Organization Active NPI

Hancock Regional Hospital

Doing business as Otterbein Franklin SeniorLife Comm Res & Comp Care

  • Skilled Nursing Facility
  • Franklin, IN
National Provider Identifier
1326064882
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
155771 Issued in IN
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200247220AMedicaidIN
05-001127-1OtherINSTATE LICENSE NUMBER

Other names 1

  • Otterbein Franklin SeniorLife Comm Res & Comp Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
OtherNon-profit
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 CareCCN 155771 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Oct 3, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
208126.7 residents per day on average
Chain
Otterbein Seniorlife20 facilities in the chain
Penalties (3 years)
1Fines totaling $21,825

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
15D0985703Hancock Regional Hospital D/B/a Otterbein Franklin1070 W Jefferson St, Franklin, IN 46131Certificate of waiverApr 25, 2027

National Provider Directory

National Provider Directory
Tax ID family
Greenfield Family Medic44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

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

View all 43

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.

NameRoleSinceShare
Roy L Wilson Individual Managing Control - Governing BodyBoard Member Apr 14, 2013
Lacey Willard Individual Managing Control - Governing BodyBoard Member Jul 1, 2022
Becky Bayliff Individual Operational/Managerial Control Jan 1, 2021
Polaris Pharmacy Services of Ohio LLC Organization, Columbus, OH LLC, For-profit Adp of the SNF Dec 1, 2018
Michael J Welsh Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Timothy G Clark Individual Managing Control - Governing BodyBoard Member Apr 14, 2013
Kelsey Kasting Individual Operational/Managerial Control Jan 1, 2025
Hancock Regional Hospital Organization, Greenfield, IN Non-profit 5% Or Greater Direct Ownership Interest Apr 14, 2013 100%
Brent Sweeney Individual Operational/Managerial Control Jan 1, 2025
Heidi Glosser Individual Operational/Managerial Control Jan 1, 2020
Dennins Hash Individual Operational/Managerial Control Jan 1, 2025
Victoria Bartlett Individual Operational/Managerial Control Jan 1, 2021
Franklin United Methodist Home, Inc. Organization, Franklin, IN Corporation, Non-profit Operational/Managerial Control Apr 1, 2013
Adp of the SNF Apr 1, 2013
Steven V Long Individual Corporate OfficerPresident & Ceo Aug 1, 2014
Operational/Managerial Control Aug 1, 2014
William Brownson Individual Operational/Managerial Control Jan 1, 2012
Jenothy Irvine Individual Operational/Managerial Control Jan 1, 2025
David Sweet Individual Operational/Managerial Control Jan 1, 2023
Tomas Hazelbaker Individual Operational/Managerial Control Jan 1, 2014
Ralph Reed Fraley Individual Operational/Managerial Control Jan 1, 2021
Otterbein LSC, LLC Organization, Lebanon, OH LLC, Non-profit Adp of the SNF Apr 1, 2013
Functional Pathways of Tennessee LLC Organization, Knoxville, TN LLC, Medical provider/supplier, Medical staffing company, For-profit Operational/Managerial Control Dec 1, 2018
Adp of the SNF Apr 8, 2025
Jill Wilson Individual Operational/Managerial Control Jan 1, 2021
David Maurer Individual Operational/Managerial Control Jan 1, 2022
Shannon Logan Individual Operational/Managerial Control Jun 13, 2022
Adp of the SNF Jun 13, 2022
Otterbein Home Organization, Lebanon, OH Corporation, Non-profit Adp of the SNF Apr 1, 2013
Anna Miles Individual Operational/Managerial Control Jan 1, 2023
Joshua Daugherty Individual Managing Control - Governing BodyBoard Member Jan 1, 2020
Dean R Felker Individual Managing Control - Governing BodyBoard Member Apr 14, 2013
Maria F Bond Individual Managing Control - Governing BodyBoard Member Jul 1, 2021
Robert Coleman Individual Operational/Managerial Control Jan 1, 2022
James W Miller Individual Corporate DirectorVice Chairman Apr 14, 2013
David Sease Individual Operational/Managerial Control Jan 1, 2023
Kelly Pitcher Individual Operational/Managerial Control Jan 1, 2023
Jenny Beck Individual Operational/Managerial Control Jan 1, 2024
Daniel Burke Individual Operational/Managerial Control Jan 1, 2021
Sara M Joyner Individual Managing Control - Governing BodyBoard Member Jul 1, 2019
Lynn App Individual Operational/Managerial Control Jan 1, 2011
Kirk Bixler Individual Operational/Managerial Control Jan 1, 2025
Steve Vonderhaar Individual 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.

All facility ownership & control disclosures 30

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ascension St Vincent Heart CenterCarmel, IN, CCN 150153 Hospital Other (2%) Jul 1, 2017
Westminster Village NorthIndianapolis, IN, CCN 155167 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Feb 1, 2012
Feb 26, 2025
Majestic Care of McCordsvilleMcCordsville, IN, CCN 155570 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2013
HooverwoodIndianapolis, IN, CCN 155001 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 10, 2013
Greenwood Healthcare CenterGreenwood, IN, CCN 155193 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Jul 1, 2013
Jul 30, 2025
Great Lakes Healthcare CenterDyer, IN, CCN 155218 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Jul 1, 2013
Jan 5, 2026
Greenfield Healthcare CenterGreenfield, IN, CCN 155188 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2013
Allison Pointe Healthcare CenterIndianapolis, IN, CCN 155272 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2013
Southwood Healthcare CenterTerre Haute, IN, CCN 155484 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2014
Kokomo Healthcare CenterKokomo, IN, CCN 155222 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Jan 1, 2014
May 9, 2025
Valley View Healthcare CenterElkhart, IN, CCN 155496 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Jan 1, 2014
May 15, 2025
Wildwood Healthcare CenterIndianapolis, IN, CCN 155334 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2014
Paddock SpringsWarsaw, IN, CCN 155495 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2014
Springhurst Health CampusGreenfield, IN, CCN 155767 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2014
Bethany Pointe Health CampusAnderson, IN, CCN 155698 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2014
Prairie Lakes Health CampusNoblesville, IN, CCN 155779 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2014
Avalon Springs Health CampusValparaiso, IN, CCN 155795 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2014
Creasy Springs Health CampusLafayette, IN, CCN 155777 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2014
Bridgewater Healthcare CenterCarmel, IN, CCN 155790 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2015
Cedar Creek Health CampusLowell, IN, CCN 155822 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2014
Waterford CrossingGoshen, IN, CCN 155760 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2015
Morrison Woods Health CampusMuncie, IN, CCN 155769 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2015
Ashford Place Health CampusShelbyville, IN, CCN 155735 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2015
Wellbrooke of South BendSouth Bend, IN, CCN 155824 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2015
Wellbrooke of WestfieldWestfield, IN, CCN 155808 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2015
Southpointe Healthcare CenterIndianapolis, IN, CCN 155823 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 LoftsIndianapolis, IN, CCN 155826 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 14, 2018
Robin Run Health CenterIndianapolis, IN, CCN 155505 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2023
Suburban Home Health, LLCNoblesville, IN, CCN 157092 Home health agency 5% Or Greater Indirect Ownership Interest (30.82%) Sep 3, 2024
Suburban HospiceNoblesville, IN, CCN 151547 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.

View all 47

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

Verify at the official NPI Registry.