NPIMap

Organization Active NPI

Woodlawn Hospital

Doing business as Timbercrest Church of the Brethren Home

  • Skilled Nursing Facility
  • North Manchester, IN
National Provider Identifier
1073557617
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
06-000448-1 Issued in IN
Legal business name
WOODLAWN HOSPITAL
Doing business as
Timbercrest Church of the Brethren Home
Practice address
2201 East St
North Manchester, IN 46962-9654
Phone
(260) 982-2118
Fax
(260) 982-4385
NPI assigned
Jun 15, 2006
Last updated
May 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Authorized official

Name
Ms. Sabine Thomas
Title
Administrator
Phone
(260) 982-3939

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 06-000448-1 IN
Alzheimer Center (Dementia Center) 311500000X 06-000448-1 IN
Nursing Facility/Intermediate Care Facility 313M00000X 06-000448-1 IN
Skilled Nursing Facility 314000000X 06-000448-1 IN Primary

Addresses

Primary practice location

2201 East St
North Manchester, IN 46962-9654

Mailing address

PO Box 501
North Manchester, IN 46962-0501
Phone (260) 982-2118

Other identifiers 1

IdentifierTypeStateIssuer
100275140AMedicaidIN

Other names 1

  • Timbercrest Church of the Brethren Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141007000013 IN Part A Provider - Skilled Nursing Facility 4082506993 Practice locations: North Manchester, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073557617. Details of each certification follow.

Skilled nursing facility certification: CCN 155740

Legal name
WOODLAWN HOSPITAL
Doing business as
TIMBERCREST CHURCH OF THE BRETHREN HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 23, 2005
Last certification
Sep 30, 2024
Beds
326 (65 certified)
Ownership / control type
County
Organization structure
OtherNon-profit
Enrollment address
2201 East St
North Manchester, IN 46962-9654
Nursing home name
TIMBERCREST CHURCH OF THE BRETHREN HOME

Other NPIs with the same Medicare PAC ID 16

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

View all 16

Care Compare: Nursing home

Medicare Care Compare
Listed as
Timbercrest Church of the Brethren HomeCCN 155740 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Government - County
Certified
Sep 23, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6557.6 residents per day on average

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
15D0358912Timbercrest Church of the Brethren Home, Inc2201 East St, North Manchester, IN 46962Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Woodlawn Hospital26 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

Locations

2201 East St
North Manchester, IN 46962
Phone (260) 982-2118

Ownership & related parties

All disclosed owners & managing parties 30

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

NameRoleSinceShare
Alison M Heyde Individual Corporate DirectorVice Chair Sep 9, 2019
Managing Control - Governing BodyBoard Member Sep 1, 2019
Angela Noel Troyer Individual Operational/Managerial Control Nov 9, 2024
Adp of the SNF Nov 9, 2024
Alan Jay Fisher Individual Corporate OfficerCeo Jun 13, 2022
Operational/Managerial Control Jun 13, 2022
Managing Control - Governing BodyPresident and Ceo Jun 13, 2022
Brandon Miller Individual Managing Control - Governing BodyBoard Member Apr 7, 2025
Trustee of the SNF Apr 7, 2025
John E Wenger Individual Operational/Managerial Control Nov 11, 2023
Adp of the SNF Nov 11, 2023
Terri L Johnson Individual Corporate DirectorBoard Member Jun 13, 2022
Managing Control - Governing BodyBoard Member Jun 13, 2022
Trustee of the SNF Jun 13, 2022
Steve Hammer Individual Operational/Managerial Control Nov 13, 2021
Adp of the SNF Nov 13, 2021
Healthcare Therapy Services Inc Organization, Greenwood, IN Corporation Adp of the SNF Aug 18, 2003
Friends Services for the Aging Organization, Blue Bell, PA Corporation Adp of the SNF May 1, 2018
Church of the Brethren Home Inc Organization, North Manchester, IN Corporation 5% Or Greater Security Interest Jul 1, 2014 100%
Operational/Managerial Control Jul 1, 2014 100%
Adp of the SNF Jul 1, 2014
Pamela S Higgins Individual Operational/Managerial Control May 1, 1997
Adp of the SNF May 1, 1997
Individual Adp of the SNF May 1, 2018
Woodlawn Hospital Organization, Rochester, IN 5% Or Greater Direct Ownership Interest Jul 1, 2014 100%
Sabine Thomas Individual Operational/Managerial Control Sep 12, 2018
Adp of the SNF Sep 12, 2018
Harry Webb Individual Managing Control - Governing BodyBoard Member Oct 15, 2023
Trustee of the SNF Oct 15, 2023
Kevin Boyer Individual Operational/Managerial Control Nov 9, 2024
Adp of the SNF Nov 9, 2024
Christine Huiras Individual Operational/Managerial Control Jun 1, 2023
Adp of the SNF Jun 1, 2023
Gregory Lee Mellinger Individual Corporate DirectorBoard Member Jun 13, 2022
Managing Control - Governing BodyBoard Member Jun 13, 2022
Trustee of the SNF Jun 13, 2022
Byron Smith Individual Operational/Managerial Control Nov 10, 2018
Adp of the SNF Nov 10, 2018
Todd Eastis Individual Operational/Managerial Control Nov 12, 2022
Adp of the SNF Nov 12, 2022
Sally Brubaker Individual Operational/Managerial Control Nov 12, 2022
Adp of the SNF Nov 12, 2022
David K Wysong Individual Operational/Managerial Control Nov 11, 2023
Adp of the SNF Nov 11, 2023
Glen W Bode Individual Managing Control - Governing BodyBoard Member Dec 9, 2022
Trustee of the SNF Dec 9, 2022
Megan Sarber Individual Operational/Managerial Control Nov 12, 2022
Adp of the SNF Nov 12, 2022
Eunice Culp Individual Operational/Managerial Control Nov 9, 2019
Adp of the SNF Nov 9, 2019
James Chinworth Individual Operational/Managerial Control Nov 12, 2022
Adp of the SNF Nov 12, 2022
Rebecca Hollenberg Individual Operational/Managerial Control Nov 9, 2024
Adp of the SNF Nov 9, 2024
Kendra Chudzynski Individual Managing Control - Governing BodyBoard Member Oct 15, 2024
Trustee of the SNF Oct 15, 2024
George Merryman Individual Operational/Managerial Control Nov 12, 2022
Adp of the SNF Nov 12, 2022
Jeff Baumann Individual Operational/Managerial Control Nov 9, 2019
Adp of the SNF Nov 9, 2019

