Active NPI
Hendricks County Hospital
- Skilled Nursing Facility
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0113563841001
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100266840 | Medicaid | IN |
Other names 1
- Castleton Health Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Other
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 23, 1985
- Medicare certification status
- Active
- Certified beds
- 109
- Special focus status
- SFF Candidate
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D0647244 | Hendricks County Hospital Dba Castleton Health | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Hendricks Community Hosp
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.
-
- Corporate Health Clinic/Center
- Plainfield, IN
- NPI 1114405156
-
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1033166871
-
- Skilled Nursing Facility
- Fishers, IN
- NPI 1033416243
-
- Skilled Nursing Facility
- Valparaiso, IN
- NPI 1053599688
-
- Skilled Nursing Facility
- Greenfield, IN
- NPI 1063468676
-
- Skilled Nursing Facility
- New Albany, IN
- NPI 1063469930
-
- Skilled Nursing Facility
- Muncie, IN
- NPI 1063682896
-
- Skilled Nursing Facility
- Evansville, IN
- NPI 1093762155
-
- Skilled Nursing Facility
- La Porte, IN
- NPI 1093985814
-
- Corporate Health Clinic/Center
- Danville, IN
- NPI 1104195098
-
- Family Medicine Physician
- Brownsburg, IN
- NPI 1104600048
-
- Family Medicine Physician
- Plainfield, IN
- NPI 1104927557
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.
| Name | Role | Since | Share |
|---|---|---|---|
| James D Pike | Operational/Managerial Control | Mar 1, 2024 | |
| Adp of the SNF | Mar 1, 2024 | ||
| Oregon Realty, LLC | 5% Or Greater Security Interest | Mar 1, 2024 | 14% |
| Adp of the SNF | Mar 1, 2024 | ||
| Esdov Investments LLC | Adp of the SNF | Mar 1, 2024 | |
| Azalea Investors LLC | Operational/Managerial Control | Mar 1, 2024 | |
| Adp of the SNF | Mar 1, 2024 | ||
| Millennial Acquisitions, LLC | Adp of the SNF | Mar 1, 2024 | |
| Timothy a Whicker | Corporate Director | Jan 12, 2022 | |
| Managing Control - Governing Body | Jan 12, 2022 | ||
| Trustee of the SNF | Jan 12, 2022 | ||
| Deanna M Fenoughty | Corporate Officer | Jul 10, 2023 | |
| Operational/Managerial Control | Jul 10, 2023 | ||
| Managing Control - Governing Body | Jul 10, 2023 | ||
| Trustee of the SNF | Jul 10, 2023 | ||
| Frontier Realty Investors LLC | 5% Or Greater Mortgage Interest | Mar 1, 2024 | |
| Adp of the SNF | Mar 1, 2024 | ||
| Crossroads Senior Living Group LLC | Operational/Managerial Control | Mar 1, 2024 | |
| Adp of the SNF | Mar 1, 2024 | ||
| LTC Consulting Services LLC | Operational/Managerial Control | Mar 1, 2024 | |
| Adp of the SNF | Mar 1, 2024 | ||
| Opco Ca Skilled MGMT Inc. | Operational/Managerial Control | Mar 1, 2024 | |
| Adp of the SNF | Mar 1, 2024 | ||
| Windsor Square Realty, LLC | 5% Or Greater Mortgage Interest | Mar 1, 2024 | 100% |
| Adp of the SNF | Mar 1, 2024 | ||
| Erin M Engels | 5% Or Greater Mortgage Interest | Oct 22, 2012 | |
| Corporate Director | Nov 1, 2013 | ||
| Managing Control - Governing Body | Oct 12, 2012 | ||
| Trustee of the SNF | Oct 12, 2012 | ||
| John Waite | Corporate Director | Aug 1, 2020 | |
| Managing Control - Governing Body | Aug 1, 2020 | ||
| Trustee of the SNF | Aug 1, 2020 | ||
| Anita Johnson | Operational/Managerial Control | Jan 9, 2026 | |
| Hendricks County Hospital | 5% Or Greater Direct Ownership Interest | Nov 1, 2013 | 100% |
| Jubilee Master Holdings LLC | Adp of the SNF | Mar 1, 2024 | |
| Castleton Care Center, LLC | Operational/Managerial Control | Mar 1, 2024 | |
| Adp of the SNF | Mar 1, 2024 | ||
| Mark Edward Gentry | Corporate Director | Jan 12, 2022 | |
| Managing Control - Governing Body | Jan 12, 2022 | ||
| Trustee of the SNF | Jan 12, 2022 | ||
| Scooper Realty, LLC | 5% Or Greater Mortgage Interest | Mar 1, 2024 | 80% |
| Adp of the SNF | Mar 1, 2024 | ||
| Tyler Starkey | Corporate Director | Aug 1, 2020 | |
| Managing Control - Governing Body | Aug 1, 2020 | ||
| Trustee of the SNF | Aug 1, 2020 | ||
| Forvis Mazars LLP | Operational/Managerial Control | Jun 1, 2023 | |
| Adp of the SNF | Jun 1, 2023 | ||
| Pease Bell Cpas LLC | Operational/Managerial Control | Jun 14, 2018 | |
| Adp of the SNF | Jun 14, 2018 | ||
| Gibraltar Trust | 5% Or Greater Mortgage Interest | Mar 1, 2024 | 20% |
| Adp of the SNF | Mar 1, 2024 | ||
| David Garetz | Operational/Managerial Control | Mar 1, 2024 | |
| Adp of the SNF | Mar 1, 2024 | ||
| Magnolia Realty, LLC | Adp of the SNF | Mar 1, 2024 | |
| 7630 E 86TH Street in LLC | 5% Or Greater Mortgage Interest | Mar 1, 2024 | 100% |
| Adp of the SNF | Mar 1, 2024 | ||
| Opco in Skilled MGMT LLC | Adp of the SNF | Mar 1, 2024 | |
| Mosha Kaplan | 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.
