Active NPI
Prairie Landing Community Inc
- Skilled Nursing Facility
- Carmel, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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 INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, the
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- Non profit - Corporation
- Certified
- Apr 17, 2014
- Medicare certification status
- Active
- Certified beds
- 8
- Chain
- Bhi Senior Living
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Marwan Mustaklem | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Jeffrey Caldwell | Operational/Managerial Control | Jan 1, 2025 | |
| Healthcare Therapy Services Inc | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Plante & Moran PLLC | Adp of the SNF | Jan 1, 2025 | |
| Travaea Jones | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Bhi Retirement Communities Inc | 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 | Operational/Managerial Control | Jan 1, 2015 | |
| Brian D Carr | Corporate Director | Jan 2, 2018 | |
| Operational/Managerial Control | Jan 2, 2018 | ||
| Fred Robbins | Operational/Managerial Control | Jul 1, 2022 | |
| Bhi Senior Living, Inc. | Operational/Managerial Control | Jan 1, 2025 | 100% |
| Adp of the SNF | Jan 1, 2025 | ||
| Jeffrey a Terp | Operational/Managerial Control | Jan 1, 2025 | |
| Aletha Gee | Corporate Director | Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2015 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Wendy L. Meredith | Operational/Managerial Control | Jan 1, 2025 | |
| Jane Richardson | Operational/Managerial Control | Jan 1, 2025 | |
| Brian Robert Ellis | Operational/Managerial Control | Jan 1, 2025 | |
| Mark Prifogle | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Douglass B Dalton | Operational/Managerial Control | Jan 1, 2025 | |
| Beth Kelly | Operational/Managerial Control | Jan 1, 2025 | |
| Jane a. Seigel | Operational/Managerial Control | Jan 1, 2025 | |
| Elizabeth Koselke | Operational/Managerial Control | Jan 1, 2025 | |
| Fifth Third Bank | 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 | Operational/Managerial Control | Jan 1, 2025 | |
| Forvis Mazars LLP | Operational/Managerial Control | Jun 1, 2023 | |
| Adp of the SNF | Jun 1, 2023 | ||
| Kara Christine Owen | Operational/Managerial Control | Aug 31, 2019 | |
| Adp of the SNF | Aug 31, 2019 | ||
| Ryan Ramirez | Corporate Director | Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| John S. Dattilo | Operational/Managerial Control | Mar 1, 2015 | |
| Adp of the SNF | Mar 1, 2015 | ||
| Melissa Forrester | Corporate Director | Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Roger E. Weideman II | Corporate Officer | May 3, 2010 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Bailey Goodwin | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| John Bloomstrom | 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.
-
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1255441663
Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Columbus, IN
- NPI 1568572287
Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1720195597
Adp of the SNF, Operational/Managerial Control
-
- Internal Medicine Physician
- Fishers, IN
- NPI 1750357513
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 96
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Leo, IN
- NPI 1023003118
Forvis Mazars LLP, Healthcare Therapy Services Inc
-
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1073554200
Forvis Mazars LLP, Healthcare Therapy Services Inc
-
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1134493281
Forvis Mazars LLP, Healthcare Therapy Services Inc
-
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1144253451
Forvis Mazars LLP
-
- Skilled Nursing Facility
- Kendallville, IN
- NPI 1154362390
Forvis Mazars LLP, Healthcare Therapy Services Inc
-
- Skilled Nursing Facility
- Warren, IN
- NPI 1346245271
Healthcare Therapy Services Inc
-
- 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, Healthcare Therapy Services Inc
-
- Skilled Nursing Facility
- Huntington, IN
- NPI 1477556546
Healthcare Therapy Services Inc
-
- Nursing Facility/Intermediate Care Facility
- Monroeville, IN
- NPI 1760519268
Forvis Mazars LLP
-
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1801205240
Forvis Mazars LLP, Healthcare Therapy Services Inc
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.