Owners & managing parties with NPI records 19

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

View all 19

All facility ownership & control disclosures 15

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

FacilityTypeRoleSince
Woodlawn HospitalRochester, IN, CCN 151313 Hospital Operational/Managerial Control Jan 8, 2010
Woodlawn HospitalRochester, IN, CCN 15Z313 Hospital Operational/Managerial Control Jan 8, 2010
Grace Village Health Care FacilityWinona Lake, IN, CCN 155635 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 May 1, 2013
May 28, 2025
Wesley Manor Health CenterFrankfort, IN, CCN 155658 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Apr 8, 2013
Mar 12, 2025
Peabody Retirement CommunityNorth Manchester, IN, CCN 155655 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Oct 31, 2014
Dec 17, 2025
Greencroft HealthcareGoshen, IN, CCN 155205 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2015
Hamilton GroveNew Carlisle, IN, CCN 155672 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Nov 1, 2015
Dec 8, 2025
Southfield VillageSouth Bend, IN, CCN 155684 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2015
Oak Grove Christian Retirement VillageDemotte, IN, CCN 155667 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2016
Jan 1, 2016
Nov 17, 2025
Golden Years HomesteadFort Wayne, IN, CCN 155755 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2018
Woodlawn Medical ProfessionalsRochester, IN, CCN 158552 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2012
Aug 1, 2013
Argos Medical CenterArgos, IN, CCN 158548 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2012
Aug 1, 2013
Akron Medical CenterAkron, IN, CCN 158547 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2012
Aug 1, 2013
Shafer Medical ClinicRochester, IN, CCN 158551 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2012
Jan 1, 2012
Fulton County Medical ClinicRochester, IN, CCN 158550 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2012
Aug 1, 2013

Owned or controlled facilities with NPI records 15

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

  • Woodlawn Hospital
    • Skilled Nursing Facility
    • South Bend, IN
    • NPI 1184604233

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Woodlawn Hospital

    dba Oak Grove Christian Retirement Village

    • Skilled Nursing Facility
    • Demotte, IN
    • NPI 1235113945

    5% Or Greater Direct Ownership Interest, 5% Or Greater Indirect Ownership Interest, Adp of the SNF

    CMS ownership
  • Woodlawn Hospital

    dba Shafer Medical Center

    • Rural Health Clinic/Center
    • Rochester, IN
    • NPI 1265095988

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Woodlawn Hospital
    • Critical Access Hospital
    • Rochester, IN
    • NPI 1265413405

    Operational/Managerial Control

    CMS ownership
  • Woodlawn Hospital

    dba Grace Village Health Care Facility

    • Nursing Facility/Intermediate Care Facility
    • Winona Lake, IN
    • NPI 1285723734

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership
  • Woodlawn Hospital

    dba Golden Years Homestead

    • Skilled Nursing Facility
    • Fort Wayne, IN
    • NPI 1326180803

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Woodlawn Hospital

    dba Wesley Manor Health Center

    • Nursing Facility/Intermediate Care Facility
    • Frankfort, IN
    • NPI 1548241045

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership
  • Woodlawn Hospital
    • Medicare Defined Swing Bed Hospital Unit
    • Rochester, IN
    • NPI 1548396534

    Operational/Managerial Control

    CMS ownership
  • Woodlawn Hospital

    dba Woodlawn Medical Professionals

    • Rural Health Clinic/Center
    • Rochester, IN
    • NPI 1699338574

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Woodlawn Hospital

    dba Akron Medical Center

    • Rural Health Clinic/Center
    • Akron, IN
    • NPI 1710540695

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Woodlawn Hospital

    dba Hamilton Grove

    • Nursing Facility/Intermediate Care Facility
    • New Carlisle, IN
    • NPI 1730174434

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership
  • Woodlawn Hospital

    dba Greencroft Healthcare

    • Skilled Nursing Facility
    • Goshen, IN
    • NPI 1770586554

    5% Or Greater Direct Ownership Interest

    CMS ownership
View all 15

Facilities with the same owner 15

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

View all 15

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1073557617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 501",
            "city": "NORTH MANCHESTER",
            "state": "IN",
            "postal_code": "469620501",
            "telephone_number": "260-982-2118",
            "fax_number": "260-982-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 EAST ST",
            "city": "NORTH MANCHESTER",
            "state": "IN",
            "postal_code": "469629654",
            "telephone_number": "260-982-2118",
            "fax_number": "260-982-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAWN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "SABINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "260-982-3939",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IN",
            "license": "06-000448-1",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "IN",
            "license": "06-000448-1",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IN",
            "license": "06-000448-1",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "06-000448-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100275140A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Timbercrest Church of the Brethren Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Manchester, IN

Sources for this page

Verify at the official NPI Registry.