-
- Obstetrics & Gynecology Physician
- Avon, IN
- NPI 1245218908
Corporate Officer, Managing Control - Governing Body, Operational/Managerial Control, Trustee of the SNF
-
- Obstetrics & Gynecology Physician
- Danville, IN
- NPI 1144260191
Corporate Director, Managing Control - Governing Body, Trustee of the SNF
-
- Pulmonary Disease Physician
- Indianapolis, IN
- NPI 1366443400
Adp of the SNF, Operational/Managerial Control
All facility ownership & control disclosures 46
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Hendricks Regional Health | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Laporte Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Churchman Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Bloomington Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Brookview Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Sycamore Village Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Valparaiso Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Twelfth Street Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Merrillville Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Woodbridge Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Portage Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Lincoln Hills Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Golden Rule Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Elkhart Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Brandywine Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Brentwood Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Terrace Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Knox Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Woodlands Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Hamilton Trace of Fishers | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 15, 2013 |
| Brickyard Healthcare - Fountainview Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brickyard Healthcare - Muncie Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Brownsburg Health Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2013 |
| Brickyard Healthcare - Petersburg Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2014 |
| Brickyard Healthcare - Richmond Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2014 |
| Brickyard Healthcare - Willow Springs Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 10, 2015 |
| The Waters of Lebanon | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 15, 2017 |
| Westside Retirement Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Aug 1, 2018 Feb 24, 2025 |
| Mitchell Manor | 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 Wayne | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Aug 1, 2018 Feb 26, 2025 |
| Heritage Healthcare | 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 Willows | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Oct 1, 2018 Feb 24, 2025 |
| Hammond-Whiting Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Oct 1, 2018 Feb 27, 2025 |
| Parkview Care Center | 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 City | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Oct 1, 2018 Feb 25, 2025 |
| Life Care Center of Lagrange | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Oct 1, 2018 Feb 27, 2025 |
| The Lane House | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Sep 1, 2012 Feb 20, 2025 |
| The Woodlands | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Dec 1, 2018 Feb 26, 2025 |
| Life Care Center of Valparaiso | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Dec 1, 2018 Feb 21, 2025 |
| Green Valley Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Dec 1, 2018 Feb 28, 2025 |
| Life Care Center of Rochester | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Dec 1, 2018 Feb 27, 2025 |
| Rensselaer Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Nov 1, 2018 Feb 27, 2025 |
| Byron Health Center | Skilled nursing facility | Direct Ownership Interest (100%) | Aug 1, 2020 |
| Hickory Creek at Sunset | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Dec 1, 2022 May 7, 2025 |
| Suburban Home Health, LLC | Home health agency | 5% Or Greater Indirect Ownership Interest (12.82%) | Sep 3, 2024 |
| Suburban Hospice | 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.
-
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1073554200
Forvis Mazars LLP
-
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1134493281
Forvis Mazars LLP
-
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1144253451
Forvis Mazars LLP
-
- Skilled Nursing Facility
- Kendallville, IN
- NPI 1154362390
Forvis Mazars LLP
-
- Nursing Facility/Intermediate Care Facility
- Decatur, IN
- NPI 1356476154
Forvis Mazars LLP
-
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1376531681
Forvis Mazars LLP
-
- Skilled Nursing Facility
- Bluffton, IN
- NPI 1447231832
Forvis Mazars LLP
-
- Nursing Facility/Intermediate Care Facility
- Monroeville, IN
- NPI 1760519268
Forvis Mazars LLP
-
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1801205240
Forvis Mazars LLP
-
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1821092347
Forvis Mazars LLP
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.