Active NPI
Westminster Village Muncie, Inc
- Skilled Nursing Facility
- Muncie, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- WESTMINSTER VILLAGE MUNCIE, INC
- Practice address
- 5801 W Bethel Ave
Muncie, IN 47304-9549 - Phone
- (765) 288-2155
- Fax
- (765) 284-0336
- NPI assigned
- May 24, 2006
- 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. Dale E Lindley, HFA
- Title
- President
- Phone
- (765) 288-2155
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | IN | Primary |
Addresses
Primary practice location
5801 W Bethel Ave
Muncie, IN 47304-9549
Mailing address
5801 W Bethel Ave
Muncie, IN 47304-9549
Phone (765) 288-2155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210826003688 | IN | Part A Provider - Skilled Nursing Facility | 8820303274 | Practice locations: Muncie, IN |
Skilled nursing facility certification: CCN 155170
- Legal name
- WESTMINSTER VILLAGE MUNCIE INC
- Doing business as
- WESTMINSTER VILLAGE MUNCIE INC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 7, 1975
- Last certification
- May 28, 2024
- Beds
- 303 (76 certified)
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Enrollment address
- 5801 W Bethel Ave
Muncie, IN 47304-9549 - Nursing home name
- WESTMINSTER VILLAGE MUNCIE INC
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Westminster Village Muncie Inc
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Oct 7, 1975
- Medicare certification status
- Active
- Certified beds
- 76
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 |
|---|---|---|---|
| 15D0880954 | Westminster Village Muncie Inc | Certificate of waiver | Jan 2, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 20
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 |
|---|---|---|---|
| First Merchants Bank | 5% Or Greater Mortgage Interest | Feb 1, 2016 | 23% |
| Adp of the SNF | Feb 1, 2016 | ||
| Loren J Matchett | Corporate Director | Jul 1, 2024 | |
| Magi Kirkpatrick-Sikora | Corporate Director | Jul 1, 2024 | |
| Ronald Farquher | Corporate Director | Jul 1, 2024 | |
| Debbie Feick | Corporate Director | Jul 1, 2024 | |
| Janice Craig | Corporate Director | Jul 1, 2024 | |
| Eric Scherrer | Corporate Director | Jul 1, 2024 | |
| Barnes, Dennig & Co., LTD | Adp of the SNF | Jan 1, 2025 | |
| Jeffrey B Hiltz | Adp of the SNF | Jul 1, 2024 | |
| Andrew Dawson | Corporate Director | Jul 1, 2024 | |
| Adp of the SNF | Jul 1, 2023 | ||
| Mary Crutcher | Corporate Officer | Jul 1, 2024 | |
| Operational/Managerial Control | Dec 31, 2021 | ||
| Mark Ervin | Corporate Director | Jul 1, 2024 | |
| Jan Abbs | Corporate Director | Jul 1, 2024 | |
| Forvis Mazars LLP | Operational/Managerial Control | Jun 1, 2023 | |
| Adp of the SNF | Jun 1, 2023 | ||
| John Littler | Corporate Director | Jul 1, 2024 | |
| Paragon Outpatient Rehabilitation Services LLC | Adp of the SNF | Jul 1, 2024 | |
| Michael Galliher | Corporate Director | Jul 1, 2024 | |
| Dustin Jones | Corporate Officer | Jul 1, 2024 | |
| Jerald Childs | Corporate Director | Jul 1, 2024 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1871867325
Adp of the SNF
Facilities with the same owner 87
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1073554200
Forvis Mazars LLP
-
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1134493281
Forvis Mazars LLP
-
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1144253451
Forvis Mazars LLP
-
- Skilled Nursing Facility
- Kendallville, IN
- NPI 1154362390
Forvis Mazars LLP
-
- 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
-
- Nursing Facility/Intermediate Care Facility
- Monroeville, IN
- NPI 1760519268
Forvis Mazars LLP
-
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1801205240
Forvis Mazars LLP
-
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1821092347
Forvis Mazars LLP
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": "1148428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1427003441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5801 W BETHEL AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473049549",
"telephone_number": "765-288-2155",
"fax_number": "765-284-0336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 W BETHEL AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473049549",
"telephone_number": "765-288-2155",
"fax_number": "765-284-0336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTMINSTER VILLAGE MUNCIE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LINDLEY",
"authorized_official_first_name": "DALE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "765-288-2155",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "HFA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.