Active NPI
Hancock Regional Hospital
Doing business as Otterbein Franklin SeniorLife Comm Res & Comp Care
- Skilled Nursing Facility
- Franklin, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 155771
- Legal business name
- HANCOCK REGIONAL HOSPITAL
- Doing business as
- Otterbein Franklin SeniorLife Comm Res & Comp Care
- Practice address
- 1070 W Jefferson St
Franklin, IN 46131-2179 - Phone
- (317) 736-7185
- Fax
- (317) 736-1151
- NPI assigned
- Jul 15, 2006
- Last updated
- Nov 21, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Keith B. Van Deman
- Title
- Executive Director
- Phone
- (317) 736-7185
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 05-001127-1 | IN | |
| Skilled Nursing Facility | 314000000X | 155771 | IN | Primary |
Addresses
Primary practice location
1070 W Jefferson St
Franklin, IN 46131-2179
Mailing address
1070 W Jefferson St
Franklin, IN 46131-2179
Phone (317) 736-7185
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200247220A | Medicaid | IN | |
| 05-001127-1 | Other | IN | STATE LICENSE NUMBER |
Other names 1
- Otterbein Franklin SeniorLife Comm Res & Comp Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130611000113 | IN | Part A Provider - Skilled Nursing Facility | 1850205162 | Practice locations: Franklin, IN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1326064882. Details of each certification follow.
Skilled nursing facility certification: CCN 155771
- Legal name
- HANCOCK REGIONAL HOSPITAL
- Doing business as
- OTTERBEIN FRANKLIN SENIORLIFE COMMUNITY RESIDENTIAL & COMPREHENSIVE CA
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Oct 3, 2008
- Last certification
- Jul 31, 2024
- Beds
- 667 (208 certified)
- Ownership / control type
- Church Related
- Multi-facility organization
- Hancock Reginal Hospital
- Organization structure
- Other
- Enrollment address
- 1070 W Jefferson St
Franklin, IN 46131-2179 - Nursing home name
- OTTERBEIN FRANKLIN SENIORLIFE COMM RES & COM CARE
- Affiliated entity
- OTTERBEIN SENIORLIFE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Otterbein Franklin Seniorlife Comm Res & Com Care
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Church related
- Certified
- Oct 3, 2008
- Medicare certification status
- Active
- Certified beds
- 208
- Chain
- Otterbein Seniorlife
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D0985703 | Hancock Regional Hospital D/B/a Otterbein Franklin | Certificate of waiver | Apr 25, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Greenfield Family Medic
Other organizations with this tax ID 43
Organizations that report the same tax identification number in the National Provider Directory.
-
- Anesthesiology Physician
- Greenfield, IN
- NPI 1093846941
-
dba Allison Pointe Healthcare Center
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1013358563
-
- Durable Medical Equipment & Medical Supplies
- Greenfield, IN
- NPI 1023402567
-
dba Avalon Springs Health Campus
- Skilled Nursing Facility
- Valparaiso, IN
- NPI 1043582554
-
dba Hancock Well-Being at Work-Gateway
- Health Service Clinic/Center
- Greenfield, IN
- NPI 1124894241
-
dba Hancock Well Being at Work-Greenfield
- Health Service Clinic/Center
- Greenfield, IN
- NPI 1154197267
-
dba Bethany Pointe Health Campus
- Skilled Nursing Facility
- Anderson, IN
- NPI 1215045000
-
dba Wellbrooke of Westfield
- Skilled Nursing Facility
- Westfield, IN
- NPI 1245674423
-
- General Acute Care Hospital
- Greenfield, IN
- NPI 1255418356
-
- General Acute Care Hospital
- McCordsville, IN
- NPI 1255752358
-
dba Southwood Healthcare Center
- Skilled Nursing Facility
- Terre Haute, IN
- NPI 1255753141
-
dba Springhurst Health Campus
- Skilled Nursing Facility
- Greenfield, IN
- NPI 1306044383
Ownership & related parties
All disclosed owners & managing parties 39
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 |
|---|---|---|---|
| Roy L Wilson | Managing Control - Governing Body | Apr 14, 2013 | |
| Lacey Willard | Managing Control - Governing Body | Jul 1, 2022 | |
| Becky Bayliff | Operational/Managerial Control | Jan 1, 2021 | |
| Polaris Pharmacy Services of Ohio LLC | Adp of the SNF | Dec 1, 2018 | |
