NPIMap

Organization Active NPI

Woodlawn Hospital

  • Skilled Nursing Facility
  • South Bend, IN
National Provider Identifier
1184604233
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
050026621 Issued in IN
Legal business name
WOODLAWN HOSPITAL
Practice address
6450 Miami Cir
South Bend, IN 46614-6480
Phone
(574) 231-1000
Fax
(574) 231-5566
NPI assigned
Jan 17, 2006
Last updated
Feb 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Authorized official

Name
Mr. John Alley
Title
President/Ceo
Phone
(574) 223-3141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 050026621 IN Primary

Addresses

Primary practice location

6450 Miami Cir
South Bend, IN 46614-6480

Mailing address

6450 Miami Cir
South Bend, IN 46614-6480
Phone (574) 231-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151222002109 IN Part A Provider - Skilled Nursing Facility 4082506993 Practice locations: South Bend, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184604233. Details of each certification follow.

Skilled nursing facility certification: CCN 155684

Legal name
WOODLAWN HOSPITAL
Doing business as
SOUTHFIELD VILLAGE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Dec 28, 2000
Last certification
Oct 31, 2024
Beds
138 (60 certified)
Ownership / control type
County
Multi-facility organization
Woodlawn Hospital
Organization structure
OtherNon-profit
Enrollment address
6450 Miami Cir
South Bend, IN 46614-6480
Nursing home name
SOUTHFIELD VILLAGE
Affiliated entity
GREENCROFT COMMUNITIES

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
Southfield VillageCCN 155684 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Government - County
Certified
Dec 28, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6052.7 residents per day on average
Chain
Greencroft Communities5 facilities in the chain

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
15D0978286Southfield Village6450 Miami Cir, South Bend, IN 46614Certificate of waiverSep 19, 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

Ownership & related parties

All disclosed owners & managing parties 10

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 DirectorBoard Member Sep 9, 2019
Operational/Managerial Control Nov 1, 2025
Alan Jay Fisher Individual Corporate OfficerCeo Jun 13, 2022
Joseph M Doran Individual 5% Or Greater Direct Ownership Interest Nov 1, 2025
Terri L Johnson Individual Corporate DirectorBoard Member Jun 13, 2022
Travis P Albright Individual Corporate DirectorBoard Member Jun 13, 2022
Nancy J Day Individual Corporate DirectorBoard Member Nov 1, 2015
Woodlawn Hospital Organization, Rochester, IN 5% Or Greater Direct Ownership Interest Nov 1, 2015 100%
Southfield Village Inc Organization, South Bend, IN Corporation, Non-profit Operational/Managerial Control Nov 1, 2015
Steven D Furnivall Individual Corporate DirectorBoard Member Nov 1, 2015
Gregory Lee Mellinger Individual Corporate DirectorBoard Member Jun 13, 2022

Owners & managing parties with NPI records 16

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

  • Woodlawn Hospital

    dba Timbercrest Church of the Brethren Home

    • Skilled Nursing Facility
    • North Manchester, IN
    • NPI 1073557617

    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

    CMS ownership
  • Woodlawn Hospital

    dba Shafer Medical Center

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

    5% Or Greater Direct Ownership Interest

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

    5% Or Greater Direct Ownership Interest

    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

    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

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

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Woodlawn Hospital

    dba Argos Medical Center

    • Family Medicine Physician
    • Argos, IN
    • NPI 1639241227

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Woodlawn Hospital

    dba Woodlawn Medical Professionals

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

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Woodlawn Hospital

    dba Akron Medical Center

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

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Woodlawn Hospital

    dba Hamilton Grove

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

    5% Or Greater Direct Ownership Interest

    CMS ownership
View all 16

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
Timbercrest Church of the Brethren HomeNorth Manchester, IN, CCN 155740 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2014
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
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

    dba Timbercrest Church of the Brethren Home

    • Skilled Nursing Facility
    • North Manchester, IN
    • NPI 1073557617

    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 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": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1184604233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 MIAMI CIR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466146480",
            "telephone_number": "574-231-1000",
            "fax_number": "574-231-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 MIAMI CIR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466146480",
            "telephone_number": "574-231-1000",
            "fax_number": "574-231-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAWN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "ALLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "574-223-3141",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "050026621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.