Organization Active NPI

Prairie Landing Community Inc

  • Skilled Nursing Facility
  • Carmel, IN
National Provider Identifier
1265089601
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PRAIRIE LANDING COMMUNITY INC
Practice address
1335 S Guilford Rd
Carmel, IN 46032-2999
Phone
(317) 810-1800
NPI assigned
Aug 21, 2019
Organization subpart
Yes
Parent organization
PRAIRIE LANDING COMMUNITY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Authorized official

Name
Mr. Roger Weideman
Title
Cfo
Phone
(317) 873-3371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1335 S Guilford Rd
Carmel, IN 46032-2999

Mailing address

5415 Bearberry LN
Indianapolis, IN 46268-3922

Other names 1

  • The Barrington of Carmel Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190927001627 IN Part A Provider - Skilled Nursing Facility 0749510147 Practice locations: Carmel, IN

Skilled nursing facility certification: CCN 155817

Legal name
PRAIRIE LANDING COMMUNITY INC
Doing business as
THE BARRINGTON OF CARMEL
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Apr 17, 2014
Last certification
Aug 8, 2024
Beds
154 (8 certified)
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Prairie Landing Communities Inc
Organization structure
CorporationNon-profit
Enrollment address
1335 S Guilford Rd
Carmel, IN 46032-2999
Nursing home name
BARRINGTON OF CARMEL, THE
Affiliated entity
BHI SENIOR LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Barrington of Carmel, theCCN 155817
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
Non profit - Corporation
Certified
Apr 17, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
86.3 residents per day on average
Chain
Bhi Senior Living9 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Part of
Prairie Landing Community Inc

Ownership & related parties

All disclosed owners & managing parties 32

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

NameRoleSinceShare
Marwan Mustaklem Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Jeffrey Caldwell Individual Operational/Managerial Control Jan 1, 2025
Healthcare Therapy Services Inc Organization, Greenwood, IN Corporation Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Individual Adp of the SNF Jan 1, 2025
Plante & Moran PLLC Organization, Southfield, MI LLC, Consulting firm Adp of the SNF Jan 1, 2025
Travaea Jones Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Bhi Retirement Communities Inc Organization, Indianapolis, IN Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Aug 30, 2019 100%
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Aug 30, 2019
L. Dean Jones Individual Operational/Managerial Control Jan 1, 2015
Brian D Carr Individual Corporate DirectorVP of Operations Jan 2, 2018
Operational/Managerial Control Jan 2, 2018
Fred Robbins Individual Operational/Managerial Control Jul 1, 2022
Bhi Senior Living, Inc. Organization, Indianapolis, IN Corporation, Management services company, Non-profit, Chain home office Operational/Managerial Control Jan 1, 2025 100%
Adp of the SNF Jan 1, 2025
Jeffrey a Terp Individual Operational/Managerial Control Jan 1, 2025
Aletha Gee Individual Corporate DirectorSocial Services Director Jan 1, 2025
Operational/Managerial Control Jan 1, 2015
Adp of the SNF Jan 1, 2025
Wendy L. Meredith Individual Operational/Managerial Control Jan 1, 2025
Jane Richardson Individual Operational/Managerial Control Jan 1, 2025
Brian Robert Ellis Individual Operational/Managerial Control Jan 1, 2025
Mark Prifogle Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Douglass B Dalton Individual Operational/Managerial Control Jan 1, 2025
Beth Kelly Individual Operational/Managerial Control Jan 1, 2025
Jane a. Seigel Individual Operational/Managerial Control Jan 1, 2025
Elizabeth Koselke Individual Operational/Managerial Control Jan 1, 2025
Fifth Third Bank Organization, Carmel, IN Financial institution 5% Or Greater Mortgage Interest Jan 1, 2025 44.26%
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Roger Miller Individual Operational/Managerial Control Jan 1, 2025
Forvis Mazars LLP Organization, Springfield, MO Consulting firm Operational/Managerial Control Jun 1, 2023
Adp of the SNF Jun 1, 2023
Kara Christine Owen Individual Operational/Managerial Control Aug 31, 2019
Adp of the SNF Aug 31, 2019
Ryan Ramirez Individual Corporate DirectorEnvironmental Servicing Director Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
John S. Dattilo Individual Operational/Managerial Control Mar 1, 2015
Adp of the SNF Mar 1, 2015
Melissa Forrester Individual Corporate DirectorDirector of Nursing Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Roger E. Weideman II Individual Corporate OfficerVice President/Cfo May 3, 2010
Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Organization, Chicago, IL Financial institution Adp of the SNF Jan 1, 2025
Bailey Goodwin Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
John Bloomstrom Individual Operational/Managerial Control Jan 1, 2025

Owners & managing parties with NPI records 4

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

Facilities with the same owner 96

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

View all 96

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": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1265089601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 BEARBERRY LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462683922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 S GUILFORD RD",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322999",
            "telephone_number": "317-810-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE LANDING COMMUNITY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRAIRIE LANDING COMMUNITY INC",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "WEIDEMAN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "317-873-3371",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Barrington of Carmel",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.