NPIMap

Hendricks County Hospital

Organization Active NPI Skilled Nursing Facility · Valparaiso, IN

NPI 1194772087 · NPPES record last updated Apr 9, 2019

Key facts

NPI
1194772087
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
040000781 (IN)
Legal business name
HENDRICKS COUNTY HOSPITAL
Practice address
1000 Elizabeth St
Valparaiso, IN 46383-4326
Phone
(219) 464-4858
Fax
(219) 477-4746
NPI assigned
May 27, 2006
Organization subpart
No

Authorized official

Name
Cindy Cross
Title
Assist Secretary
Phone
(423) 473-5867

Owners & managing parties with NPI records 38

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

View all 38

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Facilities with the same owner 224

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

View all 224

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare Care Compare: Nursing home

Listed as
Life Care Center of the Willows CCN 155158
Overall star rating
★☆☆☆☆ 1 of 5
Health inspections
★☆☆☆☆ 1 of 5
Staffing
★★★☆☆ 3 of 5
Quality measures
★★★★☆ 4 of 5
Type
Medicare and Medicaid
Ownership
Government - County
Certified
Jul 15, 1974
Medicare certification status
Active (Provider of Services file)
Certified beds
92 · 66.4 residents per day on average
Chain
Life Care Centers of America (194 facilities)

Source: Medicare Care Compare, processed Aug 1, 2026.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0671031Life Care Center of the Willows
1000 Elizabeth Drive, Valparaiso, IN 46383		Certificate of waiverDec 11, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IN

Skilled nursing facility certification: CCN 155158

Legal name
HENDRICKS COUNTY HOSPITAL
Doing business as
LIFE CARE CENTER OF THE WILLOWS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 15, 1974
Last certification
Nov 13, 2024
Beds
92
Ownership / control type
County
Multi-facility organization
Life Care Center of America
Organization structure
Other · Non-profit
Enrollment address
1000 Elizabeth Dr
Valparaiso, IN 46383-4326
Nursing home name
LIFE CARE CENTER OF THE WILLOWS
Affiliated entity
LIFE CARE CENTERS OF AMERICA

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Forrest L Preston
Individual 		Operational/Managerial Control Oct 1, 2018
Adp of the SNF Oct 1, 2018
Terry Henry
Individual 		Operational/Managerial Control Oct 1, 2018
Tami Adams
Individual 		Operational/Managerial Control Oct 1, 2018
Adp of the SNF Oct 1, 2018
Todd Fletcher
Individual 		Operational/Managerial Control Oct 1, 2018
Timothy a Whicker
Individual 		Managing Control - Governing Body
Board Member		 Jan 12, 2022
Trustee of the SNF Jan 12, 2022
Deanna M Fenoughty
Individual 		Corporate Officer
President and Ceo		 Jul 10, 2023
Operational/Managerial Control Jul 10, 2023
Aubrey Preston
Individual 		Operational/Managerial Control Oct 1, 2018
Erin M Engels
Individual 		Managing Control - Governing Body
Board Member		 Oct 1, 2018
Trustee of the SNF Oct 1, 2018
John Waite
Individual 		Managing Control - Governing Body
Board Member		 Aug 1, 2020
Trustee of the SNF Aug 1, 2020
Consolidated Resources Health Care Fund I LP
Organization · Cleveland, TN
For-profit 		Operational/Managerial Control Oct 1, 2018 100%
Adp of the SNF Oct 1, 2018
Joan E Thurmond
Individual 		Operational/Managerial Control Oct 1, 2018
Cindy S Cross
Individual 		Operational/Managerial Control Oct 1, 2018
Hendricks County Hospital
Organization · Danville, IN
Non-profit 		5% Or Greater Direct Ownership Interest Oct 1, 2018 100%
Adp of the SNF Feb 24, 2025

Organization · Cleveland, TN
For-profit 		Adp of the SNF Oct 1, 2018
Richard Swanker
Individual 		Operational/Managerial Control Oct 1, 2018
Mark Edward Gentry
Individual 		Managing Control - Governing Body
Board Member		 Jan 12, 2022
Trustee of the SNF Jan 12, 2022
Life Care Centers of America, Inc.
Organization · Cleveland, TN
Corporation, For-profit, Chain home office 		Operational/Managerial Control Oct 1, 2018
Adp of the SNF Mar 14, 2025
Tyler Starkey
Individual 		Managing Control - Governing Body
Board Member		 Aug 1, 2020
Trustee of the SNF Aug 1, 2020
Lisa M Lay
Individual 		Operational/Managerial Control Oct 1, 2018
Michael F Mirochna
Individual 		Operational/Managerial Control Feb 1, 2019
Adp of the SNF Feb 1, 2019