| Michael J Welsh | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Timothy G Clark | Managing Control - Governing Body | Apr 14, 2013 | |
| Kelsey Kasting | Operational/Managerial Control | Jan 1, 2025 | |
| Hancock Regional Hospital | 5% Or Greater Direct Ownership Interest | Apr 14, 2013 | 100% |
| Brent Sweeney | Operational/Managerial Control | Jan 1, 2025 | |
| Heidi Glosser | Operational/Managerial Control | Jan 1, 2020 | |
| Dennins Hash | Operational/Managerial Control | Jan 1, 2025 | |
| Victoria Bartlett | Operational/Managerial Control | Jan 1, 2021 | |
| Franklin United Methodist Home, Inc. | Operational/Managerial Control | Apr 1, 2013 | |
| Adp of the SNF | Apr 1, 2013 | ||
| Steven V Long | Corporate Officer | Aug 1, 2014 | |
| Operational/Managerial Control | Aug 1, 2014 | ||
| William Brownson | Operational/Managerial Control | Jan 1, 2012 | |
| Jenothy Irvine | Operational/Managerial Control | Jan 1, 2025 | |
| David Sweet | Operational/Managerial Control | Jan 1, 2023 | |
| Tomas Hazelbaker | Operational/Managerial Control | Jan 1, 2014 | |
| Ralph Reed Fraley | Operational/Managerial Control | Jan 1, 2021 | |
| Otterbein LSC, LLC | Adp of the SNF | Apr 1, 2013 | |
| Functional Pathways of Tennessee LLC | Operational/Managerial Control | Dec 1, 2018 | |
| Adp of the SNF | Apr 8, 2025 | ||
| Jill Wilson | Operational/Managerial Control | Jan 1, 2021 | |
| David Maurer | Operational/Managerial Control | Jan 1, 2022 | |
| Shannon Logan | Operational/Managerial Control | Jun 13, 2022 | |
| Adp of the SNF | Jun 13, 2022 | ||
| Otterbein Home | Adp of the SNF | Apr 1, 2013 | |
| Anna Miles | Operational/Managerial Control | Jan 1, 2023 | |
| Joshua Daugherty | Managing Control - Governing Body | Jan 1, 2020 | |
| Dean R Felker | Managing Control - Governing Body | Apr 14, 2013 | |
| Maria F Bond | Managing Control - Governing Body | Jul 1, 2021 | |
| Robert Coleman | Operational/Managerial Control | Jan 1, 2022 | |
| James W Miller | Corporate Director | Apr 14, 2013 | |
| David Sease | Operational/Managerial Control | Jan 1, 2023 | |
| Kelly Pitcher | Operational/Managerial Control | Jan 1, 2023 | |
| Jenny Beck | Operational/Managerial Control | Jan 1, 2024 | |
| Daniel Burke | Operational/Managerial Control | Jan 1, 2021 | |
| Sara M Joyner | Managing Control - Governing Body | Jul 1, 2019 | |
| Lynn App | Operational/Managerial Control | Jan 1, 2011 | |
| Kirk Bixler | Operational/Managerial Control | Jan 1, 2025 | |
| Steve Vonderhaar | Operational/Managerial Control | Jan 1, 2023 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Franklin, IN
- NPI 1932205945
Adp of the SNF, Operational/Managerial Control
-
- Long Term Care Pharmacy
- Columbus, OH
- NPI 1962271650
Adp of the SNF
All facility ownership & control disclosures 30
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Ascension St Vincent Heart Center | Hospital | Other (2%) | Jul 1, 2017 |
| Westminster Village North | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Feb 1, 2012 Feb 26, 2025 |
| Majestic Care of McCordsville | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2013 |
| Hooverwood | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 10, 2013 |
| Greenwood Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Jul 1, 2013 Jul 30, 2025 |
| Great Lakes Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Jul 1, 2013 Jan 5, 2026 |
| Greenfield Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2013 |
| Allison Pointe Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2013 |
| Southwood Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2014 |
| Kokomo Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Jan 1, 2014 May 9, 2025 |
| Valley View Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Jan 1, 2014 May 15, 2025 |
| Wildwood Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2014 |
| Paddock Springs | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2014 |
| Springhurst Health Campus | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2014 |
| Bethany Pointe Health Campus | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2014 |
| Prairie Lakes Health Campus | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2014 |
| Avalon Springs Health Campus | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2014 |
