NPIMap

Organization Active NPI

Woodlawn Hospital

Doing business as Grace Village Health Care Facility

  • Nursing Facility/Intermediate Care Facility
  • Winona Lake, IN
National Provider Identifier
1285723734
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
060005011 Issued in IN
Legal business name
WOODLAWN HOSPITAL
Doing business as
Grace Village Health Care Facility
Practice address
337 Grace Village Dr
Winona Lake, IN 46590-5774
Phone
(574) 372-6200
Fax
(574) 372-6386
NPI assigned
Oct 12, 2006
Last updated
Nov 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 060005011 IN
Nursing Facility/Intermediate Care Facility 313M00000X 060005011 IN Primary
Skilled Nursing Facility 314000000X 060005011 IN

Addresses

Primary practice location

337 Grace Village Dr
Winona Lake, IN 46590-5774

Mailing address

337 Grace Village Dr
Winona Lake, IN 46590-5774
Phone (574) 372-6200

Other names 1

  • Grace Village Health Care Facility Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130731000754 IN Part A Provider - Skilled Nursing Facility 4082506993 Practice locations: Winona Lake, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285723734. Details of each certification follow.

Skilled nursing facility certification: CCN 155635

Legal name
WOODLAWN HOSPITAL
Doing business as
GRACE VILLAGE HEALTH CARE FACILITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Aug 11, 1997
Last certification
Mar 24, 2025
Beds
153 (71 certified)
Ownership / control type
County
Multi-facility organization
Woodlawn Hospital
Most recent change of ownership
May 1, 2013
Organization structure
OtherNon-profit
Enrollment address
337 Grace Village Dr
Winona Lake, IN 46590-5774
Nursing home name
GRACE VILLAGE HEALTH CARE FACILITY

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
Grace Village Health Care FacilityCCN 155635 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Government - County
Certified
Aug 11, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7154.9 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
15D0647418Dba Grace Village Health Care Facility Woodlawn337 Grace Village Dr, Winona Lake, IN 46590Certificate 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

Ownership & related parties

All disclosed owners & managing parties 16

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 Managing Control - Governing BodyBoard Member Sep 1, 2019
Trustee of the SNF Sep 9, 2019
Alan Jay Fisher Individual Operational/Managerial Control Jun 13, 2022
Terri L Johnson Individual Managing Control - Governing BodyBoard Member Jun 13, 2022
Trustee of the SNF Jun 13, 2022
Justin Kimbrell Individual Operational/Managerial Control Nov 1, 2013
Mark Schwob Individual Operational/Managerial Control Nov 1, 2013
Woodlawn Hospital Organization, Rochester, IN 5% Or Greater Direct Ownership Interest May 1, 2013 100%
Adp of the SNF May 28, 2025
Harry Webb Individual Managing Control - Governing BodyBoard Member Oct 15, 2023
Trustee of the SNF Oct 15, 2023
Andrew Offerle Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
David Koontz Individual Operational/Managerial Control Nov 1, 2013
Gregory Lee Mellinger Individual Managing Control - Governing BodyBoard Member Jun 13, 2022
Trustee of the SNF Jun 13, 2022
Glenn Hall Individual Operational/Managerial Control Nov 1, 2013
Jarod Williams Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
The Accounting Group LLC Organization, Evansville, IN LLC Adp of the SNF Jan 15, 2025
Glen W Bode Individual Trustee of the SNF Dec 9, 2022
Kendra Chudzynski Individual Trustee of the SNF Oct 15, 2024
Grace Village Health Care Facility, Inc. Organization, Winona Lake, IN Corporation Operational/Managerial Control May 1, 2013
Adp of the SNF Sep 14, 1978

Owners & managing parties with NPI records 17

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

  • Andrew Joseph Offerle, M.D.
    • Emergency Medicine Physician
    • Fort Wayne, IN
    • NPI 1598785149

    Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Woodlawn Hospital

    dba Timbercrest Church of the Brethren Home

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

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

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

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

    CMS ownership
  • Woodlawn Hospital

    dba Oak Grove Christian Retirement Village

    • Skilled Nursing Facility
    • Demotte, IN
    • NPI 1235113945

    5% Or Greater Direct 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, Adp of the SNF

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

    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, Adp of the SNF

    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

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

    CMS ownership
  • Woodlawn Hospital

    dba Argos Medical Center

    • Family Medicine Physician
    • Argos, IN
    • NPI 1639241227

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

    CMS ownership
  • Woodlawn Hospital

    dba Woodlawn Medical Professionals

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

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

    CMS ownership
  • Woodlawn Hospital

    dba Akron Medical Center

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

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

    CMS ownership
View all 17

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
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
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

    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
    • 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 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 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": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385337600000",
    "number": "1285723734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 GRACE VILLAGE DR",
            "city": "WINONA LAKE",
            "state": "IN",
            "postal_code": "465905774",
            "telephone_number": "574-372-6200",
            "fax_number": "574-372-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 GRACE VILLAGE DR",
            "city": "WINONA LAKE",
            "state": "IN",
            "postal_code": "465905774",
            "telephone_number": "574-372-6200",
            "fax_number": "574-372-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAWN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2013-11-25",
        "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"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IN",
            "license": "060005011",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IN",
            "license": "060005011",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "060005011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Village Health Care Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winona Lake, IN

Sources for this page

Verify at the official NPI Registry.