NPIMap

Organization Active NPI

Community Village, Inc

  • Skilled Nursing Facility
  • Munster, IN
National Provider Identifier
1487649190
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
050107581 Issued in IN
Legal business name
COMMUNITY VILLAGE, INC
Practice address
503 Otis Bowen Drive
Munster, IN 46321
Phone
(219) 934-0590
Fax
(219) 934-2044
NPI assigned
Sep 19, 2005
Last updated
Sep 6, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY FOUNDATION OF NORTHWEST INDIANAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Authorized official

Name
Ms. Leslie Darrow
Title
VP of Post Acute Services
Phone
(219) 934-0750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 050107581 IN Primary

Addresses

Primary practice location

503 Otis Bowen Drive
Munster, IN 46321

Mailing address

10000 Columbia Ave
Munster, IN 46321
Phone (219) 934-0750

Other names 1

  • Rehabilitation Center at Hartsfield Village Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100121000095 IN Part A Provider - Skilled Nursing Facility 9739221383 Practice locations: Munster, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487649190. Details of each certification follow.

Skilled nursing facility certification: CCN 155662

Legal name
COMMUNITY VILLAGE INC
Doing business as
REHABILITATION CENTER AT HARTSFIELD VILLAGE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Mar 30, 1999
Last certification
Jun 3, 2024
Beds
112
Ownership / control type
Nonprofit Corporation
Organization structure
OtherNon-profit
Incorporated
May 19, 1995 in IN
Enrollment address
503 Otis Bowen Dr
Munster, IN 46321-4158
Nursing home name
REHABILITATION CENTER AT HARTSFIELD VILLAGE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Rehabilitation Center at Hartsfield VillageCCN 155662 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Mar 30, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
112105.2 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
15D0954937Community Village Dba Rehabilitation Center503 Otis Bowen Drive, Munster, IN 46321Certificate of waiverDec 11, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Frankie Fesko Individual Corporate Director Nov 16, 2009
Richard Schumacher Individual Corporate OfficerPresident Jul 1, 2015
Corporate Director Jul 1, 2017
Leslie M Darrow Individual Corporate Director Jul 1, 2017
W-2 Managing EmployeeExecutive Director Apr 18, 2014
Community Foundation of Northwest Indiana, Inc Organization, Munster, IN Non-profit 5% Or Greater Direct Ownership Interest May 1, 2006 100%
Donald Fesko Individual Corporate OfficerSecretary/Treasurer Jul 1, 2017
Donald Torrenga Individual Corporate OfficerVice President Jul 1, 2012
Corporate Director Jul 1, 2012
John Dunn Individual Corporate Director Jul 1, 2018

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536192000000",
    "number": "1487649190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 COLUMBIA AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "46321",
            "telephone_number": "219-934-0750",
            "fax_number": "219-934-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 OTIS BOWEN DRIVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "46321",
            "telephone_number": "219-934-0590",
            "fax_number": "219-934-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY VILLAGE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY FOUNDATION OF NORTHWEST INDIANA",
        "enumeration_date": "2005-09-19",
        "last_updated": "2018-09-06",
        "status": "A",
        "authorized_official_last_name": "DARROW",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "VP OF POST ACUTE SERVICES",
        "authorized_official_telephone_number": "219-934-0750",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "050107581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehabilitation Center at Hartsfield Village",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.