| Creasy Springs Health Campus | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2014 |
| Bridgewater Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2015 |
| Cedar Creek Health Campus | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2014 |
| Waterford Crossing | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2015 |
| Morrison Woods Health Campus | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2015 |
| Ashford Place Health Campus | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2015 |
| Wellbrooke of South Bend | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2015 |
| Wellbrooke of Westfield | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2015 |
| Southpointe Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) 5% Or Greater Indirect Ownership Interest (100%) |
Mar 1, 2016 Mar 1, 2016 |
| Evergreen Crossing and the Lofts | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 14, 2018 |
| Robin Run Health Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2023 |
| Suburban Home Health, LLC | Home health agency | 5% Or Greater Indirect Ownership Interest (30.82%) | Sep 3, 2024 |
| Suburban Hospice | Hospice | 5% Or Greater Indirect Ownership Interest (30.82%) | Nov 1, 2024 |
Facilities with the same owner 47
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Allison Pointe Healthcare Center
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1013358563
Hancock Regional Hospital
-
dba Avalon Springs Health Campus
- Skilled Nursing Facility
- Valparaiso, IN
- NPI 1043582554
Hancock Regional Hospital
-
dba Bethany Pointe Health Campus
- Skilled Nursing Facility
- Anderson, IN
- NPI 1215045000
Hancock Regional Hospital
-
dba Wellbrooke of Westfield
- Skilled Nursing Facility
- Westfield, IN
- NPI 1245674423
Hancock Regional Hospital
-
dba Southwood Healthcare Center
- Skilled Nursing Facility
- Terre Haute, IN
- NPI 1255753141
Hancock Regional Hospital
-
dba Springhurst Health Campus
- Skilled Nursing Facility
- Greenfield, IN
- NPI 1306044383
Hancock Regional Hospital
-
dba Morrison Woods Health Campus
- Skilled Nursing Facility
- Muncie, IN
- NPI 1326223264
Hancock Regional Hospital
-
dba Greenwood Healthcare Center
- Skilled Nursing Facility
- Greenwood, IN
- NPI 1366883811
Hancock Regional Hospital
-
dba Wildwood Healthcare Center
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1376965269
Hancock Regional Hospital
-
dba Valley View Healthcare Center
- Skilled Nursing Facility
- Elkhart, IN
- NPI 1396167284
Hancock Regional Hospital
-
dba Waterford Crossing
- Skilled Nursing Facility
- Goshen, IN
- NPI 1417991415
Hancock Regional Hospital
-
dba Great Lakes Healthcare Center
- Skilled Nursing Facility
- Dyer, IN
- NPI 1477994754
Hancock Regional Hospital
Practitioners & affiliated clinicians
Affiliated clinicians 3
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": "1152921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1511222400000",
"number": "1326064882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1070 W JEFFERSON ST",
"city": "FRANKLIN",
"state": "IN",
"postal_code": "461312179",
"telephone_number": "317-736-7185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 W JEFFERSON ST",
"city": "FRANKLIN",
"state": "IN",
"postal_code": "461312179",
"telephone_number": "317-736-7185",
"fax_number": "317-736-1151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANCOCK REGIONAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-15",
"last_updated": "2017-11-21",
"status": "A",
"authorized_official_last_name": "VAN DEMAN",
"authorized_official_first_name": "KEITH",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "317-736-7185",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "IN",
"license": "05-001127-1",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IN",
"license": "155771",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200247220A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "05-001127-1",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Otterbein Franklin SeniorLife Comm Res & Comp Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Franklin, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.