview Care CenterMishawaka, IN, CCN 155178 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Muncie Care CenterMuncie, IN, CCN 155687 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brownsburg Health Care CenterBrownsburg, IN, CCN 155206 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2013
Brickyard Healthcare - Petersburg Care CenterPetersburg, IN, CCN 155375 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2014
Brickyard Healthcare - Richmond Care CenterRichmond, IN, CCN 155157 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2014
Brickyard Healthcare - Willow Springs Care CenterIndianapolis, IN, CCN 155834 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 10, 2015
The Waters of LebanonLebanon, IN, CCN 155211 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 15, 2017
Westside Retirement VillageIndianapolis, IN, CCN 155606 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Aug 1, 2018
Feb 24, 2025
Mitchell ManorMitchell, IN, CCN 155324 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Aug 1, 2018
Feb 25, 2025
Life Care Center of Ft WayneFort Wayne, IN, CCN 155266 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Aug 1, 2018
Feb 26, 2025
Heritage HealthcareWest Lafayette, IN, CCN 155402 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Sep 1, 2018
Feb 26, 2025
Life Care Center of the WillowsValparaiso, IN, CCN 155158 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Oct 1, 2018
Feb 24, 2025
Hammond-Whiting Care CenterWhiting, IN, CCN 155423 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Oct 1, 2018
Feb 27, 2025
Parkview Care CenterEvansville, IN, CCN 155348 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Oct 1, 2018
Feb 24, 2025
Life Care Center of Michigan CityMichigan City, IN, CCN 155344 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Oct 1, 2018
Feb 25, 2025
Life Care Center of LagrangeLagrange, IN, CCN 155343 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Oct 1, 2018
Feb 27, 2025
The Lane HouseCrawfordsville, IN, CCN 155477 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Sep 1, 2012
Feb 20, 2025
The WoodlandsMuncie, IN, CCN 155229 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Dec 1, 2018
Feb 26, 2025
Life Care Center of ValparaisoValparaiso, IN, CCN 155331 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Dec 1, 2018
Feb 21, 2025
Green Valley Care CenterNew Albany, IN, CCN 155070 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Dec 1, 2018
Feb 28, 2025
Life Care Center of RochesterRochester, IN, CCN 155379 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Dec 1, 2018
Feb 27, 2025
Rensselaer Care CenterRensselaer, IN, CCN 155287 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Nov 1, 2018
Feb 27, 2025
Byron Health CenterFort Wayne, IN, CCN 155364 Skilled nursing facility Direct Ownership Interest (100%) Aug 1, 2020
Hickory Creek at SunsetGreencastle, IN, CCN 155565 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Dec 1, 2022
May 7, 2025
Suburban Home Health, LLCNoblesville, IN, CCN 157092 Home health agency 5% Or Greater Indirect Ownership Interest (12.82%) Sep 3, 2024
Suburban HospiceNoblesville, IN, CCN 151547 Hospice 5% Or Greater Indirect Ownership Interest (12.82%) Nov 1, 2024

Facilities with the same owner 143

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 143

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1063409498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7630 E 86TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561212",
            "telephone_number": "317-845-0032",
            "fax_number": "317-845-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7630 E 86TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561212",
            "telephone_number": "317-845-0032",
            "fax_number": "317-845-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDRICKS COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "SPEER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-745-4451",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "0113563841001",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "IN",
            "license": "0113563841001",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "IN",
            "license": "0113563841001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100266840",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Castleton Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.