Organization · Cleveland, TN
LLC 		Adp of the SNF Oct 1, 2018
James Ziegler
Individual 		Operational/Managerial Control Oct 1, 2018

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 Health
Danville, IN · CCN 150005		 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Laporte Care Center
La Porte, IN · CCN 155062		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Churchman Care Center
Indianapolis, IN · CCN 155138		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Bloomington Care Center
Bloomington, IN · CCN 155278		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Brookview Care Center
Indianapolis, IN · CCN 155076		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Sycamore Village Care Center
Kokomo, IN · CCN 155367		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Valparaiso Care Center
Valparaiso, IN · CCN 155137		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Twelfth Street Care Center
Mishawaka, IN · CCN 155109		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Merrillville Care Center
Merrillville, IN · CCN 155362		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Woodbridge Care Center
Evansville, IN · CCN 155390		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Portage Care Center
Portage, IN · CCN 155187		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Lincoln Hills Care Center
Tell City, IN · CCN 155384		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Golden Rule Care Center
Richmond, IN · CCN 155264		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Elkhart Care Center
Elkhart, IN · CCN 155685		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Brandywine Care Center
Greenfield, IN · CCN 155120		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Brentwood Care Center
Evansville, IN · CCN 155248		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Terrace Care Center
La Porte, IN · CCN 155136		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Knox Care Center
Knox, IN · CCN 155686		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Woodlands Care Center
Newburgh, IN · CCN 155252		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Hamilton Trace of Fishers
Fishers, IN · CCN 155793		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 15, 2013
Brickyard Healthcare - Fountainview Care Center
Mishawaka, IN · CCN 155178		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brickyard Healthcare - Muncie Care Center
Muncie, IN · CCN 155687		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
Brownsburg Health Care Center
Brownsburg, IN · CCN 155206		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2013
Castleton Health Care Center
Indianapolis, IN · CCN 155245		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2013
Brickyard Healthcare - Petersburg Care Center
Petersburg, IN · CCN 155375		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2014
Brickyard Healthcare - Richmond Care Center
Richmond, IN · CCN 155157		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2014
Brickyard Healthcare - Willow Springs Care Center
Indianapolis, IN · CCN 155834		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 10, 2015
The Waters of Lebanon
Lebanon, IN · CCN 155211		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 15, 2017
Westside Retirement Village
Indianapolis, IN · CCN 155606		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Aug 1, 2018
Feb 24, 2025
Mitchell Manor
Mitchell, 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 Wayne
Fort 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 Healthcare
West Lafayette, IN · CCN 155402		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Sep 1, 2018
Feb 26, 2025
Hammond-Whiting Care Center
Whiting, 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 Center
Evansville, 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 City
Michigan 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 Lagrange
Lagrange, 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 House
Crawfordsville, IN · CCN 155477		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Sep 1, 2012
Feb 20, 2025
The Woodlands
Muncie, 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 Valparaiso
Valparaiso, 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 Center
New 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 Rochester
Rochester, 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 Center
Rensselaer, 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 Center
Fort Wayne, IN · CCN 155364		 Skilled nursing facility Direct Ownership Interest (100%) Aug 1, 2020
Hickory Creek at Sunset
Greencastle, 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, LLC
Noblesville, IN · CCN 157092		 Home health agency 5% Or Greater Indirect Ownership Interest (12.82%) Sep 3, 2024
Suburban Hospice
Noblesville, IN · CCN 151547		 Hospice 5% Or Greater Indirect Ownership Interest (12.82%) Nov 1, 2024

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20181009000827 IN Part a Provider - Skilled Nursing Facility 4880505528 Practice locations: Valparaiso, IN

National Provider Directory

Tax ID family
Hendricks Community Hosp (110 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 040000781 IN Yes

Addresses

Primary practice location

1000 Elizabeth St
Valparaiso, IN 46383-4326

Mailing address

3001 Keith St NW
Cleveland, TN 37312-3713
Phone (423) 473-5751

Other identifiers

IdentifierTypeStateIssuer
100289310MedicaidIN

Other names

  • Life Care Center of Willows Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 9, 2019.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554768000000",
    "number": "1194772087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123713",
            "telephone_number": "423-473-5751",
            "fax_number": "423-339-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ELIZABETH ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834326",
            "telephone_number": "219-464-4858",
            "fax_number": "219-477-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDRICKS COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2019-04-09",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "ASSIST SECRETARY",
        "authorized_official_telephone_number": "423-473-5867"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "040000781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100289310",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Care Center of Willows",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Life Care Center of Willows",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valparaiso, IN

All providers in Valparaiso, IN · Skilled Nursing Facility in Indiana

Sources for this page

Verify at the official NPI Registry.